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Related Experiment Video

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Use of a Psychophysiological Script-driven Imagery Experiment to Study Trauma-related Dissociation in Borderline Personality Disorder

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A predictive processing framework for body-oriented trauma intervention: a hypothesis illustrated by Body Connect

Masaki Fujimoto¹

¹School of Child Psychology, Tokyo Future University, Tokyo, Japan.

Frontiers in Psychology

|May 7, 2026

Summary

This study proposes a new framework for body-oriented trauma interventions, integrating predictive processing with subcortical threat pathways. It suggests how these therapies update maladaptive bodily predictions for trauma recovery.

Keywords:

Body Connect Therapy active inference body-oriented psychotherapy free energy principle interoception predictive processing superior colliculus trauma

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Controlled Cortical Impact Model for Traumatic Brain Injury

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Published on: August 5, 2014

Area of Science:

Neuroscience
Psychology
Trauma Studies

Background:

Body-oriented interventions are increasingly used for trauma treatment, but their underlying mechanisms are not fully understood.
Trauma, within predictive processing, involves rigid bodily predictions that resist updating.
Existing theories lack a clear explanation for how somatic therapies facilitate healing.

Purpose of the Study:

To propose a theoretical framework integrating predictive processing theory and subcortical threat-processing pathways for body-oriented trauma intervention.
To identify candidate neural substrates, specifically the superior colliculus (SC) and its connections, involved in trauma-related threat detection.
To outline four potential mechanisms through which body-oriented interventions promote therapeutic change.

Main Methods:

Theoretical integration of predictive processing theory with neurobiological models of threat processing.
Identification of the superior colliculus (SC), periaqueductal gray (PAG), and amygdala as key neural substrates.
Proposal of four mechanisms: interoceptive attention, somatic safety experiences, eye movement interventions, and 'letting go' practices.

Main Results:

The framework posits that interoceptive attention enhances the precision of bodily signals.
Somatic safety experiences may generate prediction errors to update threat models.
Eye movement interventions and 'letting go' practices are proposed to modulate SC-mediated responses and threat predictions, respectively.

Conclusions:

The proposed framework offers a mechanistic understanding of body-oriented trauma interventions by linking them to predictive processing and subcortical pathways.
It generates testable predictions regarding interoceptive precision, SC pathway modulation, and eye movement effects.
This integration aims to guide future empirical research and refine existing trauma treatment approaches.