In this talk, Dr. Schweinhardt will discuss top-down (i.e. cerebral) modulation of the perception and processing of nociceptive stimuli using selected examples in chronic pain patients as well as healthy subjects. Data on activity-dependent central sensitization will be presented as a case of bottom-up pain modulation. Finally, Dr. Schweinhardt will present a new line of research with which she aims at studying the interaction of top-down and bottom-up pain modulation.