Abstract

The concept of self and self‐referential processing has a growing explanatory value in psychiatry and neuroscience, referring to the cognitive organization and perceptual differentiation of self‐stimuli in health and disease. Conditions in which selfhood loses its natural coherence offer a unique opportunity for elucidating the mechanisms underlying self‐disturbances. We assessed the psychoactive effects of psilocybin (230 μg/kg p.o.), a preferential 5‐HT1A/2A agonist known to induce shifts in self‐perception. Our placebo‐controlled, double‐blind, within‐subject crossover experiment (n = 17) implemented a verbal self‐monitoring task involving vocalizations and participant identification of real‐time auditory source‐ (self/other) and pitch‐modulating feedback. Subjective experience and task performance were analyzed, with time‐point‐by‐time‐point assumption‐free multivariate randomization statistics applied to the spatiotemporal dynamics of event‐related potentials. Psilocybin‐modulated self‐experience, interacted with source to affect task accuracy, and altered the late phase of self‐stimuli encoding by abolishing the distinctiveness of self‐ and other‐related electric field configurations during the P300 timeframe. This last effect was driven by current source density changes within the supragenual anterior cingulate and right insular cortex. The extent of the P300 effect was associated with the intensity of psilocybin‐induced feelings of unity and changed meaning of percepts. Modulations of late encoding and their underlying neural generators in self‐referential processing networks via 5‐HT signaling may be key for understanding self‐disorders. This mechanism may reflect a neural instantiation of altered self–other and relational meaning processing in a stimulus‐locked time domain. The study elucidates the neuropharmacological foundation of subjectivity, with implications for therapy, underscoring the concept of connectedness.

Highlights

  • Self refers to one's identity and the demarcated subject of experience

  • A larger P300 amplitude was found for the sound of one's own name versus other words (Berlad & Pratt, 1995), self-referent versus unrelated possessive pronouns (Zhou et al, 2010), and autobiographical memories versus other memories (Gray, Ambady, Lowenthal, & Deldin, 2004), suggesting a processing bias for stimuli pertaining to the self

  • Our previous functional magnetic resonance imaging studies identified prominent acute changes in this domain caused by psychedelic drugs and related to self-related processing (Preller et al, 2017; Preller et al, 2018)

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Summary

Introduction

Self refers to one's identity and the demarcated subject of experience. The concept has received notable interest across diverse research areas, ranging from philosophy (Metzinger, 2004; Zahavi, 2010) to psychiatry (Kircher & David, 2003) and neuroscience (Chen & Huang, 2017; Christoff, Cosmelli, Legrand, & Thompson, 2011). Previous experiments have indicated that the neural processing of self-related stimuli differs from otherrelated stimuli within as soon as 100–200 ms The former tend to have lower amplitudes of the N1/N170 event-related potential (ERP), while the latter tend to have higher amplitudes of the P2/N2 ERP (Caharel et al, 2002; Keyes, Brady, Reilly, & Foxe, 2010). These differences are critically engaged in the early detection of physical features (Krumbholz, Patterson, Seither-Preisler, Lammertmann, & Lütkenhöner, 2003; Obleser, Scott, & Eulitz, 2006). A disruption of those two processing stages has been implicated in the pathophysiology of psychiatric symptoms, such as schizophrenia (Bühler et al, 2016; Qiu, Tang, Chan, Sun, & He, 2014), bipolar disorder (Zhao, Luo, et al, 2016; Zhao, Yao, et al, 2016), and depression (Tripathi, Mishra, Tripathi, & Gurnani, 2015)

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