Interoception

Qigong and Energy Medicine Database™


Interoception

Interoception

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 interoceptonPMCID: PMC6279042.

Interoceptive rhythms in the brainPMID: 37697110

Interventions and Manipulations of InteroceptionPMC7805576

Interoception: A Multi-Sensory Foundation of Participation in Daily Life. PMC9220286.

The Emerging Science of Interoception: Sensing, Integrating, Interpreting, and Regulating Signals within the SelfPMC7780231.

Unravelling the Neurobiology of Interoceptive Inference. PMID: 32160563.

Mindfulness, Interoception, and the Body: A Contemporary PerspectivePMC6753170.

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 ConnectionPMC6901918.

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 loadPMID: 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 ClinicPMID: 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 stressPMC4507149.

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.

Theoretical Neuroscience Defines a Model in the Brain Fundamental to Interoception

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.

Free Energy Principle — Karl Friston

https://www.youtube.com/watch?v=NIu_dJGyIQI

Neuroscientist Karl Friston on the Markov blanket, Bayesian model evidence, and different global brain theories.

Embodied Cognition Karl Friston

https://www.youtube.com/watch?v=HW0JnjgCO3o

How Interoceptive Awareness Regulates Your Nervous System

https://www.youtube.com/watch?v=xFUWWAL7f3A

How do you feel?

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 TherapiesPMID: 39436627

Probing Interoceptive Processes: Behavioral, Psychological, and Neurophysiological Levels

NCCIH Videocast

Interoception, homeostatic emotions and sympathovagal balancePMC5062099.

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

The science inside our hearts and minds | Dr Sarah Garfinkel | TEDxBrighton

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.

Interoception | Cultivating Your Emotions with Lisa Feldman Barrett

https://www.youtube.com/watch?v=N2CzUIS2y0U

The Interoceptive Mind


Book Review: The Interoceptive Mind: From Homeostasis to Awareness
PMC7876277.

Brief Overview of Interoception

https://www.youtube.com/watch?v=aJ8rtjHUcNk

Understanding Interoception

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


Our Polyvagal World


Proprioception

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. 


Overview and Classification of Sensory Receptors.wmv

https://www.youtube.com/watch?v=-MK2ZleBDEQ


Physiology, Sensory SystemPubMed Books NBK547656.

Physiology, Vestibular SystemPubMed Books NBK532978.

Neuronal stretch reception - making sense of the mechanosensePMID: 30817929.

The Importance and Role of Proprioception in the Elderly: a Short Review. PMCID: PMC6853739.

Emotions can alter kinesthetic acuityPMID: 30500394.

Neural Basis of Touch and Proprioception in Primate CortexPMCID: PMC6330897.

The vestibular system: a spatial reference for bodily self-consciousness. PMC4028995.