Got Pain? Racial Bias in Perceptions of Pain

Abstract

AbstractIn the days of slavery, White people assumed that Black people felt less pain than did White people. This belief was used to justify slavery; it was also used to justify the inhumane treatment of Black men and women in medical research. Today, White Americans continue to believe that Black people feel less pain than do White people although this belief has changed from its historical, explicitly racist form. Racial attitudes do not moderate the bias, suggesting that racial bias in perceptions of others' pain is not rooted (solely) in racial prejudice. Moreover, Black Americans too believe that Black people feel less pain than do White people, suggesting that the bias is no longer grounded in intergroup dynamics. Rather, contemporary forms of this bias stem from assumptions that Black people face more hardship and “thus” can withstand more pain and assumptions that Black people's bodies are not only different but also superhuman. Although this new instantiation of the pain perception bias is decidedly more “benevolent”, it can nonetheless lead to negative outcomes. Here, we consider how racial bias in perceptions of others' pain may affect racial disparities in health care and intergroup relations more generally. We also discuss potential avenues for interventions aimed at preventing this bias among children and reducing this bias among adults.