Sensitization, conditioning, and learning: Can they help us understand somatization and disability?

Abstract

This paper reviews those features of non-associative and associative forms of learning, as elaborated in the experimental literature, that might contribute to experienced and reported discomfort in the workplace. Emphasis is given to sensitization, while noting that some models of habituation (e.g. the opponent process model) also produce sensitization-like effects as a by-product that could contribute to persistent complaints. Also noted are ways in which these non-associative processes may enhance associative learning of workplace-avoidance behaviors that are exceptionally persistent - even in the absence of further somatic discomfort.