Abstract

The term “regenerative medicine” (RM) indicates an emerging trend in biomedical sciences that aims at replacing, engineering, or regenerating human cells, tissues, or organs to restore or establish normal function. So far, the focus of RM has been the physical body. Neuroscience, however, is now suggesting that mental disorders can be broadly characterized by a dysfunction in the way the brain computes and integrates the representations of the inner and outer body across time [bodily self-consciousness (BSC)]. In this perspective, we proposed a new kind of clinical intervention, i.e., “Regenerative Virtual Therapy” (RVT), which integrates knowledge from different disciplines, from neuroscience to computational psychiatry, to regenerate a distorted or faulty BSC. The main goal of RVT was to use technology-based somatic modification techniques to restructure the maladaptive bodily representations behind a pathological condition. Specifically, starting from a Bayesian model of our BSC (i.e., body matrix), we suggested the use of mindful attention, cognitive reappraisal, and brain stimulation techniques merged with high-rewarding and novel synthetic multisensory bodily experience (i.e., a virtual reality full-body illusion in sync with a low predictabIlity interoceptive modulation) to rewrite a faulty experience of the body and to regenerate the wellbeing of an individual. The use of RVT will also offer an unprecedented experimental overview of the dynamics of our bodily representations, allowing the reverse-engineering of their functioning for hacking them using advanced technologies.

Highlights

  • Holmes et al (2014) published, in Nature, the article “Psychological treatments: A call for mentalhealth science,” calling for an alliance between clinicians and neuroscientists to advance our understanding of psychological treatments

  • Paulus et al (2019) recently explained that “these conceptual models suggest that mental disorders can be broadly characterized by a dysfunction in the way the brain computes and integrates representations of the inner and outer worlds of the body across time

  • The use of brain stimulation techniques to reduce the influence of top-down predictions: to manipulate the process of precision-weighting, we suggested the use of transcranial direct current stimulation (tDCS) to disrupt the prediction processes and to reduce the influence of top-down predictions

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Summary

INTRODUCTION

Holmes et al (2014) published, in Nature, the article “Psychological treatments: A call for mentalhealth science,” calling for an alliance between clinicians and neuroscientists to advance our understanding of psychological treatments. Paulus et al (2019) recently explained that “these conceptual models suggest that mental disorders can be broadly characterized by a dysfunction in the way the brain computes and integrates representations of the inner and outer worlds of the body across time According to this view, changes in mood and anxiety are a by-product of the brain’s biased translation of what it expects will happen versus what is happening in these worlds, producing a persistent discrepancy/error signal when outcomes are observed.” The two different studies by Browning et al (2020) and Nair et al (2020) suggested the use of computational characterizations/assays of behavior for patients undergoing psychological therapies using mathematical/Bayesian models of key cognitive processes In this perspective, we wanted to follow both suggestions by introducing a new therapeutical approach, i.e., Regenerative Virtual Therapy (RVT). Starting from a Bayesian model of our bodily self (i.e., body matrix), we suggested the use of mindful attention, cognitive reappraisal, and brain stimulation techniques merged with high-rewarding and novel synthetic multisensory bodily experience to rewrite a faulty bodily experience and to regenerate the wellbeing of an individual

FROM REGENERATIVE MEDICINE TO REGENERATIVE VIRTUAL THERAPY
REGENERATIVE VIRTUAL THERAPY TECHNOLOGY
CONCLUSION
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