Abstract
Interoception, i.e., the processing and integration of sensory information has gained research interest due to its relevance in the psychopathological context. In the present review, we focus upon interoceptive regulation or one’s capacity to match bodily signals to his/her desired state by altering the signal or the desired state. More specifically, we discuss attention toward and appraisal of interoceptive stimuli as regulatory mechanisms of interoception. We review findings in the emerging research area of interoceptive attention. Studies suggest that the quality of attention and the nature of appraisal regarding interoceptive information influence interoceptive regulation and subsequent adaptive or maladaptive behavioral strategies among healthy controls as well as clinical populations. We discuss the clinical implications and the need to promote further research as well as to target interoceptive attention and appraisal mechanisms in psychotherapy.
Highlights
Interoception can be defined as the mechanism by which the nervous system processes and integrates bodily information (Khalsa and Lapidus, 2016)
Whereas the broad definition of interoception highlights the role of the psychological context in which the individual perceives and processes stimuli, one’s quality of attention and trust toward these bodily signals and his ability to listen to physical sensations to regulate decisions and behaviors
The attentional and appraisal processes, i.e., the processes which enable us to notice, categorize, interpret, and respond to our physical sensations would comprise the regulatory aspects of interoception (Bornemann et al, 2015; Mehling, 2016; Khoury et al, 2018)
Summary
Interoception can be defined as the mechanism by which the nervous system processes and integrates bodily information (Khalsa and Lapidus, 2016). Whereas the broad definition of interoception highlights the role of the psychological context in which the individual perceives and processes stimuli, one’s quality of attention and trust toward these bodily signals and his ability to listen to physical sensations to regulate decisions and behaviors. The attentional and appraisal processes, i.e., the processes which enable us to notice, categorize, interpret, and respond to our physical sensations would comprise the regulatory aspects of interoception (Bornemann et al, 2015; Mehling, 2016; Khoury et al, 2018). Rather than a categorical “interoceptive dysfunction” discussed in previous studies, we highlight evidence for interoceptive regulation as well as attention and appraisal as regulatory aspects of interoception, given that the notion that interoceptive processes are modifiable via treatment is essential in the psychopathological field (Farb et al, 2015; Khoury et al, 2018)
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