Schmitt Carolyn M, Schoen Sarah
Sensory Therapies and Research (STAR) Institute, Centennial, CO, United States.
Rocky Mountain University of Health Professions, Provo, UT, United States.
Front Neurosci. 2022 Jun 9;16:875200. doi: 10.3389/fnins.2022.875200. eCollection 2022.
The purpose of this article is to examine evidence that broadens the clinical perspective on interoception as an imperative consideration for individuals with mental health and sensory processing challenges. The central supposition is that interoception is broader than just signals from the viscera. Rather, interoception refers to perceptions of bodily signals and bodily states that construct a subjective representation of the experience. These representations are then utilized for categorizing the sensory attributes and constructing meaning. Thus, this updated conceptualization presents interoception as a complex multidimensional system, with bidirectional features. The interplay between the brain and the body is necessary to maintain homeostasis as well as respond adaptively to the changes in one's internal and external environment. As a sensory capacity, interoceptive information must be processed and interpreted before it can be integrated into a personal experiential history. Interoception supports both body and mental functions and as such, interoceptive processes support health and wellness by establishing a felt sense of psychological and physiological safety that is foundational to meaningful participation in life. The information presented in this article is central to the pursuit of evidence-based best practices for any professional wishing to integrate consideration of interoception into their clinical practice.
本文的目的是审视相关证据,这些证据拓宽了对内感受的临床视角,使其成为心理健康和感觉加工存在挑战的个体的一项重要考量因素。核心假设是,内感受的范畴比仅来自内脏的信号更为广泛。确切地说,内感受指的是对身体信号和身体状态的感知,这些感知构建了体验的主观表征。然后,这些表征被用于对感觉属性进行分类并构建意义。因此,这种更新后的概念将内感受呈现为一个具有双向特征的复杂多维系统。大脑与身体之间的相互作用对于维持体内平衡以及对个体内部和外部环境的变化做出适应性反应是必要的。作为一种感觉能力,内感受信息在被整合到个人体验历史之前,必须先经过处理和解读。内感受支持身体和心理功能,因此,内感受过程通过建立一种心理和生理安全感来支持健康和幸福,而这种安全感是有意义地参与生活的基础。本文所呈现的信息对于任何希望将内感受考量纳入其临床实践的专业人员追求基于证据的最佳实践至关重要。