Pain is intimately linked with action systems that are involved in observational learning and imitation. Motor responses to one's own pain allow freezing or escape reactions and ultimately survival. Here we show that similar motor responses occur as a result of observation of painful events in others. We used transcranial magnetic stimulation to record changes in corticospinal motor representations of hand muscles of individuals observing needles penetrating hands or feet of a human model or noncorporeal objects. We found a reduction in amplitude of motor-evoked potentials that was specific to the muscle that subjects observed being pricked. This inhibition correlated with the observer's subjective rating of the sensory qualities of the pain attributed to the model and with sensory, but not emotional, state or trait empathy measures. The empathic inference about the sensory qualities of others' pain and their automatic embodiment in the observer's motor system may be crucial for the social learning of reactions to pain.

Cortical-surface-based functional Magnetic Resonance Imaging mapping techniques and wide-field retinotopic stimulation were used to verify the presence of pattern motion sensitivity in human area V6. Area V6 is highly selective for coherently moving fields of dots, both at individual and group levels and even with a visual stimulus of standard size. This stimulus is a functional localizer for V6. The wide retinotopic stimuli used here also revealed a retinotopic map in the middle temporal cortex (area MT/V5) surrounded by several polar-angle maps that resemble the mosaic of small areas found around macaque MT/V5. Our results suggest that the MT complex (MT+) may be specialized for the analysis of motion signals, whereas area V6 may be more involved in distinguishing object and self-motion.

The retinotopic organization of a newly identified visual area near the midline in the dorsalmost part of the human parieto-occipital sulcus was mapped using high-field functional magnetic resonance imaging, cortical surface-based analysis, and wide-field retinotopic stimulation. This area was found in all 34 subjects that were mapped. It represents the contralateral visual hemifield in both hemispheres of all subjects, with upper fields located anterior and medial to areas V2/V3, and lower fields medial and slightly anterior to areas V3/V3A. It contains a representation of the center of gaze distinct from V3A, a large representation of the visual periphery, and a mirror-image representation of the visual field. Based on similarity in position, visuotopic organization, and relationship with the neighboring extrastriate visual areas, we suggest it might be the human homolog of macaque area V6, and perhaps of area M (medial) or DM (dorsomedial) of New World primates.