The pain hidden in your hands: Facial expression of pain reduces the influence of goal-related information in action recognition

The involvement of the sensorimotor system in the perception of painful actions has been repeatedly demonstrated. Yet the cognitive processes corresponding to sensorimotor activations have not been identified. In particular, the respective role of higher-level and lower-level action representations such as goals and grips in the recognition of painful actions is not clear. Previous research has shown that in a neutral context, higher-level action representations (goals) are prioritized over lower-level action representations (grips) and guide action recognition. The present study evaluates to what extent the general priority given to goal-related information in the processing of visual actions can be modulated by a context of pain. We used the action violation paradigm developed by van Elk et al. (2008). In the present action tasks, participants had to judge whether the grip or the goal of object-directed actions displayed in photographs was correct or not. The actress in the photograph could show either a neutral facial expression or a facial expression of pain. In the control task, they had to judge whether the actress expressed pain. In the action tasks, goals influenced grip judgements more than grips influenced goal judgements overall, corroborating the priority given to goal-related information previously reported. Critically, the impact of irrelevant goal-related information on the identification of incorrect grips disappeared in the pain context. Moreover, judgements in the control task were similarly influenced by grip and goal-related information. Results suggest that a context of pain reduces the reliance on higher-level action for action judgments. Findings provide novel directions regarding the cognitive and brain mechanisms involved in action processing in painful situations and support pluralist views of action understanding.