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

Frontiers in Psychology

article

Philip Gerrans¹ 

[1] Department of Philosophy, University of Adelaide

关键词: interoception;    self-awareness;    depersonalization;    predictive processing;    pain asymbolia;   

DOI  :  10.3389/fpsyg.2020.523710

学科分类：社会科学、人文和艺术（综合）

来源: Frontiers

【 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.

【 授权许可】

CC BY