Tablespoon is related to Spoon. Spoon is a different concept from Plate. 
Disturb is a synonym of Upset. Pain is a type of Upset. Pain is related to Uncomfortable. 
Tablespoon <--RelatedTo--> Spoon <--DistinctFrom--> Plate 
Disturb <--Synonym--> Upset <--IsA-- Pain <--RelatedTo--> Uncomfortable 