Qigong practice consists of quieting the mind through mindfulness, thus enabling an enhanced interoception, proprioception, vestibular system, awareness of present moment experience, and emotional regulation. Learning to have present moment awareness of and attention to the body without distractions such as thoughts is a mindfulness skill. Interoception is the underlying neurological mechanism of mindfulness-based approaches to meditation. Clinical research describes mindfulness as the attentional focus necessary and fundamental for gaining interoceptive skills (PMC6753170). The refined ability to sustain awareness characterizes what in Qigong is called cultivating the skill of self-observation and regulating emotional responses to bodily sensation.
Interoception refers collectively to the processing of internal bodily stimuli by the nervous system and includes physical responses in body and brain representation such that the sensing of stimuli is available for reflection, insight, conscious awareness, and action. This characteristic training of awareness makes Qigong an “interoceptive awareness practice.” Interoception is such a new field of psychophysiological study that its first international conference was held in 2016. The National Center for Complementary and Integrative Health (NCCIH) is focusing on the multidisciplinary study of interoception science as a way to research "mind-body" practices, including Qigong.
Interoception, a key component of Qigong practice, is a representation of the body's internal state and bodily signals based on proprioception, the senses, and biofeedback pathways which include bi-directional communication between the limbic system (thoughts and emotions), the frontal cortex, the neuroendocrine system, and the autonomic nervous system. Interoception is essential for physiological homeostasis, cognition, and emotional regulation. Interoceptive awareness is a pre-requisite for emotional regulation.
Multidimensional Assessment of Interoceptive Awareness Version 2 (MAIA-2). Measuring interocepton. PMCID: PMC6279042.
Interoceptive rhythms in the brain. PMID: 37697110.
Interventions and Manipulations of Interoception. PMC7805576.
Interoception: A Multi-Sensory Foundation of Participation in Daily Life. PMC9220286.
The Emerging Science of Interoception: Sensing, Integrating, Interpreting, and Regulating Signals within the Self. PMC7780231.
Unravelling the Neurobiology of Interoceptive Inference. PMID: 32160563.
Mindfulness, Interoception, and the Body: A Contemporary Perspective. PMC6753170.
Longitudinal effects of interoceptive awareness training through mindful awareness in body-oriented therapy (MABT) as an adjunct to women's substance use disorder treatment: A randomized controlled trial. PMC6467707.
Interoception and Social Connection. PMC6901918.
A Positive Emotional-Based Meditation but Not Mindfulness-Based Meditation Improves Emotion Regulation. PMC6448484.
Self-control is linked to interoceptive inference: Craving regulation and the prediction of aversive interoceptive states induced with inspiratory breathing load. PMID: 31330380.
The neurobiology of interoception in health and disease. PMID: 29974959.
Interoception and Mental Health: A Roadmap. This is a summary of the first international conference on Interoception, the Interoception Summit 2016. PMC6054486.
Interoceptive Inference: From Computational Neuroscience to Clinic. PMID: 29694845.
Interoceptive Awareness Skills for Emotion Regulation: Theory and Approach of Mindful Awareness in Body-Oriented Therapy (MABT). PMC5985305.
Increasing Our Insular World View: Interoception and Psychopathology for Psychotherapists. PMC5359279.
Interoception and stress. PMC4507149.
Interoception, Contemplative Practice, and Health. PMC4460802.
Mindfulness meditation training alters cortical representations of interoceptive attention. PMC3541492.
The Multidimensional Assessment of Interoceptive Awareness Version (MAIA). PMC3486814.
The Free Energy Principle is a formal description of how life resists entropy across scales by minimizing surprise. Surprise here being an information-theoretic view of how unlikely a particular sensory state of an organism is, not the psychological phenomenon of surprise — though they are definitely linked. The free energy principle describes how living systems attempt to minimize the difference, or free energy, between their internal model of the world and their perception of it through sensory inputs. When the brain detects a mismatch, known as prediction error, it adjusts its internal world model to reduce the error.
https://www.youtube.com/watch?v=NIu_dJGyIQI
Neuroscientist Karl Friston on the Markov blanket, Bayesian model evidence, and different global brain theories.
Excellent lecture on the neurobiology of interoception from Bud Craig, the functional neuroanatomist who wrote the seminal paper on interoception: How do you feel? Interoception: the sense of the physiological condition of the body PMID: 12154366.
How Bud Craig's Insights Reshape the Research on Pain and Mind-Body Therapies. PMID: 39436627.
Interoception, homeostatic emotions and sympathovagal balance. PMC5062099.
The insula: an underestimated brain area in clinical neuroscience, psychiatry, and neurology. The insula re-emerged from a dearth of interest in 1994 when Antonio Damasio formulated the “somatic marker hypothesis” (PMID: 8941953) that rational thinking is inseparable from feelings and emotions represented in the brain as body states.
Interoception, homeostatic emotions and sympathovagal balance. PMCID: PMC5538352.
Interoceptive rhythms in the brain. PMID: 37697110.
Confounding effects of heart rate, breathing rate, and frontal fNIRS on interoception. PMID: 36450811.
Garfinkel is a neuroscientist interested in the biological basis of emotion and empathy. She is one of the key published researchers in the emerging field of interoception.
Book Review: The Interoceptive Mind: From Homeostasis to Awareness. PMC7876277.
Interoception (or Interoceptive Awareness) refers to the processing of and acting on internal bodily stimuli by the nervous system and includes physical responses in body and brain representation (homeostasis) such that the sensing of stimuli is available for conscious reflection and adapting physiology to the environment and stress (allostasis) to maintain homeostasis and regulate emotions. An increasing number of researchers include allostasis in interoception. The moment to moment perception of experience (mindfulness) is informed by a combination of the body and mind. The body provides somatosensory input (the five senses, proprioception, visceral and somatic afferent signals), and the mind is providing input based upon predictive processing. The brain creates a model of the environment which contains the sum of sensory input and experience to date in the life of the organism (see Karl Friston and the Free Energy Principle). It then compares this model to moment to moment perception to determine a course of action. This process of interoception begins with the autonomic nervous system.
The following videos discuss the fundamental function of the autonomic nervous system in Polyvagal Theory and interoception as the foundation of a new approach to trauma therapy.
Stephen Porges: The Polyvagal Theory & The Vagal Nerve - #264
https://www.youtube.com/watch?v=yVVaTRbegJs
Shrink Rap Radio #604 Applying Polyvagal Theory to The Treatment of Trauma with Deb Dana LCSW
https://www.youtube.com/watch?v=wnf9eioJuDI
Calming the Dragon: Intro to Interoception I Camea Peca I Arizona Trauma Institute
https://www.youtube.com/watch?v=WL-cjBacU9E
Nature's Lessons in Healing Trauma: An Introduction to Somatic Experiencing® (SE™)
https://www.youtube.com/watch?v=nmJDkzDMllc
Proprioception is the body's ability to sense movement, including alignment, posture, orientation, and balance. Proprioception also involves awareness of body position in space as well as the relationship between muscles and structure. Mechanoreceptors, more precisely proprioceptors, are located in tendons, muscles, ligaments and joint capsules. Proprioception can be defined as the cumulative neural input to the central nervous system from mechanoreceptors. Tai Chi and Qigong are fundamentally proprioceptive practices. There is some debate among researchers as to whether proprioception is separate from interoception because interoception is normally associated with afferent sensory input to the brain from visceral organs and not proprioceptors. However, most researchers agree that all receptor input, except from the senses (which comprise exteroception), can be considered interoception.
https://www.youtube.com/watch?v=-MK2ZleBDEQ
Physiology, Sensory System. PubMed Books NBK547656.
Physiology, Vestibular System. PubMed Books NBK532978.
Neuronal stretch reception - making sense of the mechanosense. PMID: 30817929.
The Importance and Role of Proprioception in the Elderly: a Short Review. PMCID: PMC6853739.
Emotions can alter kinesthetic acuity. PMID: 30500394.
Neural Basis of Touch and Proprioception in Primate Cortex. PMCID: PMC6330897.
The vestibular system: a spatial reference for bodily self-consciousness. PMC4028995.