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In this segment, Dr. Afton L. Hassett explains that chronic pain stems from alterations in brain networks rather than peripheral damage alone. She defines nociception as the neural process of pain perception and describes brain plasticity as the brain's ability to rewire its connections. The speaker emphasizes that chronic pain reflects maladaptive changes in the structure and function of neural networks, which can become more interconnected and hyperactive. She cites intervention studies where neuroimaging performed before and after therapy reveals shifts in brain activity and connectivity—some regions show reduced activation, while communication between areas changes—demonstrating that therapeutic interventions can modify the brain's pain-processing networks.

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