Finding neural correlates of depersonalisation/derealisation disorder via explainable CNN-based analysis guided by clinical assessment scores.

Mental health disorders are typically diagnosed based on subjective reports (e.g., through questionnaires) followed by clinical interviews to evaluate the self-reported symptoms. Therefore, considering the interconnected nature of psychiatric disorders, their accurate diagnosis is a real challenge without indicators of underlying physiological dysfunction. Depersonalisation/derealisation disorder (DPD) is an example of dissociative disorder affecting 1-2 % of the population. DPD is characterised mainly by persistent disembodiment, detachment from surroundings, and feelings of emotional numbness, which can significantly impact patients' quality of life. The underlying neural correlates of DPD have been investigated for years to understand and help with a more accurate and in-time diagnosis of the disorder. However, in terms of EEG studies, which hold great importance due to their convenient and inexpensive nature, the literature has often been based on hypotheses proposed by experts in the field, which require prior knowledge of the disorder. In addition, participants' labelling in research experiments is often derived from the outcome of the Cambridge Depersonalisation Scale (CDS), a subjective assessment to quantify the level of depersonalisation/derealisation, the threshold and reliability of which might be challenged. As a result, we aimed to propose a novel end-to-end EEG processing pipeline based on deep neural networks for DPD biomarker discovery, which requires no prior handcrafted labelled data. Alternatively, it can assimilate knowledge from clinical outcomes like CDS as well as data-driven patterns that differentiate individual brain responses. In addition, the structure of the proposed model targets the uncertainty in CDS scores by using them as prior information only to guide the unsupervised learning task in a multi-task learning scenario. A comprehensive evaluation has been done to confirm the significance of the proposed deep structure, including new ways of network visualisation to investigate spectral, spatial, and temporal information derived in the learning process. We argued that the proposed EEG analytics could also be applied to investigate other psychological and mental disorders currently indicated on the basis of clinical assessment scores. The code to reproduce the results presented in this paper is openly accessible at https://github.com/AbbasSalami/DPD_Analysis.

From touch to tingles: Assessing ASMR triggers and their consistency over time with the ASMR Trigger Checklist (ATC).

Autonomous Sensory Meridian Response (ASMR) is a term describing a complex sensory-perceptual phenomena characterised by relaxing and pleasurable scalp tingling sensations. A central defining feature of ASMR is that the sensation is elicited by a core set of stimuli or so-called "triggers". The idea that ASMR is triggered by specific external stimuli is frequently invoked in conceptual definitions of ASMR and implicit in its operationalisation as a trait and state; however, it is rarely explicitly measured. In this paper, we present the 37-item ASMR Trigger Checklist (ATC), a new tool to assist researchers in ASMR-responder identification and to capture individual differences in the number and intensity of ASMR triggers across auditory (vocal, non-vocal), visual, and tactile/interpersonal stimulus domains. The ATC is related to existing measures of trait-ASMR that tap into the sensations and phenomenological aspects of the experience (ASMR-15 and AEQ) and provides a complementary assessment for researchers interested in common ASMR elicitors. Importantly, the ATC addresses concerns regarding the over-reliance of audio-visual ASMR stimuli in existing measures and conceptualisations of ASMR by emphasising tactile and interpersonal stimuli. Physical touch to the body was both the most endorsed (98%) and intense (average 5/6) ASMR trigger. 24 of the 37 ATC items were endorsed by 75% of the sample and might therefore be considered prototypical ASMR triggers. The ATC has appropriate convergent validity through its association with other individual differences known to be related to ASMR (e.g., absorption, openness to experience, aesthetic experiences). Re-administration of the ATC after 5 months showed high consistency in reports of ASMR triggers with 84% of endorsements remaining the same over time. We hope that the ATC will prove a useful tool for researchers in participant selection and recruitment as well as for measuring individual differences within the ASMR population.

Body image and self-perception in women with navel piercings.

The present study investigated how women's body image and body-perceptual processes are affected by navel piercings, an embellishment of the abdominal region women often feel negatively about. We probed perceptual (response times), cognitive (surveys), affective (aesthetic ratings) and neural (event-related potentials, ERPs) facets of (own) body perception. We found that navel piercings are primarily motivated by the desire to enhance one's body image, and can significantly improve bodily self-perception relative to before and to imagined removal of the piercing. Hence, body image concerns in women with navel piercings were found to be comparable to those of a control group; and their aesthetic ratings of other women's abdomens only differed, positively, for images depicting navel piercings. ERPs indicated that the sight of navel piercings enhances early structural encoding of bodies as well as late emotional-motivational processes, especially in women with navel piercings. We further found a strong self-advantage in both cortical and behavioural responses during recognition of own and others' abdomens, especially for images displaying the piercing. Altogether, findings suggest that navel piercings become strongly, and beneficially, integrated into women's bodily self image. Such piercings may thus be seen as expressions of body care that can protect against self-harming thoughts and behaviours.

Touching you, touching me: Higher incidence of mirror-touch synaesthesia and positive (but not negative) reactions to social touch in Autonomous Sensory Meridian Response.

The characterisation of autonomous sensory meridian response (ASMR) as an audio-visual phenomenon overlooks how tactile experiences are not just perceptual concurrents of ASMR (i.e., tingling) but also commonly strong ASMR inducers. Here we systematically investigated whether ASMR-responders show altered tactile processing compared to controls. Using a screening measure of vicarious touch with a predefined cut-off for mirror-touch synaesthesia (MTS; a condition where tactile sensations are experienced when viewing, but not receiving, touch), we found that ASMR-responders had more frequent and intense vicarious touch experiences, as well as a strikingly higher incidence of MTS, than non-responders. ASMR-responders also reported greater reactivity to positive, but not negative, interpersonal touch. Correlations further showed these patterns to be more prevalent in those responders with stronger ASMR. We discuss the implications of our findings in terms of heightened sensory sensitivity, bodily awareness, and the underlying neuro-cognitive mechanisms driving vicarious tactile perception in ASMR and MTS.

Differential beta desynchronisation responses to dynamic emotional facial expressions are attenuated in higher trait anxiety and autism.

Daily life demands that we differentiate between a multitude of emotional facial expressions (EFEs). The mirror neuron system (MNS) is becoming increasingly implicated as a neural network involved with understanding emotional body expressions. However, the specificity of the MNS's involvement in emotion recognition has remained largely unexplored. This study investigated whether six basic dynamic EFEs (anger, disgust, fear, happiness, sadness, and surprise) would be differentiated through event-related desynchronisation (ERD) of sensorimotor alpha and beta oscillatory activity, which indexes sensorimotor MNS activity. We found that beta ERD differentiated happy, fearful, and sad dynamic EFEs at the central region of interest, but not at occipital regions. Happy EFEs elicited significantly greater central beta ERD relative to fearful and sad EFEs within 800 - 2,000 ms after EFE onset. These differences were source-localised to the primary somatosensory cortex, which suggests they are likely to reflect differential sensorimotor simulation rather than differential attentional engagement. Furthermore, individuals with higher trait anxiety showed less beta ERD differentiation between happy and sad faces. Similarly, individuals with higher trait autism showed less beta ERD differentiation between happy and fearful faces. These findings suggest that the differential simulation of specific affective states is attenuated in individuals with higher trait anxiety and autism. In summary, the MNS appears to support the skills needed for emotion processing in daily life, which may be influenced by certain individual differences. This provides novel evidence for the notion that simulation-based emotional skills may underlie the emotional difficulties that accompany affective disorders, such as anxiety.

Symptoms of depersonalisation/derealisation disorder as measured by brain electrical activity: A systematic review.

Depersonalisation/derealisation disorder (DPD) refers to frequent and persistent detachment from bodily self and disengagement from the outside world. As a dissociative disorder, DPD affects 1-2 % of the population, but takes 7-12 years on average to be accurately diagnosed. In this systematic review, we comprehensively describe research targeting the neural correlates of core DPD symptoms, covering publications between 1992 and 2020 that have used electrophysiological techniques. The aim was to investigate the diagnostic potential of these relatively inexpensive and convenient neuroimaging tools. We review the EEG power spectrum, components of the event-related potential (ERP), as well as vestibular and heartbeat evoked potentials as likely electrophysiological biomarkers to study DPD symptoms. We argue that acute anxiety- or trauma-related impairments in the integration of interoceptive and exteroceptive signals play a key role in the formation of DPD symptoms, and that future research needs analysis methods that can take this integration into account. We suggest tools for prospective studies of electrophysiological DPD biomarkers, which are urgently needed to fully develop their diagnostic potential.

Evidence for altered configural body processing in women at risk of disorders characterized by body image disturbance.

Two studies were conducted to assess appearance-related visual processing mechanisms in populations at risk of disorders characterized by body image disturbance. Using inverted stimuli, Experiment 1 assessed visual processing mechanisms associated with body, face, and house viewing in adolescents. Experiment 2 applied the same protocol to assess appearance-related configural processing in high- and low-risk adolescent women, and women recovering from disorders characterized by body image disturbance. Experiment 1 found evidence for typical configural face and body processing, although adolescent women reported higher levels of body image concern (BIC) and self-objectified to a greater extent than adolescent men. In Experiment 2, typical body inversion effects were seen in the low-risk group, whilst there was some evidence to suggest a disruption to the configural processing of body stimuli in high-risk adolescents and in women recovering from body image disorders. Women in recovery were also quicker to respond to all stimuli, whilst high-risk adolescents took longer to respond to bodies than to other stimuli. Configural face processing was intact in all groups, and effects did not directly relate to BIC or self-objectification. These findings have implications for future research looking to inform early interventions and treatment, suggesting that there could be a tendency to visually process individual body parts at the expense of the whole-body form in women at risk of developing body image disorders, as well as those in recovery.

Bodily self-relatedness in vicarious touch is reflected at early cortical processing stages.

Studies have suggested that there is a strong link between the bodily self and the mechanisms underlying vicarious representations. Here, we used somatosensory ERPs to investigate the temporal dynamics of vicarious touch for stimuli that are more or less related to one's own body (human hands vs. rubber gloves). We found that vicarious touch effects were restricted to self-relatable events (human hands) at early implicit stages of somatosensory processing (P45). At later more cognitive stages of processing (late positive complex, LPC), the vicarious touch effect was stronger for self-relatable events (touch on human hands) than nonself-relatable events (touch on rubber gloves) but present for both. Both effects, but especially the vicarious touch effect for human hands at P45, were stronger in individuals with higher levels of interoceptive awareness. Our results confirm that there is a tight link between vicarious touch and the bodily self and characterize P45 effects of vicarious touch as its likely neural basis. We propose that vicarious processes and the embodied self may be representationally indistinct (linked in a common neural representation) at early implicit somatosensory processing stages.

How do bodies become special? Electrophysiological evidence for the emergence of body-related cortical processing in the first 14 months of life.

There is general consensus that the representation of the human face becomes functionally specialized within the first few months of an infant's life. The literature is divided, however, on the question whether the specialized representation of the remainder of the human body form follows a similarly rapid trajectory or emerges more slowly and in line with domain-general learning mechanisms. Our study investigates visual event-related potentials (ERPs) in adults (P1 and N170) and infants (P1, N290, P400, and Nc) of 3 age groups (3.5, 10, and 14 months) to compare the emergence of face- and body-structural encoding. Our findings show that visual ERPs were absent (P1, N290, P400) or smaller (Nc) for bodies than for faces at 3.5 months. At older ages, P400 was smaller (10 months) and peaked later (14 months) for bodies than for faces. Effects of stimulus orientation were not reliably found until 14 months, where they were more broadly distributed for faces than for bodies. Inverted faces, but not bodies, produced an adult-like pattern for P400 at 14 months, emphasizing the role of P400 as the precursor of the adult N170. Importantly, our findings argue that structural encoding of the human body form emerges later in infancy and is qualitatively different from the structural encoding for faces. This is commensurate with infant motor development and the experience of viewing complete body shapes later than faces. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

Interpersonal representations of touch in somatosensory cortex are modulated by perspective.

Observing others being touched activates similar brain areas as those activated when one experiences a touch oneself. Event-related potential (ERP) studies have revealed that modulation of somatosensory components by observed touch occurs within 100 ms after stimulus onset, and such vicarious effects have been taken as evidence for empathy for others' tactile experiences. In previous studies body parts have been presented from a first person perspective. This raises the question of the extent to which somatosensory activation by observed touch to body parts depends on the perspective from which the body part is observed. In this study (N = 18), we examined the modulation of somatosensory ERPs by observed touch delivered to another person's hand when viewed as if from a first person versus a third person perspective. We found that vicarious touch effects primarily consist of two separable components in the early stages of somatosensory processing: an anatomical mapping for touch in first person perspective at P45, and a specular (mirror like) mapping for touch in third person perspective at P100. This is consistent with suggestions that vicarious representations exist to support predictions for one's own bodily events, but also to enable predictions of a social or interpersonal kind, at distinct temporal stages.

Oscillatory Properties of Functional Connections Between Sensory Areas Mediate Cross-Modal Illusory Perception.

The presentation of simple auditory stimuli can significantly impact visual processing and even induce visual illusions, such as the auditory-induced double flash illusion (DFI). These cross-modal processes have been shown to be driven by occipital oscillatory activity within the alpha band. Whether this phenomenon is network specific or can be generalized to other sensory interactions remains unknown. The aim of the current study was to test whether cross-modal interactions between somatosensory-to-visual areas leading to the same (but tactile-induced) DFI share similar properties with the auditory DFI. We hypothesized that if the effects are mediated by the oscillatory properties of early visual areas per se, then the two versions of the illusion should be subtended by the same neurophysiological mechanism (i.e., the speed of the alpha frequency). Alternatively, if the oscillatory activity in visual areas predicting this phenomenon is dependent on the specific neural network involved, then it should reflect network-specific oscillatory properties. In line with the latter, results recorded in humans (both sexes) show a network-specific oscillatory profile linking the auditory DFI to occipital alpha oscillations, replicating previous findings, and tactile DFI to occipital beta oscillations, a rhythm typical of somatosensory processes. These frequency-specific effects are observed for visual (but not auditory or somatosensory) areas and account for auditory-visual connectivity in the alpha band and somatosensory-visual connectivity in the beta band. We conclude that task-dependent visual oscillations reflect network-specific oscillatory properties favoring optimal directional neural communication timing for sensory binding.SIGNIFICANCE STATEMENT We investigated the oscillatory correlates of the auditory- and tactile-induced double flash illusion (DFI), a phenomenon where two interleaved beeps (taps) set within 100 ms apart and paired with one visual flash induce the sensation of a second illusory flash. Results confirm previous evidence that the speed of individual occipital alpha oscillations predict the temporal window of the auditory-induced illusion. Importantly, they provide novel evidence that the tactile-induced DFI is instead mediated by the speed of individual occipital beta oscillations. These task-dependent occipital oscillations are shown to be mediated by the oscillatory properties of the neural network engaged in the task to favor optimal temporal integration between the senses.

Detached and distracted: ERP correlates of altered attentional function in depersonalisation.

Depersonalisation (DP) is a psychological condition marked by feelings of disembodiment. In everyday life, it is frequently associated with concentration problems. The present study used visual event-related potentials (ERPs) in a Posner-type spatial cueing task with valid, invalid and spatially neutral cues to delineate the potential neurophysiological correlates of these concentration problems. Altered attentional functioning at early, sensory stages was found in DP patients but not in anxiety- and depression-matched psychosomatic patients without DP. Specifically, DP was associated with decreased suppression of stimuli at unattended locations, shown as absent processing costs for invalidly versus neutrally cued stimuli over P1 (135-150 ms). Attentional benefits at N1, and all attentional effects at later, cognitive processing stages (P2-N2, P3) were similar in both groups. We propose that this insufficient early suppression of unattended stimuli may result from atypical sensory gain control in DP.

Early visual ERPs show stable body-sensitive patterns over a 4-week test period.

Event-related potential (ERP) studies feature among the most cited papers in the field of body representation, with recent research highlighting the potential of ERPs as neuropsychiatric biomarkers. Despite this, investigation into how reliable early visual ERPs and body-sensitive effects are over time has been overlooked. This study therefore aimed to assess the stability of early body-sensitive effects and visual P1, N1 and VPP responses. Participants were asked to identify pictures of their own bodies, other bodies and houses during an EEG test session that was completed at the same time, once a week, for four consecutive weeks. Results showed that amplitude and latency of early visual components and their associated body-sensitive effects were stable over the 4-week period. Furthermore, correlational analyses revealed that VPP component amplitude might be more reliable than VPP latency and specific electrode sites might be more robust indicators of body-sensitive cortical activity than others. These findings suggest that visual P1, N1 and VPP responses, alongside body-sensitive N1/VPP effects, are robust indications of neuronal activity. We conclude that these components are eligible to be considered as electrophysiological biomarkers relevant to body representation.

Evidence for ERP biomarkers of eating disorder symptoms in women.

Growing evidence suggests that the brain processes bodies distinctively from other stimuli, but little research has addressed whether visual body perception is modulated by the observer's thoughts and feelings about their own body. The present study thus investigated the relationship between body image and electrophysiological signatures of body perception, with the aim of identifying potential biomarkers of body image disturbances. Occipito-parietal (P1 and N1) and fronto-central (VPP) processing of body and non-body stimuli were assessed in 29 weight-restored eating disordered (ED) women and compared to 27 healthy controls. Rapid early visual processing was seen in the ED group, as the entire P1-N1 complex unfolded significantly earlier compared to controls. ED women also showed a gender-sensitive response to other women's bodies over N1 and VPP components. Such gender-sensitivity was not evident in controls. Moreover, ERP effects correlated with scores on the Eating Disorder Inventory-II (EDI-2), indicating a close link between the observers' ED symptomatology, including body image, and the visual analysis of human bodies during very early stages of cortical processing. The temporal dynamics of visual body perception may therefore serve as potential neural markers for the identification of ED symptomatology in 'at risk' populations.

Inter-Individual Differences in Vicarious Tactile Perception: a View Across the Lifespan in Typical and Atypical Populations.

Touch is our most interpersonal sense, and so it stands to reason that we represent not only our own bodily experiences, but also those felt by others. This review will summarise brain and behavioural research on vicarious tactile perception (mirror touch). Specifically, we will focus on vicarious touch across the lifespan in typical and atypical groups, and will identify the knowledge gaps that are in urgent need of filling by examining what is known about how individuals differ within and between typical and atypical groups.

Is that me in the mirror? Depersonalisation modulates tactile mirroring mechanisms.

Our sense of self is thought to develop through sensory-motor contingencies provided, not only by observing one's own body, but also by mirroring interactions with others. This suggests that there is a strong link between mirroring mechanisms and the bodily self. The present study tested whether this link is expressed at early, implicit stages of the mirroring process or at later, more cognitive stages. We also provide, to the best of our knowledge, the first demonstration of how inter-individual differences in our sense of bodily self may affect mirroring mechanisms. We used somatosensory event-related potentials (SEPs) to investigate the temporal dynamics of mirroring highly self-related information (viewed touch on one's own face) compared to other-related information (viewed touch on a stranger's face), in individuals with low and high levels of depersonalisation, a mental condition characterised by feeling detached or estranged from one's self and body. For the low-depersonalisation group, mirroring for self-related events (P45) preceded mirroring for other-related events (N80). At later stages (P200), mirroring was stronger for other-related than self-related events. This shows that early, implicit and later, more cognitive processes play different relative roles in mirroring self- and other-related bodily events. Critically, mirroring differed in the high-depersonalisation group, specifically for self-related events. An absence of early, implicit mirroring for self-related events over P45 suggests that the associated processes may be the neural correlates of the disembodiment experienced in depersonalisation. A lack of differential mirroring for self- and other-related events over P200 may reflect compensatory mechanisms that redress deficiencies in mirroring at earlier stages, which may break down to give rise to symptoms of depersonalisation. Alternatively, or in addition, they may represent an attenuation of processes related to self-other distinction. Our study thus shows that mirroring, especially for events on one's own face, can be strongly affected by how connected the observer feels to their own bodily self.

A new perceptual paradigm to investigate the visual remapping of others' tactile sensations onto one's own body shows "mirror touch" for the hands.

The last two decades have seen a multitude of publications showing the activation of an observer's somatosensory cortical system during the observation of touch on another person. Behavioral demonstrations of "mirror touch," however, have been slow in coming forward, and have so far primarily been shown as "visual remapping of touch" on the face. The present study uses a new paradigm to investigate the mirroring of others' tactile sensations: a 2-AFC task of intensity judgment for touch on the observer's left and right index finger pads. Observers viewed a left and right hand in an egocentric position, which were either touched passively (pencil moving to touch index finger pad) or actively sought touch (index finger moving to touch pencil). Touch and no-touch events for the two viewed hands were designed to eliminate confounding effects of spatial attention. Felt touches were either concurrent with viewed touch or no-touch events, or were delayed in time to assess potential response bias. The findings demonstrate visual remapping of touch for touch on the hands. If touch was shown on one of the hands only (e.g., left), observers were more likely to perceive touch on the same hand (i.e., their own left hand) as more intense than touch on the other hand even if tactile intensities did not differ, compared to touch shown on both or neither hand. These remapping effects occurred only when viewed and felt touches were concurrent, they were strongly modulated by the way in which viewed touch was incurred, and they were more reliable for touch on the left hand. A second, control experiment, in which touch observation was replaced by bright dots shown on or next to the finger pads, confirmed that these effects were largely due to genuine tactile mirroring rather than to somatotopic cueing. This 2-AFC tactile intensity judgment task may be a useful paradigm to investigate the remapping of others' tactile sensations onto an observer's own body.

Seeing triggers acting, hearing does not trigger saying: evidence from children's weak inhibition.

There is evidence to suggest action imitation is automatic in adults and children. Children's weak inhibitory control means that automatic activation can have dramatic effects on behaviour. In three developmental studies, we investigated whether verbal imitation, like action imitation, is automatic. In Experiment 1 (n=96), 3-year-olds' accuracy was investigated on three well-established inhibitory tasks, and on a novel task which required the suppression of verbal imitation. Experiment 2 (n=48) compared 3-year-olds' accuracy on well-matched action and verbal tasks. In Experiment 3 (n=96), 5-, 7- and 11-year-olds reaction times were compared on verbal and action tasks using conditions that enabled the tasks' inhibitory demands to be assessed. Consistent support was found for verbal imitation being less automatic than action imitation. We suggest that this difference may reflect the greater complexity of speech, and has consequences for children's behaviour and learning.

Object-guided spatial selection in touch without concurrent changes in the perceived location of the hands.

In an endogenous cueing paradigm with central visual cues, observers made speeded responses to tactile targets at the hands, which were either close together or far apart, and holding either two separate objects or one common object between them. When the hands were far apart, the response time costs associated with attending to the wrong hand were reduced when attention had to be shifted along one object jointly held by both hands compared to when it was shifted over the same distance but across separate objects. Similar reductions in attentional costs were observed when the hands were placed closer together, suggesting that processing at one hand is less prioritized over that at another when the hands can be "grouped" by virtue of arising from the same spatial location or from the same object. Probes of perceived hand locations throughout the task showed that holding a common object decreased attentional separability without decreasing the perceived separation between the hands. Our findings suggest that tactile events at the hands may be represented in a spatial framework that flexibly adapts to (object-guided) attentional demands, while their relative coordinates are simultaneously preserved.

Adverse effects of viewing the hand on tactile-spatial selection between fingers depend on finger posture.

Primary somatosensory cortex (S1) is known to rapidly adapt to task demands and to intermodal information (e.g. from vision). Here, we show that also intramodal information (i.e. posture) can affect tactile attentional selection processes and the intermodal effects of vision on those processes at S1 stages of processing. We manipulated the spatial separation between adjacent fingers, that is, thumb and index finger where close, far apart, or touching. Participants directed their attention to either the index finger or thumb to detect infrequent tactile targets at that location while either they saw their fingers or these were covered from view. In line with the previous results, we found that attentional selection affected early somatosensory processing (P45, N80) when fingers were near and this attention effect was abolished when fingers were viewed. When fingers were far or touching, attentional modulations appeared reliably only from the P100, and furthermore, enhanced tactile-spatial selection was found when touching fingers were viewed. Taken together, these results show for the first time a profound effect of finger posture on attentional selection between fingers and its modulations by vision at early cortical stages of processing. They suggest that the adverse effects of vision on tactile attention are not driven by a conflict between the selected information in vision (two fingers) and touch (one finger) and imply that external spatial information (i.e. finger posture) rapidly affects the organisation of primary somatosensory finger representations and that this further affects vision and tactile-spatial selection effects on S1.