Suffering, or pain in a broad sense,[1] is an individual's basic affective Affect refers to the experience of feeling or emotion. Affect is a key part of the process of an organism's interaction with stimuli. The word also refers sometimes to affect display, which is "a facial, vocal, or gestural behavior that serves as an indicator of affect" experience of unpleasantness and aversion associated with harm or threat of harm. Suffering may be qualified as physical[2] or mental.[3] It may come in all degrees of intensity, from mild to intolerable. Factors of duration and frequency of occurrence usually compound that of intensity. In addition to such factors, people's attitudes toward suffering may take into account how much it is, in their opinion, avoidable or unavoidable, useful or useless, deserved or undeserved.

Suffering occurs commonly in the lives of sentient Sentience is the ability to feel or perceive. The term is used in science and philosophy, and in the study of artificial intelligence. Sentience is used in the study of consciousness to describe the ability to have sensations or experiences, known to Western philosophers as "qualia". In eastern philosophy, sentience is a metaphysical beings, in diverse manners, and often dramatically. As a result, many fields of human activity are concerned, from their own points of view, with some aspects of suffering. These aspects may include the nature of suffering, its processes, its origin and causes, its meaning and significance, its related personal, social, and cultural behaviors, its remedies, management, and uses.

Tragic mask on the façade of the Royal Dramatic Theatre in Stockholm

Contents

Terminology

The word suffering is sometimes used in the narrow sense of physical pain Pain is an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage. It is the feeling common to such experiences as stubbing a toe, burning a finger, putting iodine on a cut, and bumping the "funny bone", but more often it refers to mental or emotional pain Psychological pain, also called sometimes psychalgia, is any mental, or mind, or non physical suffering. Emotional pain is a particular kind of psychological pain, more closely related to emotions. Another kind that is commonly found is spiritual or soul pain, or more often yet to pain in the broad sense, i.e. to any unpleasant feeling, emotion or sensation. The word pain usually refers to physical pain, but it is also a common synonym of suffering. The words pain and suffering are often used both together in different ways. For instance, they may be used as interchangeable synonyms. Or they may be used in 'contradistinction' to one another, as in "pain is physical, suffering is mental", or "pain is inevitable, suffering is optional". Or they may be used to define each other, as in "pain is physical suffering", or "suffering is severe physical or mental pain".

Qualifiers, such as mental, emotional, psychological, and spiritual, are often used for referring to certain types of pain or suffering. In particular, mental pain (or suffering) may be used in relationship with physical pain (or suffering) for distinguishing between two wide categories of pain or suffering. A first caveat concerning such a distinction is that it uses physical pain in a sense that normally includes not only the 'typical sensory experience of physical pain' but also other unpleasant bodily experiences such as itching or nausea. A second caveat is that the terms physical or mental should not be taken too literally: physical pain or suffering, as a matter of fact, happens through conscious minds and involves emotional aspects, while mental pain or suffering happens through physical brains and, being an emotion, involves important physiological aspects.

Unpleasantness is another synonym of suffering or pain in the broad sense. More technically, the term is used in physical pain science for referring to the basic affective dimension of pain (its suffering aspect per se), usually in contrast with the sensory dimension, as for instance in this sentence from Professor Donald Price: “Pain-unpleasantness is often, though not always, closely linked to both the intensity and unique qualities of the painful sensation.”[4] Words that are roughly synonymic with suffering, in addition to pain and unpleasantness, include distress, sorrow, unhappiness, misery, affliction, woe, ill, discomfort, displeasure, disagreeableness.

Philosophy

Hedonism Hedonism is a school which argues that pleasure is the only intrinsic good. This is often used as a justification for evaluating actions in terms of how much pleasure and how little pain they produce. In very simple terms, a hedonist strives to maximize this net pleasure (pleasure minus pain), as an ethical theory, claims that good and bad consist ultimately in pleasure Pleasure describes the broad class of mental states that humans and other animals experience as positive, enjoyable, or worth seeking. It includes more specific mental states such as happiness, entertainment, enjoyment, ecstasy, and euphoria. In psychology, the pleasure principle describes pleasure as a positive feedback mechanism, motivating the and pain. Many hedonists, in accordance with Epicurus Epicurus was an ancient Greek philosopher and the founder of the school of philosophy called Epicureanism. Only a few fragments and letters remain of Epicurus's 300 written works. Much of what is known about Epicurean philosophy derives from later followers and commentators, emphasize avoiding suffering over pursuing pleasure, because they find that the greatest happiness lies in a tranquil state (ataraxia Ataraxia is a Greek term used by Pyrrho and Epicurus for a lucid state, characterized by freedom from worry or any other preoccupation) free from pain and from the worrisome pursuit or unwelcome consequences of pleasure. For Stoicism Stoicism was a school of Hellenistic philosophy founded in Athens by Zeno of Citium in the early 3rd century BC. The Stoics considered destructive emotions to be the result of errors in judgment, and that a sage, or person of "moral and intellectual perfection," would not suffer such emotions. Stoics were concerned with the active, the greatest good lies in reason and virtue, but the soul best reaches it through a kind of indifference (apatheia Apathy is a state of indifference, or the suppression of emotions such as concern, excitement, motivation and passion. An apathetic individual has an absence of interest or concern to emotional, social, or physical life. They may also exhibit an insensibility or sluggishness. The opposite of apathy is flow. In positive psychology, apathy is) to pleasure and pain: as a consequence, this doctrine has become identified with stern self-control in regard to suffering.

Part of a series Categories: Normative ethics | Ethical theories | History of economic thought | Philosophical movements | Political theories | Social theories on
Utilitarianism Utilitarianism is the idea that the moral worth of an action is determined solely by its utility in providing happiness or pleasure as summed among all sentient beings. It is thus a form of consequentialism, meaning that the moral worth of an action is determined by its outcome. The most influential contributors to this theory are considered to be
Predecessors Epicurus Epicurus was an ancient Greek philosopher and the founder of the school of philosophy called Epicureanism. Only a few fragments and letters remain of Epicurus's 300 written works. Much of what is known about Epicurean philosophy derives from later followers and commentators David Hume David Hume was a Scottish philosopher and historian, regarded as one of the most important figures in the history of Western philosophy and the Scottish Enlightenment. Hume is often grouped with John Locke, George Berkeley, and a handful of others as a British Empiricist · William Godwin William Godwin was an English journalist, political philosopher and novelist. He is considered one of the first exponents of utilitarianism, and one of the first modern proponents of anarchism. Godwin is most famous for two books that he published within the space of a year: An Enquiry Concerning Political Justice, an attack on political
People Jeremy Bentham Jeremy Bentham was an English jurist, philosopher, and legal and social reformer. He became a leading theorist in Anglo-American philosophy of law, and a political radical whose ideas influenced the development of welfarism. He is best known for his advocacy of utilitarianism and animal rights, and the idea of the panopticon · John Stuart Mill John Stuart Mill was a British philosopher and civil servant. An influential contributor to social theory, political theory, and political economy, his conception of liberty justified the freedom of the individual in opposition to unlimited state control. He was a proponent of utilitarianism, an ethical theory developed by Jeremy Bentham, although Henry Sidgwick Henry Sidgwick was an English utilitarian philosopher. He was one of the founders and first president of the Society for Psychical Research, a member of the Metaphysical Society, and promoted the higher education of women. His work in economics has also had a lasting influence · Peter Singer Peter Albert David Singer is an Australian philosopher. He is the Ira W. DeCamp Professor of Bioethics at Princeton University, and laureate professor at the Centre for Applied Philosophy and Public Ethics (CAPPE), University of Melbourne. He specialises in applied ethics, approaching ethical issues from a secular preference utilitarian
Types of utilitarianism Preference Preference utilitarianism is one of the most popular forms of utilitarianism in contemporary philosophy. In the same way as other utilitarian theorists, preference utilitarians define a morally right action as that which produces the most favorable consequences for the people involved. However, preference utilitarians interpret the best · Rule Rule utilitarianism is a form of utilitarianism that says actions are moral when they conform to the rules that lead to the greatest good, or that "the rightness or wrongness of a particular action is a function of the correctness of the rule of which it is an instance." For rule utilitarians, the correctness of a rule is determined by · Act Act Utilitarianism is a utilitarian theory of ethics which states that the right action is the one which produces the greatest amount of happiness or pleasure for the greatest number of beings. Act utilitarianism is opposed to rule utilitarianism, which states that the morally right action is the one that is in accordance with a moral rule whose Two-level Two-level utilitarianism is a utilitarian theory of ethics developed by R. M. Hare. According to the theory, a person's moral decisions should be based on a set of 'intuitive' moral rules, except in certain rare situations where it is more appropriate to engage in a 'critical' level of moral reasoning · Total All proponents of utilitarianism believe that the quality of conscious experience is important; indeed it is the basis of their consequentialist approach to ethics. However, it is unclear what it is that is supposed to be maximized: average happiness or total happiness. Two alternative answers to this problem are provided by average and total · Average All proponents of utilitarianism believe that the quality of conscious experience is important; indeed it is the basis of their consequentialist approach to ethics. However, it is unclear what it is that is supposed to be maximized: average happiness or total happiness. Two alternative answers to this problem are provided by average and total Negative Utilitarianism is the idea that the moral worth of an action is determined solely by its utility in providing happiness or pleasure as summed among all sentient beings. It is thus a form of consequentialism, meaning that the moral worth of an action is determined by its outcome. The most influential contributors to this theory are considered to be · Hedonism Hedonism is a school which argues that pleasure is the only intrinsic good. This is often used as a justification for evaluating actions in terms of how much pleasure and how little pain they produce. In very simple terms, a hedonist strives to maximize this net pleasure (pleasure minus pain) Enlightened self-interest Enlightened self-interest is a philosophy in ethics which states that persons who act to further the interests of others , ultimately serve their own self-interest
Key concepts Pain Pain is an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage. It is the feeling common to such experiences as stubbing a toe, burning a finger, putting iodine on a cut, and bumping the "funny bone" · Suffering · Pleasure Pleasure describes the broad class of mental states that humans and other animals experience as positive, enjoyable, or worth seeking. It includes more specific mental states such as happiness, entertainment, enjoyment, ecstasy, and euphoria. In psychology, the pleasure principle describes pleasure as a positive feedback mechanism, motivating the Utility In economics, utility is a measure of relative satisfaction. Given this measure, one may speak meaningfully of increasing or decreasing utility, and thereby explain economic behavior in terms of attempts to increase one's utility. Utility is often modeled to be affected by consumption of various goods and services, possession of wealth and · Happiness Happiness is a state of mind or feeling characterized by contentment, love, satisfaction, pleasure, or joy. A variety of biological, psychological, religious, and philosophical approaches have striven to define happiness and identify its sources · Eudaimonia Eudaimonia is a classical Greek word commonly translated as 'happiness'. Etymologically, it consists of the word "eu" ("good" or "well being") and "daimōn" ("spirit" or "minor deity", used by extension to mean one's lot or fortune). Although popular usage of the term happiness refers to Consequentialism Consequentialism refers to those moral theories which hold that the consequences of a particular action form the basis for any valid moral judgment about that action . Thus, from a consequentialist standpoint, a morally right action is one that produces a good outcome, or consequence. This view is often expressed as the aphorism "The ends · Felicific calculus The felicific calculus is an algorithm formulated by utilitarian philosopher Jeremy Bentham for calculating the degree or amount of pleasure that a specific action is likely to cause. Bentham, an ethical hedonist, believed the moral rightness or wrongness of an action to be a function of the amount of pleasure or pain that it produced. The
Problems Mere addition paradox The mere addition paradox is a problem in ethics, identified by Derek Parfit, and appearing in his book, Reasons and Persons . The paradox identifies apparent inconsistency between three seemingly true beliefs about population ethics Paradox of hedonism The paradox of hedonism, also called the pleasure paradox, is the idea in the study of ethics which points out that pleasure and happiness are strange phenomena that do not obey normal principles. First explicitly noted by the philosopher Henry Sidgwick in The Methods of Ethics, the paradox of hedonism points out that pleasure cannot be acquired Utility monster The utility monster is a thought experiment in the study of ethics. It was created by philosopher Robert Nozick in 1974 as a criticism of utilitarianism
Related topics Rational choice theory Rational choice theory, also known as rational action theory, is a framework for understanding and often formally modeling social and economic behavior. It is the dominant theoretical paradigm in microeconomics. It is also central to modern political science and is used by scholars in other disciplines such as sociology and philosophy · Game theory Game theory is a branch of applied mathematics that is used in the social sciences, most notably in economics, as well as in biology , engineering, political science, international relations, computer science, and philosophy. Game theory attempts to mathematically capture behavior in strategic situations, or games, in which an individual's success Social choice Social choice theory is a theoretical framework for measuring individual interests, values, or welfares as an aggregate towards collective decision. A non-theoretical example of a collective decision is passing a set of laws under a constitution. Social choice theory dates from Condorcet's formulation of the voting paradox. Kenneth Arrow's 1951 · Neoclassical economics Neoclassical economics is a term variously used for approaches to economics focusing on the determination of prices, outputs, and income distributions in markets through supply and demand, often as mediated through a hypothesized maximization of income-constrained utility by individuals and of cost-constrained profits of firms employing available
Politics portal In political science, the initiative provides a means by which a petition signed by a certain minimum number of registered voters can force a public vote on a proposed statute, constitutional amendment, charter amendment or ordinance, or, in its minimal form, to simply oblige the executive or legislative bodies to consider the subject by

Jeremy Bentham Jeremy Bentham was an English jurist, philosopher, and legal and social reformer. He became a leading theorist in Anglo-American philosophy of law, and a political radical whose ideas influenced the development of welfarism. He is best known for his advocacy of utilitarianism and animal rights, and the idea of the panopticon developed hedonistic utilitarianism Utilitarianism is the idea that the moral worth of an action is determined solely by its utility in providing happiness or pleasure as summed among all sentient beings. It is thus a form of consequentialism, meaning that the moral worth of an action is determined by its outcome. The most influential contributors to this theory are considered to be, a popular doctrine in ethics, politics, and economics. Bentham argued that the right act or policy was that which would cause "the greatest happiness of the greatest number". He suggested a procedure called hedonic or felicific calculus The felicific calculus is an algorithm formulated by utilitarian philosopher Jeremy Bentham for calculating the degree or amount of pleasure that a specific action is likely to cause. Bentham, an ethical hedonist, believed the moral rightness or wrongness of an action to be a function of the amount of pleasure or pain that it produced. The, for determining how much pleasure and pain would result from any action. John Stuart Mill John Stuart Mill was a British philosopher and civil servant. An influential contributor to social theory, political theory, and political economy, his conception of liberty justified the freedom of the individual in opposition to unlimited state control. He was a proponent of utilitarianism, an ethical theory developed by Jeremy Bentham, although improved and promoted the doctrine of hedonistic utilitarianism. Karl Popper Sir Karl Raimund Popper, CH, FRS, FBA was an Austro-British philosopher and a professor at the London School of Economics. He is widely regarded as one of the greatest philosophers of science of the 20th century; he also wrote extensively on social and political philosophy, in The Open Society and Its Enemies The Open Society and Its Enemies is an influential two-volume work by Karl Popper written during World War II. Failing to find a publisher in the United States, it was first printed in London by Routledge in 1945. The work excoriates theories of teleological historicism in which history unfolds inexorably according to universal laws, and indicts, proposed a negative utilitarianism Utilitarianism is the idea that the moral worth of an action is determined solely by its utility in providing happiness or pleasure as summed among all sentient beings. It is thus a form of consequentialism, meaning that the moral worth of an action is determined by its outcome. The most influential contributors to this theory are considered to be, which prioritizes the reduction of suffering over the enhancement of happiness when speaking of utility: "I believe that there is, from the ethical point of view, no symmetry between suffering and happiness, or between pain and pleasure. (…) human suffering makes a direct moral appeal for help, while there is no similar call to increase the happiness of a man who is doing well anyway." David Pearce, for his part, advocates an utilitarianism that aims straightforwardly at the abolition of suffering through the use of biotechnology (see more details below in section Biology, neurology, psychology). Another aspect worthy of mention here is that many utilitarians since Bentham hold that the moral status of a being comes from its ability to feel pleasure and pain: therefore, moral agents should consider not only the interests of human beings but also those of (other) animals. Richard Ryder developed such a view in his concepts of 'speciesism' and 'painism'. Peter Singer's writings, especially the book Animal Liberation, represent the leading edge of this kind of utilitarianism for animals as well as for people.

Another doctrine related to the relief of suffering is humanitarianism (see also humanitarian principles, humanitarian aid, and humane society). "Where humanitarian efforts seek a positive addition to the happiness of sentient beings, it is to make the unhappy happy rather than the happy happier. (...) [Humanitarianism] is an ingredient in many social attitudes; in the modern world it has so penetrated into diverse movements (...) that it can hardly be said to exist in itself."[5]

Pessimism holds this world to be the worst possible, plagued with worsening and unstoppable suffering. Arthur Schopenhauer recommends us to take refuge in things like art, philosophy, loss of the will to live, and tolerance toward 'fellow-sufferers'. Friedrich Nietzsche, first influenced by Schopenhauer, developed afterward quite another attitude, exalting the will to power, despising weak compassion or pity, and recommending us to embrace willfully the 'eternal return' of the greatest sufferings. Philosophy of pain is a philosophical specialty that focuses on physical pain as a sensation. Through that topic, it may also pertain to suffering in general.

Religion

Suffering plays an important role in most religions, regarding matters such as the following: consolation or relief; moral conduct (do no harm, help the afflicted, show compassion); spiritual advancement through life hardships or through self-imposed trials (mortification of the flesh, penance, ascetism); ultimate destiny (salvation, damnation, hell). Theodicy deals with the problem of evil, which is the difficulty of reconciling an omnipotent and benevolent god with evil. People often believe that the worst form of evil is extreme suffering, especially in innocent children or in beings created ultimately for being tormented without end (see problem of hell).

The Four Noble Truths of Buddhism are about dukkha, a term usually translated as suffering. The Four Noble Truths state (1) the nature of suffering, (2) its cause, (3) its cessation, and (4) the way leading to its cessation (which is the Noble Eightfold Path). Buddhism considers liberation from suffering and the practice of compassion (karuna) as basic for leading a holy life and attaining nirvana.

Hinduism holds that suffering follows naturally from personal negative behaviors in one’s current life or in a past life (see karma in Hinduism).[6] One must accept suffering as a just consequence and as an opportunity for spiritual progress. Thus the soul or true self, which is eternally free of any suffering, may come to manifest itself in the person, who then achieves liberation (moksha). Abstinence from causing pain or harm to other beings (ahimsa) is a central tenet of Hinduism.

The Bible's Book of Job reflects on the nature and meaning of suffering. Pope John Paul II wrote "On the Christian Meaning of Human Suffering".[7] This meaning revolves around the notion of redemptive suffering.

Arts and literature

Artistic and literary works often engage with suffering, sometimes at great cost to their creators or performers. The Literature, Arts, and Medicine Database offers a list of such works under the categories art, film, literature, and theater. Be it in the tragic, comic or other genres, art and literature offer means to alleviate (and perhaps also exacerbate) suffering, as argued for instance in Harold Schweizer's Suffering and the remedy of art.[8]

Landscape with the Fall of Icarus

This Breughel's painting is among those that inspired W.H. Auden's poem Musée des Beaux Arts :

About suffering they were never wrong, The Old Masters; how well, they understood Its human position; how it takes place While someone else is eating or opening a window or just walking dully along; (...) In Breughel's Icarus, for instance: how everything turns away Quite leisurely from the disaster; (...) [9]

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So I m not normally one for morally indignant but this is something I m passionnate about so poke it tagged food

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Nip/Tuck: Diana Lubey (Season 4, Episode 12): Suffering from loneliness himself, Sean sympathizes with a forlorn client, Diana Lubey (Catherine ... amazon.com.

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Sultan Madrakhimov is desperate to sell his potatoes, even at a considerable loss. That would be better than watching his pile of spuds slowly rot in his yard.

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