Riva Giuseppe, Serino Silvia, Di Lernia Daniele, Pavone Enea Francesco, Dakanalis Antonios
Department of Psychology, Università Cattolica del Sacro CuoreMilan, Italy; Applied Technology for Neuro-Psychology Laboratory, Istituto Auxologico ItalianoMilan, Italy.
Department of Psychology, Università Cattolica del Sacro Cuore Milan, Italy.
Front Hum Neurosci. 2017 Mar 16;11:120. doi: 10.3389/fnhum.2017.00120. eCollection 2017.
Progress in medical science and technology drastically improved physicians' ability to interact with patient's physical body. Nevertheless, medicine still addresses the human body from a Hippocratic point of view, considering the organism and its processes just as a matter of mechanics and fluids. However, the interaction between the cognitive neuroscience of bodily self-consciousness (BSC), fundamentally rooted in the integration of multisensory bodily inputs, with virtual reality (VR), haptic technologies and robotics is giving a new meaning to the classic Juvenal's latin dictum "" (a healthy mind in a healthy body). This vision provides the basis for a new research field, "Embodied Medicine": the use of advanced technologies for altering the experience of being in a body with the goal of improving health and well-being. Up to now, most of the research efforts in the field have been focused upon how external bodily information is processed and integrated. Despite the important results, we believe that existing bodily illusions still need to be improved to enhance their capability to effectively correct pathological dysfunctions. First, they do not follow the suggestions provided by the free-energy and predictive coding approaches. More, they lacked to consider a peculiar feature of the human body, the multisensory integration of internal inputs (interoceptive, proprioceptive and vestibular) that constitute our inner body dimension. So, a future challenge is the integration of simulation/stimulation technologies also able to measure and modulate this internal/inner experience of the body. Finally, we also proposed the concept of "Sonoception" as an extension of this approach. The core idea is to exploit recent technological advances in the acoustic field to use sound and vibrations to modify the internal/inner body experience.
医学科学技术的进步极大地提高了医生与患者身体互动的能力。然而,医学仍然从希波克拉底的角度看待人体,将有机体及其过程仅仅视为机械和流体的问题。然而,身体自我意识(BSC)的认知神经科学,其根本源于多感官身体输入的整合,与虚拟现实(VR)、触觉技术和机器人技术之间的相互作用,正在赋予经典的尤维纳利斯的拉丁格言“健全的精神寓于健康的身体”新的意义。这一愿景为一个新的研究领域“具身医学”提供了基础:利用先进技术改变身体体验,以改善健康和幸福感。到目前为止,该领域的大部分研究工作都集中在外部身体信息如何被处理和整合上。尽管取得了重要成果,但我们认为现有的身体错觉仍需改进,以提高其有效纠正病理功能障碍的能力。首先,它们没有遵循自由能和预测编码方法提供的建议。此外,它们没有考虑到人体的一个特殊特征,即构成我们内在身体维度的内部输入(内感受、本体感受和前庭感受)的多感官整合。因此,未来的一个挑战是整合模拟/刺激技术,使其也能够测量和调节身体的这种内部/内在体验。最后,我们还提出了“声觉感受”的概念作为这种方法的延伸。核心思想是利用声学领域的最新技术进展,利用声音和振动来改变内部/内在身体体验。