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Interoceptive inference: From computational neuroscience to clinic.

Andrew P Owens1, Micah Allen2, Sasha Ondobaka3

  • 1Lab of Action & Body, Department of Psychology, Royal Holloway, University of London, Egham, Surrey, UK; Department of Brain Repair and Rehabilitation, Institute of Neurology, University College London, UK; Autonomic Unit, National Hospital Neurology and Neurosurgery, UCL NHS Trust, London, UK.

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|April 26, 2018
PubMed
Summary

Interoception, the sense of the body's internal state, offers a new framework for understanding nervous system function. This approach integrates predictive coding to explore brain-body interactions in health and disease.

Keywords:
Active inferenceAutonomic nervous systemFree-energy principleHomeostasisInteroceptionInteroceptive inferencePredictive coding

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Area of Science:

  • Neuroscience
  • Physiology
  • Psychology

Background:

  • The central and autonomic nervous systems are interconnected, not isolated.
  • Homeostatic processes rely on interoceptive signals between the body and brain.
  • Predictive coding models explain interoception as embodied predictive processes influencing emotion and selfhood.

Purpose of the Study:

  • To propose interoception as a framework for investigating holistic nervous system function.
  • To explore nervous system dysfunction in brain, body, and behavioral disorders.
  • To integrate predictive coding and active interoceptive inference for understanding homeostasis.

Main Methods:

  • Reviewing the active inference formulation of interoceptive and autonomic function.
  • Surveying clinical applications of this predictive coding framework.
  • Describing an integrative approach to human physiology and nervous system interactions.

Main Results:

  • Active inference provides a unified model for interoception and autonomic regulation.
  • Clinical applications demonstrate the utility of interoceptive inference in various disorders.
  • This framework highlights the intricate interplay between central and peripheral nervous systems.

Conclusions:

  • Interoception, framed by predictive coding, offers a holistic view of nervous system function.
  • This approach provides insights into the physiological basis of emotion, selfhood, and behavior.
  • Understanding interoception is crucial for addressing complex health and disease conditions.