Romano Daniele, Sedda Anna, Brugger Peter, Bottini Gabriella
Department of Psychology, University of Milano-Bicocca, Milan, Italy; NeuroMi - Milan Center for Neuroscience, University of Milano-Bicocca, Milan, Italy.
Department of Brain and Behavioural Sciences, University of Pavia, Pavia, Italy.
Conscious Cogn. 2015 Jul;34:140-8. doi: 10.1016/j.concog.2015.04.008. Epub 2015 May 2.
Individuals with the peculiar disturbance of 'overcompleteness' experience an intense desire to amputate one of their healthy limbs, describing a sense of disownership for it (Body Integrity Identity Disorder - BIID). This condition is similar to somatoparaphrenia, the acquired delusion that one's own limb belongs to someone else. In ten individuals with BIID, we measured skin conductance response to noxious stimuli, delivered to the accepted and non-accepted limb, touching the body part or simulating the contact (stimuli approach the body without contacting it), hypothesizing that these individuals have responses like somatoparaphrenic patients, who previously showed reduced pain anticipation, when the threat was directed to the disowned limb. We found reduced anticipatory response to stimuli approaching, but not contacting, the unwanted limb. Conversely, stimuli contacting the non-accepted body-part, induced stronger SCR than those contacting the healthy parts, suggesting that feeling of ownership is critically related to a proper processing of incoming threats.
患有“过度完整感”这种特殊障碍的个体,强烈渴望截断自己的一条健康肢体,并描述对该肢体有一种不属于自己的感觉(身体完整性认同障碍——BIID)。这种情况类似于躯体妄想性失认症,即后天产生的一种妄想,认为自己的肢体属于别人。在10名患有BIID的个体中,我们测量了他们对有害刺激的皮肤电反应,这些刺激施加于被接受和不被接受的肢体上,触摸身体部位或模拟接触(刺激靠近身体但不接触),我们推测这些个体的反应与躯体妄想性失认症患者相似,后者在威胁指向被否认的肢体时,先前表现出疼痛预期降低。我们发现,对于靠近但未接触到不想要的肢体的刺激,预期反应降低。相反,接触不被接受的身体部位的刺激比接触健康部位的刺激诱发更强的皮肤电反应,这表明所有权感与对传入威胁的适当处理密切相关。