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17 SEPTEMBER 1971
Thermal Sensations
In thermal sensation, the peripheral
signal is skin temperature. Skin detec-
THERMAL
SENSATION
+2
VERY PLEASANT
.4.0,n0
o A
Ot
- C
NEUTRAL
.....*&,,
.
VERY UNPLEASANT - 2 ~
.*.M-%.
10
20
30
I ,
40
50
STIMULI OC
PLEASANT
NEUTRAL
UNPLEAsaNT
+2
+I
-1
VERY UNPLEASANT-2I
15
30
45
TIME (mlnl
60
75
Fig. 1 (above left). Affective responses given by one subject irnmersed in a stirred water bath. Each point is a responqe given
after a 30-second the~malstimulus of his left hand. Open svmbolc.
hypothermic subject (rectal temperatare from 36.3" &to3 6 . 6 " ~ ) ;
closed symbols, hyperthermic subject (rectal temperature f l om
Fig. 2 (above light). Affective le37.1" to 37.SQC) (2).
sponses glven by one fasting subject to a sweet gustative st~mulus
The same stimulus is repeated during the entire exper~ment.
Closed circles, control; the subject expectolates the samples aftel
tasting; open circles, the subject swallows the test samples (10
grams of suclose in 50 milliliters.
Fig. 3 (below left). Affectwe
responses given by one fasting subject when given an olfactive
stimulus elated to food. The same stimulus is iepeated throughout
the experiment. Closed circles, control, no sugar adm~nisteled;
open circles, the subjects ingest 100 glams of glucose In watel at
the time shown by the arrow ( 7 ) .
SMELL
VERY PLEA5ANT
A M .
ORANGE
'JERY PLEASANT
e r .un
UNPLEASANT
PLEASANT = USEFUL
Is it then possible to find the same
phenomenon with other sensations?
SWEET TASTE
t-
P *
NEUTRAL
seems not to be stimulus bound. Pleasure occurs whenever a sensation indicates the presence of a stimulus which
helps to correct an internal trouble, cold
being pleasant during hypothermia,
warm during hypothermia. Conversely,
displeasure occurs whenever a stin~ulus
threatens homoiothermia, cold being unpleasant during hypothermia, warm
during hyperthermia. Thus we can
state about thermal sensation:
15
30
45
'TIME Cm'n)
'
'
'
60
SCIENCE, VOL. 173
Alliesthesia
This relationship between pleasure
and usefulness leads one to think that
pleasure-displeasure is a determinant of
an adapted behavior. A subject will
seek all pleasant stimuli and try to
avoid all unpleasant stimuli. Since
pleasure is an indication of need o r at
least of usefulness as described above,
this is a way that behavior can be
adapted to its physiological a i ~ n . Indeed, it has been known for a long
time that animal behavior, such as food
or water intake, can be triggered by
internal signals related to the "milieu
interieur." In order to avoid using a
whole sentence saying that a given external stimulus can be perceived either
as pleasant or unpleasant depending
upon signals coming from inside the
body, it may be useful to use a single
word to describe this phenomenon. I
hereby propose the word alliesthesia
(8) coming from esthesia (meaning sensation) and allios (meaning changed).
This word will be used in the remainder of this article.
17 SEPTEMBER 1971
Internal Signals
Alliesthesia depends upon internal
signals. I n the three cases reported
above, these internal signals were
temperature, with regard to thermal
sensation, and a yet unidentified signal
after ingestion of glucose o r sucrose
with regard to "orange odor" and
sweet taste (3).
Is it then possible to go a step
further in the analysis of these internal
signals? Let us consider temperature
regulation and fever. We have seen
that (Fig. 1 ) a stimulus is pleasant
when it facilitates the return of internal
temperature to its normal value or prevents any further internal change. Actually, in temperature regulation the
internal signal activating panting, sweating, shivering, and other thermoregulatory reactions is not simply internal
temperature. I t is the difference between the real core temperature and a
set value. This set temperature depends
upon the species and is about 37'C in
man. Fever is a state where the set
value of the regulated body temperature is higher than it is in the healthy
state. Let us look at thermal sensation
during fever (Figs. 4 and 5). In feverish subjects, alliesthesia was adapted to
the higher set temperature. For example, a warm stimulus is normally unpleasant to a subject whose temperature is 37.5'C since his set temperature
is 37OC. He is hyperthermic compared
to his set temperature. However, during fever if his set temperature is 3SC,
a 37.5'C core temperature is below his
THERMAL SENSATION
--
SWEATING
36L
i__
-30
30
60
120
90
TIME
150
180
210
240
[rnln)
Fig. 4. Experimental acute fever in one human subject. Two upper curves, affective
responses to 20C and 40C stimulations given repeatedly to the left hand. T h e
affective scale is identical as in Figs. 1, 2, and 3 . The subject is immersed in a
constant, well-stirred water bath. At time zero, he receives an intravenous dose of
vaccine. At time 170, aspirin is administered orally (2).
fHERMAL 5ENSATlON
VERY
+2
REASMT
%*
.*
a a.
.a
(I.
+1
PLEASANT
NEUTRAL
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o o
UNPLWT-1
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W R Y UNPLW/WT-
-.
I0
20
FEVER o
HYFERTHEMIA
GUSTATIVE PERCEPTION
*'
-A
21 OCI. ? P ~ P
+I
Body Weight
-1
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25
10
20
4:
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, I , , ,
- 2 - L r
L
00975 OS% 039 078 156 3.125 625 125 25
+2
BOOY WEIGHT 74 kg
4 Nov.1969.
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11 Dec. 1969
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14 Mar. 1970
BODY WEIGXT 77 5 kg
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17 SEPTEMBER 1971