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感知存在、减轻精神病症状和阈下感知:意识的门槛。

Sensed Presence, Attenuated Psychosis, and Transliminality: At the Threshold of Consciousness.

机构信息

Department of Psychiatry, University of Illinois at Chicago, Chicago, Illinois, USA.

Department of Psychology, Vanderbilt University, Nashville, Tennessee, USA.

出版信息

Psychopathology. 2023;56(5):359-370. doi: 10.1159/000528572. Epub 2023 Feb 8.

Abstract

INTRODUCTION

The experience of "sensed presence" or "felt presence" in the absence of "other" has been described as a complex multimodal experience to which meaning is given. Sensed presence (SenP) is a transdiagnostic experience that exists along a continuum that can appear during isolation, spirit quests, exposure to extreme elements, bereavement, anxiety, and psychosis. Given the prevalence and vast heterogeneity of SenP, in addition to a surprising lack of targeted research into this phenomenon, this research examined the interrelationship of SenP, attenuated psychosis symptoms (APS), and transliminality. Transliminality is composed of absorption, fantasy proneness, paranormal belief, mystical experiences, increased creativity, and hyperaesthesia.

METHODS

A completely anonymous online survey of unusual experiences and mental health was distributed via social media (i.e., Twitter, Facebook, Reddit, and mass emailing lists) to recruit participants. Demographic data were analyzed using χ2 tests and one-way ANOVAs. A two-step cluster analysis was conducted to identify distinct sub-categories of transliminality followed by ANOVAs with bootstrapping at 1,000 iterations to compare SenP, increased APS, and transliminality. Pearson's bivariate correlations were conducted to determine the association between SenP, APS, and transliminality.

RESULTS

Together with descriptive findings, we show distinct characteristics between clusters. T1 cluster consisted of individuals with few SenP experiences, low APS, and low transliminality. T2 consisted of individuals with a moderate prevalence of SenP, low APS, moderate transliminality, and increased overall feeling of closeness to G-d. There was no significant difference in APS between T1 and T2 or in the level of distress associated with APS. T3 individuals showed a significantly higher prevalence of SenP in all domains (frequency, distress, vividness, and total score), higher APS, and higher transliminality, compared to T1 and T2. The T3 cluster met criteria for high risk to develop psychosis.

CONCLUSION

Thus, our findings demonstrate a strong association and entanglement of these experiences which suggests that the interrelatedness of transliminality/absorption and APS may serve as a potentially provocative underlying structure in the phenomenology of SenP.

摘要

介绍

在没有“他人”的情况下感知到存在的体验,或感觉到存在,被描述为一种复杂的多模态体验,其中包含意义。感知到的存在(SenP)是一种贯穿始终的存在,它可以在隔离、精神探索、暴露在极端环境、丧亲、焦虑和精神病等情况下出现。鉴于 SenP 的普遍性和巨大的异质性,以及对这种现象缺乏针对性研究,本研究探讨了 SenP、减轻的精神病症状(APS)和transliminality 的相互关系。Transliminality 由吸收、幻想倾向、超自然信仰、神秘体验、创造力增加和超敏反应组成。

方法

通过社交媒体(如 Twitter、Facebook、Reddit 和群发电子邮件列表)发布了一项关于异常体验和心理健康的完全匿名在线调查,以招募参与者。使用卡方检验和单向方差分析对人口统计学数据进行分析。采用两步聚类分析识别 transliminality 的不同亚类,然后进行方差分析,并在 1000 次迭代时进行 bootstrap 比较 SenP、增加的 APS 和 transliminality。进行 Pearson 双变量相关分析,以确定 SenP、APS 和 transliminality 之间的关联。

结果

除了描述性发现,我们还展示了聚类之间的明显特征。T1 聚类由 SenP 体验较少、APS 较低和 transliminality 较低的个体组成。T2 由具有中等 SenP 流行率、低 APS、中等 transliminality 和对 G-d 的整体亲近感增加的个体组成。T1 和 T2 之间的 APS 或与 APS 相关的困扰程度没有显著差异。与 T1 和 T2 相比,T3 个体在所有领域(频率、困扰、生动性和总分)的 SenP 患病率显著较高、APS 较高和 transliminality 较高。T3 聚类符合发展精神病的高风险标准。

结论

因此,我们的研究结果表明,这些体验之间存在强烈的关联和交织,这表明 transliminality/absorption 和 APS 的相互关系可能是 SenP 现象学中潜在的挑衅性基础结构。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9eea/10534996/ab1c704e7192/psp-0056-0359-g01.jpg

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