Brain Networks, Neurotransmitters and Psychedelics: Towards a Neurochemistry of Self-Awareness.
Current neurology and neuroscience reports August 1, 2024 Daniel C Mograbi, Rafael Rodrigues, Bheatrix Bienemann et al. 12 citations
Self-awareness—the capacity to make oneself the object of one's own attention—has clinical relevance, and understanding its neurochemical basis may clarify causes of and treatments for psychopathological conditions. This article reviews how psychedelics influence self-awareness by affecting brain networks such as the default-mode and salience networks, and neurotransmitters. Within a predictive-coding framework, it examines effects on interoception, body ownership, agency, metacognition, emotional regulation, and autobiographical memory. Improved emotional regulation and autobiographical memory have been observed with psychedelic use, suggesting changes in higher-order self-awareness, modulated by relaxed priors and enhanced cognitive flexibility. Bodily self-awareness alterations are less consistent, potentially varying with dose, acute versus long-term effects, and clinical conditions.