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Licensed Unlicensed Requires Authentication Published by De Gruyter November 2, 2020

Inferring pain from avatars

Kenneth M. Prkachin

Corresponding author: Kenneth M. Prkachin, Department of Psychology, University of Northern British Columbia, 3333 University Way, Prince George, V2N4Z9, BC, Canada, E-mail:

  1. Research funding: None declared.

  2. Author contributions: All authors have accepted responsibility for the entire content of this manuscript and approved its submission.

  3. Competing interests: The authors state no conflict of interest.


1. Martel, MO, Sullivan, MJL. Pain behavior: unitary or multidimensional phenomenon?. In: Vervoort, T, Kairos, K, Trost, Z, Prkachin, KM, editors. Social and interpersonal dimensions of pain: we don’t suffer alone. Cham, Switzerland: Springer international Publishing AG; 2018:79–99 pp.10.1007/978-3-319-78340-6_5Search in Google Scholar

2. Prkachin, KM. Pain behaviour is not unitary. Behav Brain Sci 1986;9:754–5. in Google Scholar

3. Craig, KD, Prkachin, KM, Grunau, RVE. The facial expression of pain. In: Turk, DC, Melzack, R, editors. Handbook of pain assessment, 3rd ed. New York: Guilford; 2011:117–33 pp.Search in Google Scholar

4. Prkachin, KM, Craig, KD. Expressing pain: the communication and interpretation of facial pain signals. J Nonverbal Behav 1995;19:191–205. in Google Scholar

5. Prkachin, KM, Kaseweter, KA, Browne, ME. Understanding the suffering of others: the sources and consequences of third-person pain. In: Pickering, G, Gibson, S, editors. Pain, emotion and cognition: a complex nexus. New York: Springer; 2015:53–72 pp.10.1007/978-3-319-12033-1_4Search in Google Scholar

6. Meister, E, Horn-Hofmann, C, Kunz, M, Krumhuber, E, Lautenbacher, S. Decoding of facial expressions of pain in avatars: does sex matter? Scand J Pain. [Epub ahead of print].Search in Google Scholar

7. Kunz, M, Scharmann, S, Hemmeter, U, Schepelmann, K, Lautenbacher, S. The facial expression of pain in patients with dementia. Pain 2007;133:221–8. in Google Scholar

8. Vervoort, T, Karos, K, Trost, Z, Prkachin, KM. Social and interpersonal dynamics in pain: we don’t suffer alone. Cham, Switzerland: Springer; 2018.10.1007/978-3-319-78340-6Search in Google Scholar

9. Kunz, MM, Kairos, K, Vervoort, T. When, how, and why do we express pain?. In: Vervoort, T, Kairos, K, Trost, Z, Prkachin, KM, editors. Social and interpersonal dimensions of pain: we don’t suffer alone. Cham, Switzerland: Springer international Publishing AG; 2018:101–20 pp.10.1007/978-3-319-78340-6_6Search in Google Scholar

10. Prkachin, KM. The consistency of facial expressions of pain: a comparison across modalities. Pain 1992;51:297–306. in Google Scholar

11. Ekman, P, Hager, J, Friesen, WV. Facial action coding system. The manual on CD-ROM. Salt Lake City, UT: A Human Face; 2002.Search in Google Scholar

12. Kunz, M, Lautenbacher, S. The faces of pain: a cluster analysis of individual differences in facial activity patterns of pain. Eur J Pain 2014;18:813–23. in Google Scholar PubMed

13. Rosenthal, R. Conducting judgment studies: some methodological issues. In: Harrigan, JA, Rosenthal, R, Scherer, K, editors. The new handbook of methods in nonverbal behavior research. New York: Oxford University Press; 2008:199–236 pp.10.1093/acprof:oso/9780198529620.003.0005Search in Google Scholar

14. Hirsh, AT, Miller, MM, Hollingshead, NA, Anastas, T, Carnell, ST, Lok, BC, et al. A randomized controlled trial testing a virtual perspective-taking intervention to reduce race and socioeconomic status disparities in pain care. Pain 2019;160:2229–40. in Google Scholar PubMed PubMed Central

Published Online: 2020-11-02
Published in Print: 2021-01-27

© 2020 Walter de Gruyter GmbH, Berlin/Boston

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