Social dimensions of pain. Comment on "Facing the experience of pain: a neuropsychological perspective" by Fabbro and Crescentini.

In this issue, Fabbro and Crescentini [1] provide an integrative review of neuroscientific, psychological, cultural and philosophical aspects of pain experience and discuss some critical examples of its regulation. Here we focus on the two main social phenomena that are addressed in the review, namely the ‘pain of separation’ and ‘empathy for pain’ and further support the idea that these phenomena are intrinsically linked to physical pain, which may provide a ‘proximal’ physiological base to further understand them. In addition, we discuss the evolutionary ‘ultimate’ bases of such phenomena and suggest that they are linked to the evolution of parental care in social animals and as such support the development of social bonds. We conclude by considering the effect that positive social relationships and empathy have on the experience of pain.