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再生虚拟疗法:利用多感官技术和正念注意力更新身体自我的改变表征。

Regenerative Virtual Therapy: The Use of Multisensory Technologies and Mindful Attention for Updating the Altered Representations of the Bodily Self.

作者信息

Riva Giuseppe, Serino Silvia, Di Lernia Daniele, Pagnini Francesco

机构信息

Applied Technology for Neuro-Psychology Laboratory, Istituto Auxologico Italiano, Milan, Italy.

Humane Technology Laboratory, Università Cattolica del Sacro Cuore, Milan, Italy.

出版信息

Front Syst Neurosci. 2021 Nov 3;15:749268. doi: 10.3389/fnsys.2021.749268. eCollection 2021.

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.

摘要

“再生医学”(RM)一词表明了生物医学科学中的一种新兴趋势,其旨在替换、改造或再生人类细胞、组织或器官,以恢复或建立正常功能。到目前为止,再生医学的重点一直是身体。然而,神经科学目前表明,精神障碍在很大程度上可以通过大脑在跨时间计算和整合内外身体表征的方式(即身体自我意识,BSC)出现功能障碍来表征。从这个角度来看,我们提出了一种新型的临床干预方法,即“再生虚拟疗法”(RVT),它整合了从神经科学到计算精神病学等不同学科的知识,以再生扭曲或有缺陷的身体自我意识。再生虚拟疗法的主要目标是使用基于技术的躯体改造技术来重构病理状况背后的适应不良的身体表征。具体而言,从我们身体自我意识的贝叶斯模型(即身体矩阵)出发,我们建议使用正念注意力、认知重新评估和脑刺激技术,并结合高奖励性和新颖的合成多感官身体体验(即与低可预测性的内感受调制同步的虚拟现实全身错觉)来改写错误的身体体验,并恢复个体的幸福感。再生虚拟疗法的使用还将提供关于我们身体表征动态的前所未有的实验概述,允许对其功能进行逆向工程,以便使用先进技术对其进行破解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ec1/8595209/0a74797124b1/fnsys-15-749268-g001.jpg

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