Pain and Aggression
Pain and Aggression
3, 1993
277
Unpleasant Event
Negative Affect
Rudimentary Anger
1
Rudimentary Fear
Differentiated Feelings
1989, 1993a, 1993b) holding that strong unpleasant sensations give rise to
both flight and fight reactions. People experiencing intense negative affect
may seek to escape or avoid the aversive situation, but they presumably
also have anger-related feelings, thoughts, and memories. The model is
summarized in Fig. 1. Simply put, it contends that immediately after an
aversive event is encountered and before any control processes go into op-
eration, the resulting negative affect activates angry feelings, hostile
thoughts and memories, and aggressive motor reactions automatically and
with little thought and attention because of the associative ties linking these
various components of the "anger/aggression syndrome" (Berkowitz,
1993b). As a consequence, the afflicted organism theoretically is inclined
to strike at some target.
Although many different kinds of unpleasant feelings seem to have
this effect, according to a growing number of studies, the results also sug-
Pain and Aggression 279
gest that aggressive reactions are especially likely to occur when the nega-
tive affect is fairly intense, when suitable targets for aggression are avail-
able, and when response t e n d e n c i e s stronger than the aggressive
inclinations have not been evoked (Berkowitz, 1993a, p. 65). These aggres-
sion-facilitating conditions often exist when the person is experiencing
physical pain, and the present paper will therefore focus on how pain might
give rise to an instigation to aggression.
This emphasis on the aggressive effects of pain can be very informa-
tive. The research on this topic certainly can give us a better understanding
of emotional aggression. But more than this, it also has important impli-
cations for the analysis of emotions generally, and I will spell out some of
these implications at the end of this article.
ANIMAL RESEARCH
mals are more likely to assault an available target when they do not know
how to get away from the pain source. Can it be, as I have proposed else-
where (e.g., Berkowitz, 1990, 1993a, 1993b), that the painful occurrence
activates both flight and fight tendencies, although one of these inclinations
may mask the other urge on many occasions? Prior learning clearly can
influence the relative strengths of these tendencies. Those animals who
have previously learned that aggression is apt to be punished and/or who
have developed nonaggressive reactions to the noxious stimulation are rela-
tively unlikely to attack an appropriate target when they are hurt (cf. Berk-
owitz, 1982, pp. 261-262).
Animal research also provides important information about the goals
of the aversively stimulated aggression. Disputing the Azrin/Hutchinson/U1-
rich analysis, several investigators (e.g., Blanchard, Blanchard, & Takahishi,
1978) have argued that the pain-evoked aggression is defensive behavior
rather than an appetitive-like attack where there is a specific aim to injure
or even destroy some target. For these critics the pained animals are ba-
sically only trying to protect themselves (cf. Archer, 1990). Taking a related
position, other psychologists (e.g., Bandura, 1973; Potegal, 1979) have held
that the pain-evoked assault is an attempt to eliminate or lessen the noxious
stimulation and that this behavior is maintained by negative reinforcement.
These interpretations of aversivety stimulated aggression have been
countered by still other investigators. Some (Archer, 1990; Brain, 1981;
Hutchinson, 1983) have noted that (in both laboratory and naturalistic stud-
ies) clearly offensive as well as defensive aggression can be seen at times.
And similarly, according to other findings, pained animals can strive to in-
jure their target as well as to escape or avoid the noxious stimulation. Thus,
where Knutson, Fordyce, and Anderson (1980) demonstrated that pain-elic-
ited aggression can be reinforced by the cessation of the unpleasant event,
the same experiment also showed that pained animals were inclined to fight
even when they had not learned that their attacks could end the aversive
occurrence. Also pointing to appetitive aggression, Azrin, Hutchinson, and
McLaughtin (1965) reported that the afflicted animals may even exert effort
(e.g., pull a chain) in order to obtain a suitable target for their aggression.
I will suggest below that suffering humans may also exhibit this kind of
appetitive aggression; they too may be inclined to strike at an appropriate
target, at least partly for the sake of doing harm.
At any rate, despite the seeming exceptions that have occasionally
been reported, Moyer (1976) concluded in his review of the pertinent lit-
erature that "there can be no doubt that under certain circumstances pain
can lead to an intense attack. Such behavior has been demonstrated in the
monkey . . . the cat . . . the rat . . .and the gerbil . . ." (p. 200). Moyer
also observed that "The most effective stimulus for eliciting this kind of
Pain and Aggression 281
Observations of People
i,nol
aggressiveness
disposition
.......
impulsive in nature since the response frequently is stronger than was con-
sciously intended. Figure 2 lists a number of factors that have already been
identified as affecting the intensity of impulsive aggression (cf. Berkowitz,
1974, 1993b). The present paper will consider only a few of these possible
influences.
Stimuli Associated with Pain Source. As Fig. 2 indicates, classical con-
ditioning can operate in pain-related aggression by humans just as it can
influence animal fighting. Much as the mere presentation of stimuli that
had been repeatedly paired with the occurrence of painful events can pro-
voke animals to attack each other (e.g., Hutchinson et al., 1971; Vernon
& Ulrich, 1966), according to Fraczek and his associates in Poland (cited
in Berkowitz, 1982, pp. 273-274), the sight of situational details that had
been associated with an earlier painful incident can intensify the strength
of an assault upon an available target. Some of the university students in
one of Fraczek's experiments learned to associate the color green with the
receipt of electric shocks. Soon afterwards, when all of the participants were
asked to punish someone else, half of these people found that the
"weapon" apparatus they were to employ in delivering the shocks was
painted green, whereas the remaining subjects found that the apparatus
Pain and Aggression 283
was a different color. The most punitive people were those whose "weapon"
had the color-mediated connection with their earlier pain.
What Is the Aim of the Pain-Elicited Aggression? Just as painful events
apparently evoke appetitive aggression in animals, studies with humans in-
dicate that the afflicted persons often want to do more than merely lessen
their suffering; they frequently are also motivated to hurt someone, and
may assault an available target even when that individual is not responsible
for their pain. In Feshbach's (1964) terms, they are prompted to engage
in hostile aggression, where their primary aim is to inflict injury, and do
not only want to carry out instrumental aggression.
An experiment conducted by Berkowitz and Embree (1987) provided
indirect evidence for this contention by suggesting that people can be ag-
gressively inclined as long as they are suffering even though they realize it
is possible to end their pain soon. All of the mate subjects in this study
were required to keep one of their hands in a tank of water that was either
painfully cold or at room temperature as they supervised a fellow student's
work on an assigned task. Half of the participants were given permission
to take their hand from the water whenever they wanted so that they could
easily escape from the painful situation, whereas pressure was placed on
the other subjects not to take their hand from the water. Even though the
permission to withdraw from the painful stimulation had apparently less-
ened the irritability and annoyance felt by the men in the cold-water con-
dition, according to questionnaire ratings made at the end of the session,
these people were the most punitive to their partners as they supervised
their partners' work. Still feeling pain, they evidently were still aggressively
inclined.
Much better, and more direct, support for the notion of a pain-acti-
vated desire to hurt can be found in two experiments by Berkowitz, Co-
chran, and Embree (1981) making use of the same cold-stressor procedure
that had been employed in the previously mentioned study. As in that in-
vestigation, each female subject was required to keep one hand in water
that was either very cold or at a more comfortable room temperature as
she evaluated another woman's solutions to a series of business problems.
Cross-cutting the water temperature variation, half of the people were in-
formed that any punishment they gave the other woman would help that
person (by motivating her to do better), whereas the others were led to
think the punishment would be hurtful (in that it was likely to disrupt the
woman's problem solving).
Once these conditions were established, the participants heard their
partners advance their problem solutions (a fixed set of answers used for
all subjects), and the subjects delivered their "evaluations" ranging any-
where from five rewards (each a five-cent coin) to five punishments (each
284 Berkowitz
20
10
[ ] No. of
r, punishments
[ ] No. of
rewards
Physicallyvery unpleasant Physicallylessunpleasant
Punishment Punishment Punishment Punishment
hurts helps hurts helps
Experimental conditions
tions of the victims' suffering served to reduce the intensity of the punish-
ment delivered by nonprovoked subjects. It is very much as if the informa-
tion about the victims' pain had signaled to the angered participants that
they were fulfilling their aim of hurting their tormentors, and thus inten-
sified their "appetitive" attacks.
In this last-mentioned case the pain cue had acquired its aggression-
heightening value by being associated with the provocateur's agony. Ac-
cording to still other research, even the sight of someone other than the
immediate tormentor suffering from a beating can stimulate an angry per-
son to be more aggressive than he or she otherwise would be. When the
deliberately insulted subjects in an experiment by Hartmann (1969) were
shown a brief movie depicting two strangers fighting, they subsequently
were more aggressive to the individuals who had provoked them if the
movie they had seen had focused on the fight victim's pained reactions
rather than on the fight winner's attacks.
Even seemingly neutral stimuli having no obvious painful meaning
can have this kind of effect as a result of having previously been associated
with a tormentor's injury. An experiment by Swart and Berkowitz (1976)
is illustrative. Subjects who had been provoked by one of the experimenter's
accomplices then watched this person receive electric shocks as a certain
light flashed. When they later were given an opportunity to punish someone
else in response to various light signals, they assaulted this other individual
more intensely when the signal light was the same as the one that previously
had been paired with the earlier injury to the provocateur.
The findings reported so far indicate that painful occurrences can give
rise to aggressive reactions independently of the appraisals and attributions
emphasized by traditional cognitive theorizing. This does not mean, of
course, that cognitions never have a major role in pain-elicited aggression.
Students of human pain (e.g., Melzack, 1973) have frequently noted how
the pain-producing sensory input can be modified by thoughts, interpreta-
tions, and prior experience before it activates motivational systems.
Attributions and Perceived Control. Attribution research has repeatedly
demonstrated that people's beliefs as to what caused a noxious event can
greatly influence the experienced unpleasantness of this stimulation. Sum-
marizing many of the findings obtained in this research, writers such as
Ferguson and Rule (1983) and Weiner (1985), among others, have pro-
posed that the victims are especially apt to become aggressive when they
think some external agent had controlled the noxious occurrence, inten-
286 Berkowitz
tionally and wrongfully seeking to harm them. I have little doubt that
thoughts of this kind can drastically affect emotional reactions to painful
events. For me, however, and contrary to the more extreme forms of tra-
ditional cognitive theorizing, these attributions (1) are not necessary for
anger and emotional aggression to arise, and (2) heighten the likelihood
of anger and aggression because they intensify the negative affect that is
experienced (Berkowitz, 1989, 1993a, 1993b). Simply put, a noxious event
is much more unpleasant when we believe someone has deliberately and
malevolently sought to make us suffer.
Research also suggests that the aggression-enhancing effect of noxious
stimulation can be lessened by the perception of control over this stimu-
lation. In Geen's experiments on this topic (cf. Geen, 1990, pp. 67-69), as
an example, subjects were exposed to unpleasant noise at the time that
they were supposed to punish another person who had provoked them ear-
lier. The people who had been told earlier that they could terminate the
aversive noise whenever they desired were less aroused physiologically and
also less punitive than their counterparts who did not have this perceived
control over the disturbing noise or who were only able to predict its offset.
The subjects' belief that they could end the noxious occurrence apparently
had lessened its experienced unpleasantness, and this led to a relatively
low level of aversion-instigated aggression.
Coping with the Pain Source. More than just thinking they can lessen
the pain they experience, sometimes people can do things to reduce the
hurt they feel, even when the pain source is within them, so that they then
are less angry and emotionally aggressive. Consider women in childbirth.
According to a field experiment conducted by Leventhal, Leventhal,
Shacham, and Easterling (1989), the women in this study who were about
to give birth generally reported not only more pain but also more anger
and fear as their labor progressed and their contractions became more in-
tense. More pertinent to my present point, those participants in the ex-
periment who had been taught to monitor their contractions and had
attended LaMaze classes indicated lower levels of anger as well as pain
than their counterparts in the control condition. The former apparently
had coped more effectively with the relatively painful situation, thereby
lessening their felt distress and their concomitant anger.
Pain Expectations. Thoughts other than those dealing with the cause
of the aversive stimulation and/or its control can also affect the person's
emotional reactions to noxious events. Highlighting one of these additional
possibilities, Leventhal, Brown, Shacham, and Engquist (1979) showed that
the experienced unpleasantness of aversive stimulation is increased when
people expect to suffer from this stimulation. Berkowitz and Thome (1987)
followed this lead and demonstrated that the heightened displeasure pro-
Pain and Aggression 287
duced by pain expectations can also give rise to fairly strong attacks upon
an available target.
In this experiment, following the standard procedure described ear-
lier, the subjects (undergraduate women) were asked to keep one hand in
a tank of water, supposedly as part of an investigation of harsh environ-
mental conditions on supervision. Two-thirds of the participants were to
find that the water was quite cold (7°C) whereas the other third were to
find the water was at a less unpleasant room temperature (23°C). But just
before they immersed their hand in the water they were given preparatory
information. One of the cold-water groups and all of the people about to
be exposed to the warmer water were warned that they might feel pain.
Subjects about to undergo the other cold-water condition were told only
that they might experience tingling sensations in their hand and the word
pain was not used.
Immediately after getting this information, each participant was told
to place her hand in the water, and as in our earlier studies, she was then
required to evaluate another student's solutions to a series of business-re-
lated problems by administering rewards and punishments to her. At the
end of the 6-min-long session the subjects rated how they had experienced
the water temperature and what their feelings had been while their hand
was in the water.
25
~22~aPunlshmnts
!E
~F~gReuards
~RIR Index
l~Istress
H o s t ~ l l t ~ level
20
I'.i
10
~ 2 Le_~is cold
o#ter
1 V e r w co]o
u~ter
Self focus Other focus
Condl t runs
recognize the contributions made by all of these levels and processes, the
"higher-order" ones and those of a biologically more primitive nature.
One final comment is warranted here. Many emotion theorists, espe-
cially those with a traditional cognitive orientation, are all too likely to
reify linguistic analyses so that they regard whatever linguistic differentia-
tions they can establish as being real and significant. Thus, since they can
distinguish verbally between a "mood" and an "emotion," they frequently
insist these concepts are actually different phenomena. These theorists
might thus maintain that the research summarized in this paper involves
moods (or perhaps feelings) but not emotions. And furthermore, since they
(and many laypersons) can think of differences between annoyance, irrita-
tion, and anger, they also hold that these actually are different emotional
states. Following their linguistic analysis, then, these writers might then con-
tend that the present results have to do with annoyance or irritation but
not anger.
The empirical research I and other social psychologists have con-
ducted on the anger/aggressive consequences of aversive events argue
against these arbitrary distinctions. They have repeatedly shown that ratings
of felt annoyance, irritation, and anger are highly intercorrelated, much as
if the feeling states reflected by these ratings have a good deal in common
(although the feelings might perhaps differ in intensity), and furthermore,
that these measures generally have considerable construct validity. The
findings also demonstrate how reasonable it is to say the subjects had emo-
tional reactions to the situations confronting them. In general, perhaps be-
cause of their metatheoretical predilections, traditional cognitive theorists
in the emotion realm may have relied much too greatly on linguistic as
well as on cognitive analyses.
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