Pain Asymbolia as Depersonalization for Pain Experience. An Interoceptive Active Inference Account

被引:15
作者
Gerrans, Philip [1 ]
机构
[1] Univ Adelaide, Dept Philosophy, Adelaide, SA, Australia
来源
FRONTIERS IN PSYCHOLOGY | 2020年 / 11卷
关键词
interoception; self-awareness; depersonalization; predictive processing; pain asymbolia; EMOTIONAL EXPERIENCE; INSULAR CORTEX; DEFAULT-MODE; FREE-ENERGY; DISORDER; BRAIN; APPRAISAL; AMYGDALA; ANXIETY; TIME;
D O I
10.3389/fpsyg.2020.523710
中图分类号
B84 [心理学];
学科分类号
04 ; 0402 ;
摘要
"Mineness," also called "subjective presence" or "personalization," is the feeling that experiences belong to a continuing self. This article argues that mineness is produced by processes of interoceptive active inference that model the self as the underlying cause of continuity and coherence in affective experience. A key component of this hierarchical processing system and hub of affective self-modeling is activity in the anterior insula cortex. I defend the account by applying it to the phenomenon of pain asymbolia, a condition in which nociceptive signals (of bodily damage) are not attributed to the self. Thus, pain asymbolia is a form of "depersonalization for pain" as Klein puts it. The pain is experienced as happening to my body but is not experienced as mine. Thus, we can describe it as loss of subjective presence or "mineness" for the experience of pain.
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页数:10
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