Symptoms and the body: Taking the inferential leap
•The experience of physical symptoms is related to physiological dysfunction in a highly variable way.•Using a predictive coding framework we propose a new model of the body-symptom relationship.•We describe critical conditions influencing the body-symptom correspondence.•Theoretical and clinical im...
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| Veröffentlicht in: | Neuroscience and biobehavioral reviews Jg. 74; H. Pt A; S. 185 - 203 |
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| Hauptverfasser: | , , , |
| Format: | Journal Article |
| Sprache: | Englisch |
| Veröffentlicht: |
United States
Elsevier Ltd
01.03.2017
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| ISSN: | 0149-7634, 1873-7528 |
| Online-Zugang: | Volltext |
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| Abstract | •The experience of physical symptoms is related to physiological dysfunction in a highly variable way.•Using a predictive coding framework we propose a new model of the body-symptom relationship.•We describe critical conditions influencing the body-symptom correspondence.•Theoretical and clinical implications of this new account are explored.
The relationship between the conscious experience of physical symptoms and indicators of objective physiological dysfunction is highly variable and depends on characteristics of the person, the context and their interaction. This relationship often breaks down entirely in the case of “medically unexplained” or functional somatic symptoms, violating the basic assumption in medicine that physical symptoms have physiological causes. In this paper, we describe the prevailing theoretical approach to this problem and review the evidence pertaining to it. We then use the framework of predictive coding to propose a new and more comprehensive model of the body-symptom relationship that integrates existing concepts within a unifying framework that addresses many of the shortcomings of current theory. We describe the conditions under which a close correspondence between the experience of symptoms and objective physiology might be expected, and when they are likely to diverge. We conclude by exploring some theoretical and clinical implications of this new account. |
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| AbstractList | The relationship between the conscious experience of physical symptoms and indicators of objective physiological dysfunction is highly variable and depends on characteristics of the person, the context and their interaction. This relationship often breaks down entirely in the case of "medically unexplained" or functional somatic symptoms, violating the basic assumption in medicine that physical symptoms have physiological causes. In this paper, we describe the prevailing theoretical approach to this problem and review the evidence pertaining to it. We then use the framework of predictive coding to propose a new and more comprehensive model of the body-symptom relationship that integrates existing concepts within a unifying framework that addresses many of the shortcomings of current theory. We describe the conditions under which a close correspondence between the experience of symptoms and objective physiology might be expected, and when they are likely to diverge. We conclude by exploring some theoretical and clinical implications of this new account. •The experience of physical symptoms is related to physiological dysfunction in a highly variable way.•Using a predictive coding framework we propose a new model of the body-symptom relationship.•We describe critical conditions influencing the body-symptom correspondence.•Theoretical and clinical implications of this new account are explored. The relationship between the conscious experience of physical symptoms and indicators of objective physiological dysfunction is highly variable and depends on characteristics of the person, the context and their interaction. This relationship often breaks down entirely in the case of “medically unexplained” or functional somatic symptoms, violating the basic assumption in medicine that physical symptoms have physiological causes. In this paper, we describe the prevailing theoretical approach to this problem and review the evidence pertaining to it. We then use the framework of predictive coding to propose a new and more comprehensive model of the body-symptom relationship that integrates existing concepts within a unifying framework that addresses many of the shortcomings of current theory. We describe the conditions under which a close correspondence between the experience of symptoms and objective physiology might be expected, and when they are likely to diverge. We conclude by exploring some theoretical and clinical implications of this new account. |
| Author | Brown, Richard J. Petersen, Sibylle Van den Bergh, Omer Witthöft, Michael |
| Author_xml | – sequence: 1 givenname: Omer surname: Van den Bergh fullname: Van den Bergh, Omer email: omer.vandenbergh@kuleuven.be organization: Health Psychology, University of Leuven, Tiensestraat 102, Belgium – sequence: 2 givenname: Michael surname: Witthöft fullname: Witthöft, Michael organization: Clinical Psychology, Psychotherapy, and Experimental Psychopathology, University of Mainz, Germany – sequence: 3 givenname: Sibylle surname: Petersen fullname: Petersen, Sibylle organization: Health Psychology, University of Leuven, Tiensestraat 102, Belgium – sequence: 4 givenname: Richard J. surname: Brown fullname: Brown, Richard J. organization: Centre for New Treatments and Understanding in Mental Health, Division of Psychology and Mental Health, School of Health Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Manchester Academic Health Sciences Centre, UK |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/28108416$$D View this record in MEDLINE/PubMed |
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| SubjectTerms | Consciousness Humans Medically unexplained symptoms Predictive coding Symptom perception |
| Title | Symptoms and the body: Taking the inferential leap |
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