Cats are not only predators, they are also prey for larger carnivores like coyotes. A predator will target a weak or injured prey animal so it is important that prey animals hide their pain, so they don’t become some else’s snack. Cats are no exception and are masters at hiding pain. As a veterinary technician, I have found clients often do not give pain medication that we send home because “he didn’t seem painful”.

Painful cat?

how do I know if my cat is painful?


It is hard to assess pain in animals and young children.  They can’t tell you how it hurts. There has been interest in  developing methodology for computer assessment of pain in human children using facial expressions. Humans have expressive faces, with 42 facial muscles; there is a universal “pain face”, with lowered eyebrows, eyes squeezed together, nose wrinkled, raised upper lip and open mouth.

Like us, cats also have a “pain face” but it takes some practice to become attuned to it. The Feline Grimace Scale (FGS) was developed to give veterinary professionals an easy-to-use tool to assess whether a cat needs pain medication. With some practice and attention to your cat’s environment, you can tell if your cat is painful.

The FGS focuses on 5 facial features:

  1. position of the ears
  2. shape of the eyes
  3. shape of the muzzle
  4. attitude of the whiskers
  5. position of the head

Each feature is assigned a score of 0, 1 or 2.

“0” = no pain

“1” = moderate appearance of pain

“2” = obvious appearance of pain

The highest pain score with this system is 10; a score of 4/10 indicates the need for pain medication.

The Kitty Pain Face


scoring The Ears

  • Score = 0  Ears are up and facing forward
  • Score = 1   Ears are not facing forward and further apart; they are a little “flat” 
  • Score = 2   Ears are flattened and rotated out, like the wings of an airplane

scoring the eyes

  • Score =0     Eyes are open
  • Score = 1     Eyes partially closed
  • Score =2      Eyes are “squeezed shut”

scoring the muzzle

  • Score = 0    Muzzle is relaxed and round in shape
  • Score = 1     Muzzle is tense and starting to become flatter
  • Score = 2    Muzzle is tense and elliptical in shape

scoring the whiskers

  • score = 0   Whiskers are relaxed and curved downwards
  • Score = 1    Whiskers are beginning to straighten, as the muzzle becomes tense
  • Score = 3    Whiskers are straight or forward

scoring the head

  • Score = 0  The head is up and above the line of the shoulders
  • Score = 1  The head is in line with the shoulders
  • Score = 2   The is below the line of the shoulder

Using the FGS


The FGS was developed for veterinary staff to monitor hospitalized patients.  In the validation studies, cats were observed undisturbed for 30 seconds.  This could be a challenge in the home, where the cat is not in a kennel and can move around.

Pain causes anxiety and stress. The expressions making up the cat’s  “pain face” overlap with the body language of stress. How can you eliminate environmental stress when scoring your cat for pain?

getting a valid score for your cat


Don’t have 30 seconds?

If you’re having trouble watching your cat for 30 seconds, try scoring your cat, then score him again in 15-20 minutes and see if you get the same results as before.

Pain or environmental stress?

Reduce the effect of the environment on your cat. Don’t have someone hold him or rub his head. Try to observe him when there is not a lot of activity in the house – try guiding him to a quiet room and let him settle down before you try to score him.  Don’t interact with him – he may respond by hiding his pain.

If your cat is grooming, eating, or vocalizing, wait until she is finished before assessing her. If sleeping, wait until she is awake. 

practice telling if a cat is painful


Using the FGS can be challenging but it can help you decide sometimes if your cat needs veterinary treatment. Practice observing cats that are painful or not painful to give yourself a mental map of the cat’s face and demeanor.

  1. Go to  felinegrimacescale.com, and download the FGS manual.
  2. Using the FGS manual, practice your skills with the series of 11 cat photos on the website.
  3. Compare your results with those of the researchers.

 

Other indications that your cat is painful


  • she is hiding or you find her in a place she usually does not frequent
  • she is more subdued than usual
  • there is a decrease in appetite and activity

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Cats plays with featther toy1
Zelda plays with a feather toy at the end of a wand.

Providing opportunities for predatory play is one of the components of a cat-friendly home. Like people, cats are individuals, with different tastes and experiences. This certainly is one reason for the large variety of cat toys at the pet store. But what if your cat does not want to play?

Some cats like to play more than others


A group of researchers observed the responses of 31 cats to toy balls, a fishing pole style toy with a soft bird shaped toy at the end, and recorded sounds of a chirping bird, a squeaking mouse, crumpled paper and a rustling plastic bag. Thirteen of these cats were indoor-outdoor cats; the remaining 18 were indoor-only cats.

What did they find out?

  • Indoor-only cats touched or played with balls sooner than indoor-outdoor cats.
  • Indoor-only cats started searching earlier for playback sounds (chirping, squeaking etc) than the indoor-outdoor cats.

Why do indoor-only cats like to play more than outdoor cats?


The two groups of cats had close relationships with their owners: the main difference was that one group had access to the outdoors.

The indoor-outdoor cats most likely had experience with actual prey animals. Live prey can “fight back” and cause injury to the hunter, so a slower, more cautious approach may be smarter.  The indoor-only cats don’t “know any better” and showed a more intense interest in and faster response to “simulated prey”, not having had any negative experience with hunting things.

Should I try to play with my indoor-outdoor cat?


Yes, play with your indoor-outdoor cat. Play is part of the regular, positive interactions we have with our cats. The need to hunt defines who your cat is – this is what he was born to do. Although he gets a lot of stimulation while outdoors, a short, regular play time helps reinforce the cat-owner bond.

It may be a bit more difficult to find that thing he’ll play with, compared to an enthusiastic indoor-only cat. 

Cat using food puzzle

My experience with “Gus, A former street cat”


  • Gus has always enjoyed “treat toss” ( I throw dental treats for the cats to chase and eat).
  • He is not interested in the feather and mice toys at the end of a wand.
  •  He occasionally plays with catnip toys and balls.
  • After two years, he has agreed to chase a pair of tied-together shoe laces down the hall and has his own preferred food puzzle.

My indoor-only cat just won’t play with anything


Cats are individuals and some cats like to play more than others. Yes, try to entice your cat to play. It can take longer to find out what some cats will play with. It may take a few tries before they become interested enough to chase that shoelace, mouse toy on a wand or the crumpled ball of paper you throw down the hallway.  If the cat walks away, then try again another day.

  • A play session around the same time everyday lets them know what is going to happen.
  • Be alert to possible frustration – your cat needs some reinforcement intermittently to keep her playing the game.
  • Use the laser pointer to point to a treat when ending the laser tag session.
  • Let her catch the toy on the wand and chew on it occasionally during a play session. 
  • End the play session with a game of “treat toss”.

Playing with more than one cat


Even if cats are not part of the same social group , they can still manage a joint play session. Cats are good at “time-sharing” – taking turns while another cat plays. Often they will have different preferences, so they will wait for “their toy”. Cats are often very willing to wait if there is a treat session at the end (after all, hunting requires patience!)

The importance of predatory play…


It is true that some cats like to play with toys or chase treats more than others.  But every cat has a hunting heritage and helping him use it strengthens the bond between you and your cat.

Tips for playing with cats


Play and Treat time is a meal

  • Cats do better physically and emotionally eating multiple small meals daily.
  • Restricting access to food (meal feeding) can make treat time a bit more special.
  • Include the treats in your cat’s daily calorie count.

Play and treat time – a positive, predictable interaction for your cat

  • Cats like to play with a variety of toys – have several boxes of toys that you rotate.
  • Marinate some of the toys in catnip or silvervine.
  • Play sessions do not need to be more than 5 minutes or so per cat.
  • Put all interactive toys away when playtime is over.

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You’ve had a tough day at work – you couldn’t keep anyone happy. You arrive home and your cat is there at the door as you come in. He rubs around your legs and stands up to bump your hand with his head. Of course, he is there for his dinner but afterwards, he will snuggle up to you on the sofa to watch some TV – at least, he seems happy with you!

Your relationship with your cat is more than just providing him with food and a warm place to sleep – it is also about the comfort you get from him when you are stressed. A recent study authored by Mauro Ines and colleagues looked at the different types of relationships that exist between cats and their people. They looked at the cat-owner relationship in terms of attachment AND social support.

cat-owner relationship


attachment


Attachment refers to an emotional bond between two individuals where each feels more secure  and comforted when with the other.

We not only provide our cats with food and shelter but also security and comfort. As a consequence, our cats are ATTACHED to us and stay close to us.

social support


Social Support refers to a network of family and friends that you can turn to when you are stressed or feeling isolated and lonely.

In terms of social support, our cats make us feel needed because they need us to care for them. They give us a break from the complexities of interacting with people – they are available, not judgmental or unpredictable.

Mauro Ines’ research team conducted an extensive survey of cat owners. After the dust cleared, there were 3994 “reliable” responses for statistical analysis.

The study used four categories to evaluate cat-owner relationships:

  1. The Owner’s emotional investment in the cat
  2. The cat’s acceptance of people other than the Owner
  3. The cat’s need to be close to the Owner
  4. How friendly the cat was toward the Owner

Statistical analysis of the surveys revealed 5 distinct cat-owner relationships. 

In three of these relationships (52% of the surveys), owners have a low level of emotional investment in their cats. The cats and owners do not seem to be very attached nor do they offer each other much social support.

  1. “Open”
    • Owner has a “neutral” emotional investment in the cat
    • The cat typically goes outdoors
    • The cat is friendly to people in general
    • Cat has some affiliation with the owner.
    • These cats do not seek out owners when distressed.
  2. “Remote”
    • Owner has a low level of emotional investment in the cat
    • Owner does not view the cat as part of the family.
    • The cat is often be sociable with people other than the Owner
    • The cat does not seek out the Owner when distressed.
  3. “Casual”
    • Owner has a low level of emotional investment
    • The cat is sociable and friendly with other people
    • Little evidence that the cat discriminates the Owner from other people
    • These cats may visit other households in the neighborhood

 

About 45% of the surveys came from Owners with a high emotional investment in their cats.  These Owners scored high on items like “my cat will often lick my hands or face”.  These cats and owners have stronger relationships, both in terms of attachment and social support.

  1. “Co-dependent”
    • These cats prefer to be close to their owners
    • These cats are wary of people other than the Owner
    • Usually a single-person household
    • The cat is indoor-only
    • Owner and cat play together frequently
  2. “Friendship”
    • Usually a multi-cat home
    • These cats are often friendly with people other than the Owner
    • These cats like to be near the Owner but are not “clingy”
    • The Owner and cats have a “friendly” relationship but can function independently of each other.

A study like the one described above can have inherent biases that can limit its value in describing cat owners in general.  For instance, the bulk of the survey responses came from women in the UK (66%). Only 10% of the responses came from US residents.  In the UK, it is common for cats to have outdoor access (90%), whereas in the US, it is estimated that upward of 65% of pet cats are primarily indoors.  If we were to survey cat owners in the US, would we find a greater percentage of “co-dependent” relationships? Would we find more emotionally invested owners with indoor-only cats?

This study, while interesting, is certainly not the last word in how cats bond with their people. However, it does suggest that the cat-human relationship is more than a simple caregiver- dependent relationship.

Why do a study like this? 


One of the leading reasons why cats are relinquished to animal shelters is behavior problems. A better understanding of the cat-owner relationship could help resolve or possibly avoid such problem behaviors, keeping the cat in his home and improving the welfare of both cat and owner.

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Friendly cat greeting a human

 

You’re watching TV with your cat on your lap, absentmindedly stroking her. Suddenly, out of the blue, she swats you and jumps down. You rub your hand and wonder, “What was that all about?”

There are few practical guidelines for interacting with cats. A research team conducted a study at the Battersea Dogs and Cats Home in the UK to remedy this. The study tested a simple set of Human-Cat Interaction (HCI) guidelines that aim to make cats more  comfortable when they are interacting with us.

These practical guidelines for interacting with cats follow the acronym CAT (easy to remember). Here they are!

C is for Choice and Control
A is for Attention
T is for Touch

 

choice and control…


Our cats’ ancestors were solitary hunters. They had to look out for themselves – if they were injured, they could not hunt; no hunting meant no food.

Cats are accomplished hunters but they are also prey for larger predators, such as coyotes. Consequently, cats are “control freaks” – to survive, they need to be in control of their interactions with their environment.

Allow a cat to CHOOSE whether or not to interact with you.

  • If you can, get on the cat’s level, offer your hand, and allow him to approach you.
  • If the cat wants to be touched, she will rub against your hand. If she doesn’t lean into your hand, don’t pet her.
  • Allow the cat to move away from you if he chooses; don’t follow him if he leaves.
  • Allow the cat to control how much you stroke her. When stroking her, pause every 3–5 sec to see if she wants to continue – does she rub against you to ask for more? If not, let her take a break.

Attention….


Pay attention to the cat’s body language and behavior. The following signals indicate that the cat is done interacting with you.

  • She turns her head or moves away from you.
  • His ears become flattened or rotate backwards.
  • She shakes her head.
  • The fur on his back “ripples”.
  • She licks her nose.
  • He becomes still, and stops purring or rubbing against you.
  • She sharply turns her head to face you or your hand.
  • He suddenly starts grooming himself but only for a few seconds at a time.
  • Her tail starts switching back and forth rapidly; usually the tail is horizontal or on the ground.

touch…


Think about where you are touching the cat.

  • A friendly cat prefers to be touched at the base of his ears, around his cheeks, and under his chin.
  • AVOID the base of her tail and tummy.
  • If you touch the cat’s back, flank, legs, or tail–watch his body language (see above) to see if he is comfortable with this.

Trying out the practical guidelines for interacting with cats


In the Battersea study, testing was conducted in 2 sessions: a “control” session and a second session after the human participant watched a 5 minute video demonstrating the CAT guidelines.

In each session, both control and post-video, the human participant visited with 3 cats, spending 5 minutes with each cat.

In the control session, the participant was instructed to remain seated in the cat’s room and interact with the cat as he or she usually would. The session was recorded by video.

After watching the instructional video, the participant would visit with 3 more cats as before, except following the CAT guidelines.

A total of 535 observations were made.
For each observation, cat behavior and posture was assessed and rated; the human participants were scored on how closely they followed the CAT guidelines.

Did the practical guidelines for interacting with cats work?


Before CAT instruction:
Cats in the control visits displayed more instances of human-directed aggression and more behaviors associated with conflict than cats in the post-education visits.

After CAT instruction:
The human participants in the study started following the CAT guidelines and the cats displayed more friendly and positive behaviors than in the control visits.

So, back to the cat on your lap in front of the TV. She became tired of being petted and may have indicated this by flattening her ears and turning her head to give you a meaningful look but you were not paying attention!

  • Let her Control the stroking (“ask” if she wants to continue)
  • Pay Attention to her body language (rippling skin? twitching tail? “airplane” ears?)
  • Touch her where she is comfortable being touched; if in doubt, stick with the base of the ears, the cheeks, and under the chin.

postscript


If you need to handle your cat and she’s not having it, try to make it worthwhile for her. Offer her a treat or a toy to put her in a positive emotional state.

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Clicker training your cat pairs the sound of the clicker, a small handheld gadget, with a treat or some other thing the cat likes. When the cat hears the click, he knows that a treat or something good is on its way. If the cat sits when he hears the word “sit” and hears a click as he sits, he will look for his expected reward. If he receives the reward, he will be more likely to “sit” next time upon command.

At the core of clicker training your cat are two learning processes: classical conditioning and operant conditioning. Let’s look at these two ways of learning.

Classical Conditioning – An involuntary response is associated with a stimulus


Pavlov meme
During the 1890’s, a Russian scientist, Ivan Pavlov was studying digestion in dogs, measuring the amount of saliva produced by a group of dogs presented with meat.

Pavlov noticed that:

  • the dogs would drool when food was placed in front of them
  • they would also drool before they received the meat, when they heard the footsteps of the assistant bringing the meat.

This started a series of experiments using lights, metronomes and, of course, bells to stimulate the drooling.  Pavlov had discovered the learning process that we now call “classical conditioning”, where an involuntary response like salivating is associated with a stimulus, the ringing of a bell.

Operant conditioning – A voluntary behavior is associated with aN outcome


Likewise, snapping the lid off a can of cat food can help call the kitties to dinner. The dogs connected the ringing of the bell with food; your cats may be accustomed or conditioned to associate the sound of  the can opening with being fed. This is another example of “classical conditioning”.

Your cat has heard the can opening. Now, he must decide whether he is going to come for dinner. Most of the time, he makes the decision to come when “called”, anticipating a dinner of cat food. This “voluntary” response is the learning process called operant conditioning – the cat has control over whether he comes or not.

Folks who study behavior have identified 4 different scenarios in operant learning: 2 that increase the likelihood that the behavior being trained will be repeated and 2 that decrease the likelihood that the behavior is repeated.

operant conditioning – 4 scenarios


INCREASE THE BEHAVIOR


POSITIVE REINFORCEMENT


Treats to reward cats

ADD a good outcome – the cat is likely to perform the behavior again.

We ask the cat to “sit” and when he sits, we give him a tasty treat. We REWARD the behavior of sitting.

DECREASE THE BEHAVIOR


POSITIVE PUNISHMENT


cat on counter

ADD something unpleasant to discourage a behavior.

Your kitty jumps up on the counter and you spray her with water. She jumps down. You have added an unpleasant spray of water (punishment) to getting up on the counter.

negative reinforcement


TAKE AWAY something unpleasant- the cat is likely to do what stops what’s unpleasant.

You are trying to trim your cat’s nails but the moment you touch her foot with the clippers, she growls and hisses and you stop. It is likely next time, she will growl and hiss to stop you from trimming her nails. You are reinforcing her behavior of hissing and growling at nail trims by “removing” the unpleasant nail trim.

negative punishment


TAKE AWAY something the cat likes to discourage a behavior.

Your cat wakes you up at night to be petted. You put her outside the bedroom and close the door. You are removing the opportunity for some stroking that your cat enjoys with the hope that your cat will not wake you up in the future.

THE PROBLEM WITH positive PUNISHMENT

  • It is difficult to get the timing right – you must spray the cat as she is jumping on the counter otherwise she may associate something else (you) with the spray of water
  • Punishment does not remove a behavior.  There is an immediate effect – kitty jumps off the counter – but she may continue to jump on the counter if you are NOT there to spray her. 
  • Devices like a SSSCAT (a motion-activated spray system) may keep her off the counter as long as they are working.  A concern with these devices is injury if the cat is startled and falls off the counter.
  • Punishment can put the cat into an anxious, fearful state, anticipating a consequence (punishment) the cat does not understand. 

“Classical” conditioning and “operant” conditioning with positive reinforcement form the core of clicker training your cat.

  • The cat learns to associate the “click” of the clicker with food or something he values.
  • He will choose to perform a behavior, like sitting upon command, anticipating a treat.

Positive reinforcement is the most successful training technique because the cat will not be fearful or anxious but will be in a positive emotional state, ready to learn – after all, something good will happen!

 

A POSTSCRIPT


What to try if your cat hates nail trims

Positive reinforcement!

  1. Start by handling her feet and giving her a treat for each paw you pick up.
  2. Move on to touching her feet with the nail clippers, and give her treats for each paw.
  3. Work up to trimming a few claws at a time, and of course, reward her!

Counter Surfing

With kitchen counters, the drive to seek food is strong and difficult for a cat to suppress. Also, cats instinctively, “go for the high ground”, especially if they are avoiding something they are leery of.

  1. Is your cat jumping on the counter to get food or avoid the dog and the toddler? You may need to control the dog or toddler.
  2. Keep food off the counters unless you are preparing it.
  3. Find a place (preferably high) for kitty to sit while you are working at the counter and reward him for sitting there.
  4. Sometimes, using “aversives”, things cats don’t like, may help. For example, using a non-toxic citrus spray on the counter or using an upside-down carpet runner (with the “spikes” facing up) may deter jumping up on the counter.
  5. If your cat is driving you crazy or may get hurt, put him in a safe place with all his resources while you prepare food.

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