The cognitive neuroscience of self‐awareness: Current framework, clinical implications, and future research directions

Mograbi, Daniel C.; Hall, Simon; Arantes, Beatriz; Huntley, Jonathan

doi:10.1002/wcs.1670

Cited by 4 publications

(6 citation statements)

References 116 publications

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“…As previously explained, self-awareness can be defined by multiple heterogeneous but interrelated processes (Mograbi et al, 2021(Mograbi et al, , 2024. Since self-awareness encompasses several dissociable processes, understanding the particularities of each of them is crucial for comprehending the morbid changes observed in various psychiatric conditions.…”

Section: Self-awareness In Eating Disordersmentioning

confidence: 99%

“…It is known that brain structural and functional alterations in individuals with clinical conditions can lead to variations in self-awareness processes (Bomilcar et al, 2021;Leslie et al, 2020;Marková et al, 2014). This notion has already been addressed in people with dementia, for example (Bomilcar et al, 2021;Mograbi et al, 2021), as well as in individuals with Bipolar Disorder (Silva et al, 2015) and other neuropsychiatric conditions (Mograbi et al, 2024).…”

Section: Self-awareness In Eating Disordersmentioning

confidence: 99%

“…Through this dynamic representation of proprioceptive information, one can become aware of their physical presence within a spatial context. Unlike the largely implicit nature of interoceptive information, proprioceptive information offers greater conscious access (Mograbi et al, 2021(Mograbi et al, , 2024.…”

Section: Proprioception and Body Ownershipmentioning

confidence: 99%

“…Metacognition can be defined as the knowledge and cognitive processing involved in evaluating, monitoring, and regulating one's own cognition (Flavell, 1979). It is a capacity observed, at different complexity levels, in a variety of species (Lage et al, 2022), being compromised in a number of neuropsychiatric disorders, such as obsessive-compulsive disorder and psychosis (Mograbi et al, 2024). Recent systematic review and meta-analysis articles have highlighted the association between ED and dysfunctional metacognition, specifically focusing on metacognitive beliefs and maladaptive metacognitive patterns such as rumination (Palmieri et al, 2021;Smith et al, 2018, Sun et al, 2017.…”

Section: Metacognitionmentioning

confidence: 99%

“…Consequently, self-awareness takes the form of a dynamic property consisting of diverse yet interconnected aspects. Mograbi et al (2021Mograbi et al ( , 2024 identify interoception, proprioception, agency, metacognition, emotion regulation, and autobiographical memory as components of self-awareness.…”

Section: Introductionmentioning

confidence: 99%

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Are you how you eat? Aspects of self-awareness in eating disorders

Coutinho,

Pariz,

Krahe

et al. 2024

Personality Neuroscience

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Eating disorders (ED) are severe psychiatric disorders characterized by dysfunctional behaviors related to eating or weight control, with profound impacts on health, quality of life, and the financial burden of affected individuals and society at large. Given that these disorders involve disturbances in self-perception, it is crucial to comprehend the role of self-awareness in their prevalence and maintenance. This literature review presents different self-awareness processes, discussing their functioning across different levels of complexity. By deconstructing this concept, we can gain a better understanding of how each facet of self and personality relates to the symptoms of these disorders. Understanding the absence or impairment of self-awareness in ED holds significant implications for diagnosis, treatment, and overall management. By recognizing and comprehending the characteristics of self-awareness, clinicians can develop tailored interventions and evidence-based treatments for individuals with ED. Furthermore, this narrative review underscores the importance of considering temperament and personality factors in the context of ED, as temperament traits and personality characteristics may interact with self-awareness processes, influencing the development and maintenance of ED. Ultimately, the results highlight the pressing need for further research on the development of effective interventions and support strategies grounded in the aspects of self-awareness mechanisms for individuals affected by these disorders.

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Section: Self-awareness In Eating Disordersmentioning

confidence: 99%

Section: Self-awareness In Eating Disordersmentioning

confidence: 99%

Section: Proprioception and Body Ownershipmentioning

confidence: 99%

Section: Metacognitionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Are you how you eat? Aspects of self-awareness in eating disorders

Coutinho,

Pariz,

Krahe

et al. 2024

Personality Neuroscience

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Brain Networks, Neurotransmitters and Psychedelics: Towards a Neurochemistry of Self-Awareness

Mograbi,

Rodrigues,

Bienemann

et al. 2024

Curr Neurol Neurosci Rep

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Purpose of Review Self-awareness can be defined as the capacity of becoming the object of one’s own awareness and, increasingly, it has been the target of scientific inquiry. Self-awareness has important clinical implications, and a better understanding of the neurochemical basis of self-awareness may help clarifying causes and developing interventions for different psychopathological conditions. The current article explores the relationship between neurochemistry and self-awareness, with special attention to the effects of psychedelics. Recent Findings The functioning of self-related networks, such as the default-mode network and the salience network, and how these are influenced by different neurotransmitters is discussed. The impact of psychedelics on self-awareness is reviewed in relation to specific processes, such as interoception, body ownership, agency, metacognition, emotional regulation and autobiographical memory, within a framework based on predictive coding. Summary Improved outcomes in emotional regulation and autobiographical memory have been observed in association with the use of psychedelics, suggesting higher-order self-awareness changes, which can be modulated by relaxation of priors and improved coping mechanisms linked to cognitive flexibility. Alterations in bodily self-awareness are less consistent, being potentially impacted by doses employed, differences in acute/long-term effects and the presence of clinical conditions. Future studies investigating the effects of different molecules in rebalancing connectivity between resting-state networks may lead to novel therapeutic approaches and the refinement of existing treatments.

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The use of virtual reality as a perspective-taking manipulation to improve self-awareness in Alzheimer’s disease

Latgé-Tovar,

Bertrand,

Piolino

et al. 2024

Front. Aging Neurosci.

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Lack of awareness of symptoms or having a condition referred to as anosognosia is a common feature of individuals with Alzheimer’s Disease (AD). Previous literature on AD reported difficulties in evaluating self-abilities, often showing underestimation of limitations. There is increasing evidence that the perspective through which information is presented may moderate the performance appraisal and that anosognosia in AD might be a consequence of a deficit in assuming a third-person perspective. In this context, some studies showed that subjects may better recognize self-and other-difficulties when exposed to a third-person perspective. Considering the variety of approaches aiming to investigate the lack of awareness, there is still a scarcity of methods that provide great ecological validity and consider more than one facet of awareness, thus failing to offer more accurate evaluations of daily experiences. The present paper primarily addresses the theme of the multidimensional character of awareness of abilities in AD and the effect of perspective-taking on its trajectories. The focus turns to virtual reality as a promising tool for a greater evaluation of perspective-taking and self-awareness. Particularly, these systems offer the possibility to involve users in cognitive and sensorimotor tasks that simulate daily life conditions within immersive and realistic environments, and a great sense of embodiment. We propose that virtual reality might allow a great level of complexity, veracity, and safety that is needed for individuals with AD to behave according to their actual abilities and enable to explore the liaison between the subject’s viewpoint, performance, and self-evaluation. In addition, we suggest promising clinical implications of virtual reality-based methods for individualized assessments, investigating specific impacts on subjects’ life and possible improvements in their awareness.

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The cognitive neuroscience of self‐awareness: Current framework, clinical implications, and future research directions

Cited by 4 publications

References 116 publications

Are you how you eat? Aspects of self-awareness in eating disorders

Are you how you eat? Aspects of self-awareness in eating disorders

Brain Networks, Neurotransmitters and Psychedelics: Towards a Neurochemistry of Self-Awareness

The use of virtual reality as a perspective-taking manipulation to improve self-awareness in Alzheimer’s disease

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