An Active Inference Approach to Interoceptive Psychopathology

Interoception refers to the process by which the nervous system senses and integrates signals originating from within the body, providing a momentary mapping of the body's internal landscape and its relationship to the outside world. Active inference is based on the premise that afferent sensor...

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Vydáno v:Annual review of clinical psychology Ročník 15; s. 97
Hlavní autoři: Paulus, Martin P, Feinstein, Justin S, Khalsa, Sahib S
Médium: Journal Article
Jazyk:angličtina
Vydáno: United States 07.05.2019
Témata:
Brain - physiopathology
Humans
Implosive Therapy
Interoception - physiology
Mental Disorders - physiopathology
Mental Disorders - therapy
Mindfulness
Models, Theoretical
Perceptual Disorders - physiopathology
Perceptual Disorders - therapy
anxiety
computational psychiatry
interoception
depression
predictive coding
mental health
ISSN:1548-5951, 1548-5951
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Shrnutí:Interoception refers to the process by which the nervous system senses and integrates signals originating from within the body, providing a momentary mapping of the body's internal landscape and its relationship to the outside world. Active inference is based on the premise that afferent sensory input to the brain is constantly shaped and modified by prior expectations. In this review we propose that interoceptive psychopathology results from two primary interoceptive dysfunctions: First, individuals have abnormally strong expectations of the situations that elicit bodily change (i.e., hyperprecise priors), and second, they have great difficulty adjusting these expectations when the environment changes (i.e., context rigidity). Here we discuss how these dysfunctions potentially manifest in mental illness and how interventions aimed at altering interoceptive processing can help the brain create a more realistic model of its internal state.
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ISSN:1548-5951
1548-5951
DOI:10.1146/annurev-clinpsy-050718-095617