Savages,
Drunks and Lab Animals: The Researcher's Perception of Pain
Mary
T. Phillips 1
New York City
Historically,
treatment for pain relief has varied according to the social
status of the sufferer. A similar tendency to make arbitrary
distinctions affecting pain relief was found in an ethnographic
study of animal research laboratories. The administration
of pain-relieving drugs for animals in laboratories differed
from standard practice for humans and, perhaps, for companion
animals. Although anesthesia was used routinely for surgical
procedures, its administration was sometimes haphazard. Analgesics,
however, were rarely used. Most researchers had never thought
about using analgesics and did not consider the subject worthy
of serious attention. Scientists interviewed for this study
agreed readily that animals are capable of feeling pain, but
such assertions were muted by an overriding view of lab animals
as creatures existing solely for the purposes of research.
As a result, it was the exceptional scientist who was able
to focus on anything about the animal's subjective experience
that might lie outside the boundaries of the research protocol.
As
Martin Pernick tells it, "The Case of McGonigle's Foot"
is a horror story (Pernick, 1985, pp. 3-8). On a summer day
in 1862 a Philadelphia laborer named McGonigle took a fall and
fractured his ankle. He was rushed to a hospital, where doctors
immediately amputated the man's foot without anesthesia.
This occurred 16 years after a public demonstration of
ether anesthesia at the Massachusetts General Hospital had shown
an astonished world that surgery could be painless. The Pennsylvania
Hospital, where McGonigle was taken, had been among the last
of the major medical institutions in the United States to introduce
anesthetic drugs, but even there ether had been in use for a
good 10 years. Chloroform and nitrous oxide had been in general
use for almost as long as ether, and all were inexpensive and
readily available in 1862. So why no anesthesia for poor McGonigle?
(Who, incidentally, died of shock two days later.)
The
case was not an isolated incident. For several decades after
its discovery, anesthesia was withheld in a large proportion
of surgical operations. According to records unearthed by Pernick
and discussed in his fascinating study of l9th-century attitudes
toward pain, about 32 percent of all major limb amputations
performed at the Pennsylvania Hospital from 1853 to 1862 were
done without anesthesia. Pernick gives a comparable figure for
amputations done at New York Hospital during the five years
following the introduction of ether there (Pernick, 1985, p.
4).
The
reasons for this drew upon a complex ideology of pain that attributed
sensitivity to pain selectively, according to social status
(sex, race or ethnic origin, age, education, social class) and
personal habits (especially alcohol and drug use) as well as
the nature of the surgical operation. People considered most
sensitive to pain (and therefore the most likely to receive
anesthesia) were women, the educated and wealthy classes, whites
(except for recent immigrants), children and the elderly, and
people with no history of alcohol or drug abuse. Their social
opposites males, the uneducated, the poor, "savages"
(meaning blacks and Indians), Irish and German immigrants, young
adults, and alcoholics were considered least likely to
need anesthesia because of their relative insensitivity to pain.
McGonigle fit perfectly the model for insensitivity: the man
was an uneducated Irish immigrant who had been drinking when
he fell (Pernick, 1985, pp. 4, 148-167).
Down
at the bottom of the hierarchy of sensitivity, along with the
lower classes, was the place of animals. Silas Weir Mitchell,
l9th-century physician and pioneer in neurology, wrote: "[I]n
our process of being civilized we have won, I suspect, intensified
capacity to suffer. The savage does not feel pain as we do;
nor, as we examine the descending scale of life, do animals
seem to have the acuteness of pain-sense at which we have arrived"
(JAMA, 1967, p. 124).
This
hierarchical view of life, so much a part of the 19-century
ethos of colonialism, casts differences of skin color and class
and culture (and species, the extreme case) as unbridgeable
chasms. Such a perspective did not foster much empathy for the
suffering of others, as this episode from the history of anesthesia
illustrates. "The descending scale of life," however,
is a metaphor from a bygone age. Already in the Victorian era
(a time of great humanitarian and antivivisectionist movements),
the scope of empathy was growing. Social historians have remarked
upon the dawning, at about this time, of a distinctly modern
sensitivity to the feelings of a widening circle of others.
By the turn of the century, social station was no longer considered
a relevant consideration in the decision to administer anesthetic
drugs. Today we would no more condone operating on a Native
American without anesthesia (or an Irish immigrant, drunk or
not) than we would condone calling him or her a savage.
If
we were to document the use of anesthesia in veterinary surgery
over the past century, we would probably find a pattern similar
to that of the less fortunate classes of humans. Animal surgeons
in the 19th century were slow to adopt surgical anesthesia,
in spite of a strong campaign by the British antivivisection
movement to counter the belief that animals were insensitive
to pain (Pernick, 1985, p. 178). Antivivisectionist pressure
prompted the British Association for the Advancement of Science
to publish guidelines in 1871 that contained a requirement for
the use of anesthetics in experimentation, but a study by Stewart
Richards (1986; 1987) suggests that even the authors of these
guidelines often did not follow them. John Scott Burdon Sanderson,
who was one of the authors of the 1871 guidelines, omitted any
mention of anesthesia in describing many experiments in his
Handbook for the Physiological Laboratory (1873). Richards'
detailed analysis of the Handbook reveals that about
15 percent of the potentially painful experiments did not specify
the use of any anesthetic.
Nevertheless,
the use of anesthesia for all major surgery, both animal and
human, is now routine. This says something about how attitudes
have changed, but it is hardly the end of the story. In a 3-year
study of animal research laboratories in New York, I found that
the administration of pain-relieving drugs to animals used in
scientific experiments differs considerably from the standards
for human patients and, I suspect, for pets in veterinary
hospitals. In the remainder of this paper, I will present some
empirical findings from the study, and I will suggest a framework
for understanding scientists' belief's and practices regarding
pain in laboratory animals. As will be seen, researchers tend
to view lab animals as somehow different from other animals,
belonging to an altogether distinct category of being. Now,
as in centuries past, such rigid categorization schemes can
have far-reaching consequences. Among these consequences are
beliefs about the other's pain, and measures taken or
not taken for its relief.
Methods
and Procedures
This
report is based on an ethnographic study of laboratories located
in two research institutions in the New York City area. At one
of the institutions (hereafter referred to as the Institute),
participants were selected using a random sampling technique,
weighted to assure adequate representation of behaviorists and
of those using species other than mice and rats. At the other,
smaller, institution (hereafter referred to as the University),
every eligible researcher was selected. A total of 27 scientists
in 23 laboratories participated in the study, for an overall
participation rate of 77% of those selected.
From
January, 1985 through November, 1987 I spent hundreds of hours
observing experiments on rats, mice, hamsters, toads, birds,
rabbits, cats, monkeys, and fish. I took notes during these
observations, from which I later typed a detailed account of
each session. After several weeks or months (or, in one case,
years) in a given laboratory, I interviewed the lab's study
participant, using a structured, open-ended interview guide.
Interviews, which lasted about two hours, were tape recorded
and later transcribed. In addition, each study participant filled
out a questionnaire which provided background information on
such variables as gender, age, marital status, pet ownership
and educational background. All data reported below are from
observation notes, interview transcripts, or background questionnaires.
Anesthesia
in Animal Research
Until
the passage of the Laboratory Animal Welfare Act (PL 89-544)
in 1966, experimenters in this country had free rein to do whatever
they wanted to animals in their laboratories. Even after 1966,
researchers were not required to use anesthesia or any other
pain-relieving drugs, since the Act was primarily intended to
ensure that animals purchased by scientific laboratories were
not stolen pets. The legislation also established some minimum
standards for the humane care of animals awaiting experimentation.
However, it covered only facilities that used dogs and cats,
and it expressly exempted from regulation the treatment of animals
"during actual research or experimentation." (For
a more detailed discussion of the Animal Welfare Act and relevant
guidelines, see Phillips and Sechzer, 1989, pp. 17-34.)
The
Act has been amended three times: in 1970, 1976, and 1985. The
1970 amendments changed its name to the Animal Welfare Act (dropping
"Laboratory"), extended coverage to zoos and circuses
and to many more species, and inserted a provision requiring
"the appropriate use of anesthetic or tranquilizing drugs,
when such use would be proper in the opinion of the attending
veterinarian of such research facilities." This was backed
by a requirement (still in effect) that each research facility
covered by the Act submit an annual report to the government
showing how many animals of each species were used in experiments
during the previous year, how many of these animals received
pain-relieving drugs; and how many animals were used in painful
experiments without receiving any pain relief. The report must
include an explanation for any instances of the latter. These
annual reports are public record, available by request under
the Freedom of Information Act. I will return to this subject
presently for a close look at the reports filed by the particular
institutions examined in this study.
The
1976 amendments were concerned with issues irrelevant to this
discussion (interstate transportation of animals and animal
fighting ventures), but in 1985 the pain- relief provisions
were strengthened somewhat. An explicit prohibition was placed
on the use of paralytic drugs without anesthesia (once a popular
procedure in vision research), and more authority was vested
in the facility's veterinarian to make decisions about pain
relief. In addition, the 1985 amendments required that an Institutional
Animal Committee be established at each facility to review experiments
that might involve pain, and to ensure that research meets all
the standards of the Act, including these other new provisions:
that the principal investigator consider alternatives to painful
procedures; that animal pain and distress be minimized; and
"that the withholding of tranquilizers, anesthesia, analgesia,
or euthanasia when scientifically necessary shall continue for
only the necessary period of time."
These
regulations merely codified recommendations already established
in the animal research guidelines of numerous professional scientific
societies, as well as the guidelines of the National Institutes
of Health (NIH). Compliance with the NIH guidelines, first published
in 1963, is mandatory for researchers receiving NIH funds_ and
that means the majority of them (USDHHS, 1985). Moreover, the
NIH guidelines cover all warm- blooded animals used
in research, thus filling a gap left by the Animal Welfare Act's
exclusion (until recently) of mice, rats and birds from its
coverage.
The
cumulative effect of these regulations and guidelines is constraining,
despite the loophole that allows scientists to withhold anesthesia
when "scientifically necessary." I observed no instances
in which surgery was performed on unanesthetized animals, and
without exception researchers told me they would consider it
unacceptable to do so. Legal, political, and technical/scientific
reasons for using anesthesia are overwhelming, quite aside from
the ethical qualms that many researchers expressed. They feared
the consequences of breaking the law and bringing down the wrath
of animal advocates. They pointed out that it is more convenient
to operate on anesthetized animals than on struggling ones.
In addition, scientists have come to appreciate the many ways
in which pain and stress can alter physiological functions and
thereby affect the validity of research results. The clincher,
perhaps, is that most reputable scientific journals will not
publish results of painful research done on unanesthetized animals.
One researcher told me frankly that he had wanted to curarize
some monkeys without anesthesia for vision experiments, but
he was deterred by the knowledge that he could never get the
work published.
However,
none of these rules or regulations can prevent a researcher
from becoming inattentive or careless in monitoring an animal's
level of anesthesia during surgery. While one laboratory I visited
had an elaborate array of equipment to monitor the physiological
state of the cats and monkeys undergoing surgery there, many
scientists who worked with rats and mice relied on nothing more
than the animal's general appearance. Unlike human operating
rooms, animal laboratories have no full-time anesthesiologist
standing by whose sole responsibility is to administer and monitor
the anesthesia. Sometimes, during very long experiments, anesthetized
animals are even left alone for hours at a time.
One
morning when I arrived at a neuroscience laboratory to observe
the finale of an experiment on a cat that had begun the day
before, I found the investigators sitting around glumly. They
had worked until about 1:00 o'clock the night before, they told
me, leaving the cat anesthetized with a combination of drugs
(urethane and surithal) administered continuously through a
vein. When a graduate student arrived the next morning at about
6:00 am, the cat was dead. There is no reason to suppose that
the cat ever gained consciousness, but if it had, its open wounds
would have caused intense suffering. Leaving anesthetized animals
unattended through the night was standard practice in this laboratory,
and is apparently so in many neuroscience labs, where experiments
often last for 36 hours or longer. The intention is never to
cause pain (nor, certainly, to kill the animal prematurely),
but it is implausible to believe it never happens.
In
another laboratory, I was present when a rat regained consciousness
during brain surgery. The rat was one of 20 given brain transplants
on one day by a team consisting of the senior investigator (study
participant), a postdoctoral fellow, the facility's veterinarian,
and an undergraduate student. The procedure was for the veterinarian
to inject each rat with anesthetic (chloropent, a commercially
available drug containing pentobarbital and chlorohydrate) about
10 minutes prior to surgery. Then an incision was made in the
top of the rat's head, the skin drawn back, and a drill used
to make a small hole in the skull. Into this opening the researcher
injected a tiny amount of material that had been extracted from
the brain of a rat fetus a few hours earlier. The incision was
then closed with surgical staples and the rat was placed on
a warming pad to recover. The whole procedure took about 20
minutes.
My
notes for the afternoon show that at 2:35 pm, the postdoctoral
fellow began drilling into the skull of a rat, which immediately
began to squirm and struggle. The rat's hind legs began scrambling
in a coordinated running movement, eventually running right
off the small cardboard box being used as a makeshift operating
platform. While its hind quarters were hanging over the edge
of the platform, the rat's head was still held firmly in place
by ear bars, part of the stereotaxic device that keeps the animal's
head correctly aligned for precise placement of the drill. The
researcher kept on working on the skull, paying no attention
to the rat's frantic struggles. After several minutes of this,
the rat managed to kick over the box-platform, making it impossible
for the researcher to continue. At that point, he asked the
veterinarian for more anesthesia, which the latter immediately
injected. The researcher righted the box, repositioned the rat
on it, and at once resumed drilling. The rat again struggled
until half of its body had slipped off the box. The researcher
continued drilling for about 30 seconds, then once more repositioned
the rat. By this time it was 2:45, ten minutes after the
rat's first movements the booster dose of anesthesia had
taken effect, and the animal became quiet, and remained so for
the duration of the surgery. During all this lime, the senior
investigator, seated a few feet away performing an identical
operation on another rat, did not look up from his work. The
others paid no attention, either. They all acted as though nothing
unusual or untoward was going on.
I
asked the senior investigator about this incident when I interviewed
him some three months later. I described what I had seen, and
asked if he thought the rat had been in pain. He replied that
"in that kind of situation, it's probably more uncomfort
than anything else." But then he asked, rhetorically, "Is
it worthwhile giving a general anesthetic to prevent the animal
from feeling those two minutes of pain that would be involved
in surgery and risk killing the animal?" He continued,
explaining at some length the statistical probability of accidents
due to anesthetic overdose. Out of every 20 animals, he said,
one or two are likely to be more resistant to the anesthesia
than the others. But "99 percent of the animals that die
before you want to terminate them, it's because of anesthetic."
"I think that in order to eliminate all pain," he
concluded, "the chances are that you would be killing a
lot more animals."
This
scientist did not seem very convinced, himself, that the rat
felt "more uncomfort than anything else." But the
question was not really important for him. Much more important
was the possibility of losing data by inadvertently killing
animals with too much anesthesia. The risk is not that animals
might die they were all to be killed a week or two later
but that they might die "before you want to terminate
them." In this passage, the scientist has subtly clothed
his interest in the success of his experiment in the nobler
garb of concern for the animal's life.
Analgesia
in Animal Research
In
spite of these kinds of lapses, there is a wide consensus among
researchers that anesthetics should be used in pretty much the
same situations as for humans, and in practice this is usually
followed. At any rate, researchers have virtually no latitude
in deciding when to administer anesthetics. Analgesics
painkillers, such as aspirin_ are an entirely different matter.
The use of analgesics in animal research, in practice, if not
in theory, is left almost entirely to the discretion of the
investigator. For this reason, the administration of analgesics
can provide us with a far more sensitive indicator of the view
of animal pain and suffering held by scientific researchers
than can the use of anesthetics.
On
the face of it, the federal regulations require the use of analgesics
no less than anesthetics. The Animal Welfare Act mandates that
"animal pain and distress [be] minimized, including adequate
veterinary care with the appropriate use of anesthetic, analgesic,
tranquilizing drugs, or euthanasia" (1966, PL 89-544 Sec.
13 [3] [A]) and that "in any practice which could cause
pain to animals (i) that a doctor of veterinary medicine
[be] consulted in the planning of such procedures; (ii) for
the use of tranquilizers, analgesics, and anesthetics"
(1966, PL 89-544 Sec. 13 [3] [C] [i,ii]). The NIH Guide
is more specific. It states: "Postsurgical care should
include observing the animal to ensure uneventful recovery from
anesthesia and surgery; administering supportive fluids, analgesics,
and other drugs as required ..." (USDHHS, 1985, p. 38).
Analgesics
are routinely given to human patients following surgery, and
in fact a number of commentators have made much of modern Westerners'
dependence on painkillers (e.g., Illich, 1976; see also Pernick,
1985, pp. 233-234). In the animal laboratories, however, analgesics
were rarely used. No one (with the possible exception of some
animal welfare advocates) considers this a violation of the
regulations, but rather a (more or less) legitimate interpretation
of the "appropriate use" and "as required"
clauses. Whereas the regulations were invariably interpreted
to require anesthesia for surgery, they were not construed to
require analgesic drugs under any specific conditions. Analgesics
were considered when they were considered at all
to be a matter for individual judgement.
In
the 23 laboratories I visited, I never saw an analgesic administered,
although two researchers reported regular analgesic use: monkeys
were said to be given Tylenol (acetaminophen) after brain surgery
in one laboratory; and rats that had had brain surgery in another
laboratory were reportedly given Talwin (pentazocine, a potent
nonnarcotic analgesic), at the veterinarian's suggestion. I
was not present immediately after surgeries in either laboratory,
but I have no reason to doubt these reports.
In
a third laboratory, the senior investigator told me that he
gives post-operative rats an aspirin in their water "all
the time." (He later modified this claim to "sometimes,"
and, when pressed, "not normally.") However, this
laboratory chief had his graduate students do all the surgeries,
and the student I had observed not only did not administer aspirin,
but she told me that she never did so because aspirin is not
appropriate for rats. It was her belief that "there just
are no analgesics appropriate for rats." In a fourth laboratory,
monkeys received no analgesics after head surgery at the time
of my visits, but both scientists interviewed here stated their
intention to begin the use of opiates for this purpose soon.
It
should be noted that in five laboratories there was really no
opportunity to administer analgesics, either because the animals
were killed while still under surgical anesthesia or because
nothing that would nominally be considered painful was done
to them. This discussion, which assumes that the question of
whether or not to administer an analgesic is an applicable one,
should be understood to refer only to the remaining 18 laboratories.
In most of the latter, major survival surgery provided a situation
in which one could reasonably wonder if an analgesic might be
appropriate (see Table 1).
| Table
1.
Use of analgesics by study participants |
| Category
|
No.
of Laboratories |
| A.
Inapplicable (Animals killed before regaining
consciousness from surgical anesthesia; or no painful
procedures) |
5
|
| B.
Analgesic use after surgery reported on a
regular basis |
2
|
| C.
Analgesic use after surgery (for monkeys only)
to be instituted soon |
1
|
| D.
Analgesic use reported but contradicted by
observations |
1
|
| E.
No analgesic use reported or observed, nor
any plans to consider it |
14
|
The
large majority of researchers interviewed for the present study
who did not administer analgesics (Table 1, Category E) appeared
surprised when I asked about them. Some answered as though they
thought I meant anesthetics; others said the idea had never
occurred to them; many assured me that their animals did not
seem to need painkillers; a few, like the graduate student performing
rat surgery, thought none was available; and a sizable proportion
added that, in any event, they would not want to introduce the
unpredictable effects of a new variable into their research
results.
The
following interview excerpts are drawn from many that illustrate
these themes:
MTP
: Do the rats suffer much coming out of anesthesia,
after the surgery?
Researcher : Well, I can imagine
they have a headache.
MTP : Do they ever get analgesics?
Researcher : Um [pause] No, I don't
think so. Of course, they are certainly anesthetized for surgery.
Um [trails off]
MTP : Is that something you've ever
given any thought to?
Researcher : I've never given it
any thought. I'm not sure I would, anyway. I give myself
as few drugs as possible, even when I'm in pain.... That's
tricky, to dwell on that issue. One could turn down all sorts
of alleyways of thought.
MTP
: Is there any pain recovering from that surgery
[rats recovering from ovariectomies]?
Researcher : I would imagine that
after any surgery there must be some pain. They don't
seem to show any discomfort. They eat as well. They drink as
well. They walk around as well as before. But I can't ask them.
MTP : Do you ever use, or have you
ever considered using, analgesics?
Researcher : No, we don't use that.
MTP : Is there any particular reason?
Researcher : I think simply because
it would add another variable to the experiment. And because
you don't see the animal in any apparent discomfort.
MTP
: Do you ever give analgesics to rodents or
monkeys, or cats when you work with them?
Researcher : Anesthetics.
MTP : No, analgesics. Painkillers.
[pause] Things like aspirin, Tylenol.
Researcher : Uh [pause] No. I never
have... You would first have to ask the question, is the aspirin
going to affect any phenomena you're looking at. In order to
investigate that, and what dose, and how long,... you'd have
to do an experiment... You'd have to add an extra control group...
It would just be adding another variable.
MTP : Has this ever been a subject
of discussion with anybody?
Researcher : Never. (chuckles) Never
mentioned whether animals should take aspirin or not... If you
give an animal an aspirin to overcome its discomfort, then what
about sleeping on a wire mesh floor? I mean, shouldn't you have
some shavings for the animal to sleep on? Wouldn't they be more
comfortable if you did that?... The goal of your research then
becomes providing a pleasant surrounding for your animals.
Most
researchers had never sought a veterinarian's advice on this
subject, and the last quoted above even seemed amused by the
idea. Yet they had had very little training in this area, and
often admitted ignorance about available drugs. The only scientist
who did consult a veterinarian an endocrinologist who
was worried about the poor appearance of her rats after surgery
was advised to administer a painkiller, a practice that
she told me had since become routine in her laboratory (this
was the laboratory in which I was told Talwin was given). In
only two other laboratories were discussions about the issue
reported to have taken place, and in both cases the decision
was subsequently made to give analgesics. Elsewhere, the question
was not treated as worthy of serious discussion.
Inaccurate
beliefs were sometimes given as reasons for not considering
analgesics. For instance, a scientist told me that he could
not give cats morphine-related analgesics, because "cats
don't tolerate morphine drugs." Another told me that "Demerol
drives [cats] crazy; they go bananas if you give them Demerol."
In fact, a standard veterinary manual recommends Demerol (the
trade name for meperidine, a morphine-like narcotic) and other
opioids, such as buprenorphine, for cats (Flecknell, 1987).
In another laboratory, a neuroscientist assured me that the
nembutal anesthesia he used in monkey surgery had an analgesic
effect that lasted for "half a day" after the animals
regained consciousness. On the contrary, the veterinary manual
states that one of nembutal's undesirable characteristics is
its poor analgesic activity (Flecknell, 1987, p. 35).
Recovery from nembutal anesthesia (as from other barbiturates)
is prolonged, causing the animal to remain groggy for hours
afterwards; that effect may have led the researcher to think,
mistakenly, that nembutal is also an analgesic.
I
do not mean to imply that all of the animals were in pain after
the surgical operations I observed or that they should have
been given painkillers. I am not claiming a privileged position
from which to judge such matters. In fact, I was amazed, just
as some scientists said they were, by how active and normal
many of the animals appeared as they emerged from anesthesia.
(On the other hand, there were also some that looked miserable.)
However, at the time of my field work, there was growing discussion
of this issue in the animal science and veterinary literature.
Elsewhere I have documented a sharp rise in publications on
this topic beginning in the mid-1970s (Phillips and Sechzer,
1989, pp. 58-60). Experts in the field of animal pain were pointing
out that pain may be present in spite of an animal's "normal"
appearance (Dawkins 1980), and many were urging the use of analgesics,
especially after surgery. Manuals and papers with advice on
appropriate drugs and dosages for various species were readily
available (e.g., Heidrich and Kent, 1985; Kitchell et al., 1983;
Soma, 1985; Wright et al., 1985). The new climate of opinion
was summed up in one pain specialist's comment that "one
of the psychological curiosities of therapeutic decision making
is the withholding of analgesic drugs, because the clinician
is not absolutely certain that the animal is experiencing pain.
Yet the same individual will administer antibiotics without
documenting the presence of bacterial infection. Pain and suffering
constitute the only situation in which I believe that, if in
doubt, one should go ahead and treat" (Davis 1983, p. 175).
This
attitude toward analgesics can be found in at least two sets
of interdisciplinary animal research guidelines drawn up by
organizations with a broad representation (including veterinarians
and pain specialists). One adopted at an international conference
on animal research held under the auspices of the World Health
Organization and UNESCO, stated that "Postoperative pain
should be prevented or relieved by analgesics" (CIOMS,
1983, VIII). The other is the New York Academy of Sciences'
Interdisciplinary Principles and Guidelines for the Use of Animals
in Research, Testing, and Education, which states that "Post-surgical
analgesia must be provided appropriate for the type of surgical
intervention" (NYAS, 1988, p. 5).
It
is against this background that one must consider the almost
total lack of interest in animal analgesia that I found among
researchers. The subject was being treated very seriously by
specialists in veterinary medicine and pain, while researchers
in the laboratories included in this study were ignoring it.
The point being made here is not so much that analgesics were
withheld, but that so few researchers even considered the subject
worth thinking about.
USDA
Data on Pain in Animal Experimentation
Statistics
compiled by the United States Department of Agriculture show
that nationwide, scientists report that the majority of research
animals are not exposed to painful or distressing procedures:
the percentage of animals in this category has ranged from about
58% to 62% in recent years. Of the others, most received "appropriate
pain relief " The percentage of animals reported to have
actually experienced pain or distress, without any pain relief,
ranges from about 6% to 8% each year (see Table 2). These figures
are provided by the animal facilities themselves, in the annual
reports mentioned earlier that are required under the provisions
of the Animal Welfare Act.
| Table
2.
Use of pain-relieving drugs in animal research:
U.S. data (1982-1986) a |
| Date
|
(A)
Total no. of federally protected animals b
used by reporting facilities |
(B)
Percent of federally protected animals not
exposed to painful or distressing procedures |
(C)
Percent that received appropriate pain relief
|
(D)
Percent that did not receive pain relief because
it would have interfered with test results |
| 1982
|
1,576,556
|
62%
|
30%
|
8%
|
| 1983
|
1,680,242
|
61%
|
31%
|
8%
|
| 1984
|
2,074,133
|
62%
|
32%
|
6%
|
| 1985
|
2,153,787
|
57.6%
|
35.6%
|
6.8%
|
| 1986
|
1,778,403
|
59.4%
|
34.2%
|
6.3%
|
a
Data are for the period
October 1September 30. This table was compiled
from annual reports published by the United States Department
of Agriculture (USDA-APHIS 1982-1986, Animal Welfare
Enforcement ). The USDA compiles its report from the
annual reports filed by individual research facilities
(see USDA-APHIS, 1982-1987, Annual Reports of Research
Facilities. |
b
Until recently, "federally
protected animals" included only dogs, cats, nonhuman
primates, guinea pigs, hamsters, and rabbits. Birds,
rats, mice, horses and other farm animals were explicitly
excluded from regulation and facilities were not required
to include them (or any cold-blooded animals) in their
annual reports. A January 1992 court decision may mean
that henceforth birds, rats and mice will also have
to be included in annual reports (see text, n. 5). |
Comparable
data for the University and the Institute alone are given in
Table 3. The years 1985-1987 represent the period during which
my field work was carried out (most of it in 1985). University
scientists reported no animals subjected to "pain
or distress without administration of appropriate anesthetic,
analgesic, or tranquilizer drugs" (Category D) during all
three years. Researchers are required to attach explanations
for all Category D cases; the explanations attached IO the Institute's
reports for these years reveal that none of the experiments
in Category D was performed in any laboratory included in this
study. We can only conclude that not one investigator
included in the present study reported any instances
of unrelieved pain for any of the experiments performed
during this three-year period. These experiments included not
only many instances of major survival surgery (with no post-operative
analgesics), but also mice injected with cobra venom, LD-50
tests in which rats died from large doses of a toxic substance,
and cancers in mice and rats. No anesthetics or analgesics were
administered in these non-surgical situations.
Table
3.
Use of pain-relieving drugs in animal research:
University and Institute data (1985-1987) a |
Date
|
(A)
Total no. of animals |
(B)
Percent of animals used in research, experiments,
or tests involving no pain or distress |
(C)
Percent of animals used in research, experiments,
or tests where appropriate anesthetic, analgesic, or
tranquilizer drugs were administered to avoid pain or
distress |
(D)
Percent of animals used in research, experiments,
or tests involving pain or distress without administration
of appropriate anesthetic, analgesic, or tranquilizer
drugs |
UNIVERSITY
b |
1985
|
3,413
|
8%
|
92%
|
0
|
1986
|
2,648
|
88.9%
|
11.1%
|
0
|
1987
|
3,942
|
28%
|
72%
|
0
|
INSTITUTE
c |
1985
|
30,654
|
73.2%
|
21.5%
|
5.3%
|
1986
|
1,983
|
46.4%
|
51.5%
|
2.1%
|
1987
|
3,284
|
19.5%
|
77.3%
|
3.3%
|
a
The figures in this
table are adapted from the Annual Report of Research
Facilities filed by each institution with the United
States Department of Agriculture and obtained by the
author under the Freedom of Information Act. The reporting
period is from October 1 through September 30. (USDA-APHIS,
1982-1987) |
b
Rats and mice are included
in University data for all years. |
c
Rats and mice are included
in Institute data for 1985 only. The inclusion of data
for rats and mice was voluntary (see text, n. 5). |
Category
D experiments go unchallenged by the USDA as long as a "brief
explanation" for withholding pain-relieving drugs is attached.
It is possible that for some investigators this is simply too
much trouble, but judging from the attachments to the Institute
reports, an explanation acceptable to the USDA requires precious
little thought or effort. The following samples are typical,
and constitute about a third of all the explanations attached
to the Institute reports for 1985-1987:
- Dogs
are used to study treatment of heart worms.
- Rats
are used in studies of aortic occlusion and Trypansoma [sic]
infection. (Annual Report, 1985)
- Seventeen
rabbits were utilized in 2 studies of Toxic Shock Syndrome
prevention. (Annual Report, 1986)
- Fourty[sic]-four
rabbits were required for use in a study of Toxic Shock Syndrome
prevention. (Annual Report, 1987)
In
1987, an atypical explanation also was submitted:
- Sixty-three
hamsters were decapitated without prior anesthesia as anesthesia
would alter neuroendocrine data (Annual Report, 1987)
The
last is atypical because it alone mentions why no anesthesia
could be administered; the others simply state the general type
of research that was done. The hamster explanation is also noteworthy
for another reason: I saw scores of rats and mice decapitated
without anesthesia at both the University and the Institute,
as well as unanesthetized mice killed by cervical dislocation
or a blow to the head. And yet none of these researchers made
any entries in Category D on their annual reports.
Since
the USDA data reflect only the scientists, own evaluations of
animal pain and distress in their research, these figures cannot
be used to "prove" that there is very little painful
experimentation. All they show is that researchers report
very little painful experimentation. When the biomedical
research establishment uses USDA figures uncritically to refute
complaints about animal pain, as the American Medical Association
did in a recent white paper, one cannot but wonder if the authors
are really as unsophisticated as all that. The AMA paper smugly
states, "The fact that most experiments do not expose animals
to pain was confirmed by a report issued by the Department of
Agriculture..." (AMA, 1989, p. 17). This gives the impression
that the USDA conducts independent evaluations using standardized
criteria, which is far from the case.
One
can easily understand why scientists might not want to fan the
flames of the animal research controversy by reporting many
Category D animals. Animal rights activists can easily obtain
copies of these reports under the Freedom of Information Act
just as I did and target individual research facilities
for harassment. These fears probably underlie some decisions
to report animals in Category B (no pain or distress) rather
than Category D; and to put all animals that received anesthetics
in Category C (pain relieved by drugs), regardless of whether
analgesics had been withheld. However, the researchers I studied
appeared convinced and they clearly hoped that by opening
their laboratories to me, I would also become convinced
that nothing painful or distressing was going on.
Over
and over researchers assured me that in their laboratories,
animals were never hurt. "I love animals... I would not
feel that I'm doing the right thing if I would do anything to
animals that is not being done to human beings," said one.
"I do believe in not causing pain to them," said another.
"We certainly aren't inflicting pain on the animals,"
said a third. Another insisted, "I limit the kinds of experiments
that I think about [doing] to those that are not going to cause
pain and suffering to the animal."
Scientists
could tell me these things with apparent conviction because
they defined pain and suffering very narrowly. "Pain"
meant the acute pain of surgery on conscious animals, and almost
nothing else. Most felt that their humane obligations were fulfilled
when they relieved that pain with anesthesia. Although the USDA
reporting forms refer to "pain or distress" and ask
for information regarding "anesthetic, analgesic, or tranquilizer
drugs," no annual report for any of half a dozen research
facilities that I examined ever included a category D explanation
of why analgesics were not administered. As we have seen, one
certainly cannot assume that this is because analgesics always
were administered.
Conclusions
The
scientists I studied were full participants in "the modern
sensibility." There were no latter-day Cartesians among
them who claimed that animals do not feel pain. The majority
of them had pets at home, with whom they seemed capable of empathizing
enormously. But their pets were individuals whom they knew by
name, and whom they would never use in an experiment.
Laboratory animals were (usually) nameless, deindividualized
creatures, whose sole purpose in life was to serve in a scientific
experiment. Researchers continually made distinctions between
lab animals and pets, on the one hand, and between lab and wild
animals on the other.
Although
researchers always acknowledged the ability of animals to feel
pain, this knowledge remained an abstraction for most. Scientists
rarely saw any pain or suffering in their labs. Their view of
lab animals as statistical aggregates overshadowed any perception
of an individual animal's feelings at any given moment. And
when I went beyond the issue of physical pain to ask about psychological
or emotional suffering, many researchers were at a loss to answer.
Typical was the comment of one neuroscientist who, when asked
about possible boredom of monkeys kept in bare metal cages,
answered with a palpable lack of interest: "We can speculate
about these things, but I think it's pointless." Another
responded more impatiently: "Oh, how would anybody know
that? I mean, anybody? How could anybody know that? There's
a danger of being anthropomorphic about anything. I just, I
wouldn't even venture a guess."
The
savage and the drunk of yesteryear find their counterpart in
the 20th-century laboratory, but not because of any simple belief
that the lab animal is insensitive to pain. Laboratory animals
are categorized and perceived as distinctive creatures whose
purpose and meaning is constituted by their role as bearers
of scientific data. Researchers believe that all animals are
capable of feeling pain, but what they actually see
when they look at lab animals is a scientific objective,
not the animal's subjective experience. The result is that it
rarely occurs to them to consider whether an animal is in pain,
is suffering or whether it is feeling anything at all,
outside the boundaries of the research protocol.
Notes
1.
Direct all correspondence to the author, The New York City Criminal
Justice Agency, 305 Broadway, 5th Floor, New York, NY 10007.
This article is based on a doctoral dissertation in the Department
of Sociology, New York University, 1991 ( Constructing Laboratory
Animals: An Ethnographic Study in the Sociology of Science,
chapter 7, "Pain and Suffering," pp. 221-277).
The dissertation research was supported by a grant from Sigma
Xi, the Scientific Research Society. For helpful comments, the
author wishes to thank Irwin W. Goffman, Richard Sennett, Jeri
A. Sechzer, Dorothy Nelkin, and James Jasper.
2.
See, for example, Turner (1980). Other historians have traced
the development of empathy to earlier times; see Thomas (1983)
and Engell (1981, pp. 143-160).
3.
Permission to conduct this study was granted by the Institutional
Review Board (IRB) of each institution on the condition that
the names of the institutions and the individual participants
be kept confidential. IRBs at four additional institutions rejected
my proposal, on grounds that generally boiled down to anxiety
about bad publicity and harassment from animal rights activists.
Concerns about anonymity were so strong at the places where
my proposal was approved that I was required to keep the identities
of the institutions and individual participants locked in a
safe deposit box in a bank for the duration of the study.
4.
For a full description of the methods used to select and recruit
study participants, the procedures used to collect data, and
a discussion of the generalizability of the findings, see Phillips
1991, pp. 40-69.
5.
In January 1992 U.S. District Judge Charles R. Richey ruled
that the Animal Welfare Act must no longer exclude from its
protection rats, mice, and birds (Burd, 1992).
6.
In pain research, of course, scientists often subject animals
to pain without anesthesia because of scientific "necessity,"
and the researchers I talked to did think this is justifiable.
However, pain research usually involves methods of inflicting
pain other than surgery (e.g. electric shock). There were no
researchers working in the field of pain research participating
in my study.
7.
These researchers' information was apparently outdated. Davis
(1983, p. 173) writes that "much of the past reputation
of morphine in cats resulted from overdose. Several generations
of veterinary students were taught that the use of opiates in
cats was absolutely contraindicated because of the mania that
high doses of morphine produces in them. At a dose of 0.1 mg/kg,
morphine provides analgesia (without excitement) lasting 6-7
h[ours]." Another text confirms that current thinking on
the subject is that morphine (and Demerol) are suitable for
cats (Hughes and Lang, 1983, pp. 209-210).
8.
I cannot explain the wild fluctuations from year to year, especially
for the University, in the percentage reported for Categories
B and C (Table 3). There is no apparent reason why the University's
researchers should report only 8% for Category B in 1985 (compared
to the national average of 57.6%) and why that figure should
shoot up to 88.9% for 1986 (when the national average was 59.4%).
The Institute's figures show wild swings, too, but they are
not as extreme and they are in the opposite direction. I believe
that this reflects the arbitrariness of researchers' judgments
about which category to which assign animals, and it certainly
raises questions about the national figures.
9.
This is Category E on the USDA report forms. I have rearranged
the tabular presentation and re-lettered the categories.
References
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