The idea that animals mask pain is not a myth—it is a survival mechanism. In the wild, an animal that outwardly displays pain or weakness immediately becomes a target for predators. Furthermore, within a social group, showing pain can result in a loss of status or being abandoned by the herd.
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Horses that "crib" (biting on fences) or dogs that lick their paws raw often do so as a self-soothing mechanism for chronic stress or allergies. The Rise of Behavioral Medicine The idea that animals mask pain is not
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Perhaps the most dramatic shift in the veterinary profession is the recognition that behavioral disorders—such as separation anxiety, noise phobias (fireworks/thunderstorms), compulsive disorders (tail chasing, acral lick dermatitis), and inter-cat aggression—are genuine medical problems. They are not "training issues" or signs of "spite." They are neuropsychiatric conditions that cause profound suffering and are a leading cause of euthanasia and shelter relinquishment.
Cultural significance and broader context
A cat with a sore back will avoid the litter box simply because stepping over the high rim is agonizing. A cat with dental pain might continue to eat dry kibble—because starvation is a stronger immediate threat than tooth pain—but they will drop food, chew on one side, or swallow it whole.