Department of Psychiatry, First Faculty of Medicine, Charles University in Prague and General University Hospital in Prague, Prague, Czech Republic.
Online Therapy and Scientific Research, WHJ Online Therapy Centre, Muscat, Oman.
Med Sci Monit. 2024 Jun 7;30:e944209. doi: 10.12659/MSM.944209.
Daydreaming, a form of spontaneous and self-generated mental process, may lead to the disintegration of attention from the immediate external environment. In extreme cases, patients may develop maladaptive daydreaming comorbid with dissociation. The examination of dissociative alterations frequently occurs within the framework of complex cognitive processes. While dissociation may be a neurological and psychological dysfunction of integration, transient dissociative occurrences, i.e., momentary dissociation may signify a dynamic interplay between attentional division and orientation within the sensory cortex. Furthermore, previous studies have recorded the interactivity of attention by stimuli onset with P3 event-related potentials and the active suppression of distractor positivity. In this context, during auditory and visual mismatch negativity, the sensory cortex may interact with attentional orientation. Additionally, distractor positivity during task-relevant stimuli may play a crucial role in predicting momentary dissociation since sensory cortices share cerebral correlates with attentional fluctuations during mental imagery. Thus, this theoretical review investigated the cerebral activities associated with attentional orientation and may be extended to mindfulness. By integrating these findings, we aim to provide a comprehensive understanding of dissociative states which may lead to a resolution for dissociative psychopathology.
白日梦，一种自发和自我产生的心理过程形式，可能导致注意力从当前外部环境中分散。在极端情况下，患者可能会出现适应不良的白日梦，同时伴有分离。对分离的检查经常在复杂的认知过程框架内进行。虽然分离可能是整合的神经和心理功能障碍，但短暂的分离发生，即瞬间分离可能意味着注意力的划分和感觉皮层的定向之间的动态相互作用。此外，以前的研究记录了通过刺激开始的注意的相互作用与 P3 事件相关电位和分心正性的主动抑制。在这种情况下，在听觉和视觉失匹配负波期间，感觉皮层可能与注意力的定向相互作用。此外，在与任务相关的刺激期间，分心正性可能在预测瞬间分离方面发挥关键作用，因为感觉皮层在进行心理意象时与注意力波动具有共同的大脑相关性。因此，本理论综述探讨了与注意力定向相关的大脑活动，并可能扩展到正念。通过整合这些发现，我们旨在全面了解分离状态，这可能有助于解决分离性精神病理学。
