Ronchi Roberta, Park Hyeong-Dong, Blanke Olaf
Center for Neuroprosthetics, Laboratory of Cognitive Neuroscience, Brain-Mind Institute, École Polytechnique Fédérale de Lausanne, Lausanne, Switzerland.
Center for Neuroprosthetics, Laboratory of Cognitive Neuroscience, Brain-Mind Institute, École Polytechnique Fédérale de Lausanne, Lausanne, Switzerland.
Handb Clin Neurol. 2018;151:313-330. doi: 10.1016/B978-0-444-63622-5.00015-2.
Research in clinical and human neuroscience indicates that important brain mechanisms of self-consciousness are based on the integration of multisensory bodily signals (i.e., bodily self-consciousness: BSC), including signals coming from outside our body (i.e., exteroceptive signals, such as tactile, auditory, and visual information) and the inside of our body (i.e., interoceptive signals). In this chapter, we discuss selected behavioral and neuroimaging studies about how multisensory integration generates and modulates BSC in humans, with particular relevance to parietal mechanisms. We then review the neurology of disorders of BSC after acquired brain damage or dysfunction, ranging from body attentional disorders to delusional and illusory deficits about the patient's own body, associated with a breakdown of the link between the body and the self.
临床和人类神经科学研究表明,自我意识的重要脑机制基于多感官身体信号的整合(即身体自我意识:BSC),包括来自我们身体外部的信号(即外感受信号,如触觉、听觉和视觉信息)以及我们身体内部的信号(即内感受信号)。在本章中,我们讨论了一些行为和神经影像学研究,这些研究探讨了多感官整合如何在人类中产生和调节身体自我意识,尤其涉及顶叶机制。然后,我们回顾了后天脑损伤或功能障碍后身体自我意识障碍的神经学情况,范围从身体注意力障碍到关于患者自身身体的妄想和幻觉缺陷,这些都与身体和自我之间联系的中断有关。