Two distinct forms of self-awareness—one linking experiences across time (narrative focus) and one centered on the present moment (experiential focus)—rely on different brain networks and can be dissociated through mindfulness training. In novice participants, focusing on the present reduced activity in cortical midline regions (medial prefrontal cortex) associated with narrative self-reference. In participants who completed an 8-week mindfulness course, present-moment focus produced more extensive reductions in the medial prefrontal cortex and increased engagement of a right-lateralized network including the lateral prefrontal cortex, insula, and somatosensory areas. Functional connectivity showed strong coupling between the right insula and medial prefrontal cortex in novices that was absent in the mindfulness group, indicating attentional training can uncouple these normally integrated forms of self-awareness.
Graduates of an 8-week Mindfulness-Based Stress Reduction course, compared to a waitlisted control group, showed changes in brain activity during a task requiring attention to breathing sensations. Functional MRI revealed that mindfulness training predicted greater activity in the anterior insula, a brain region that integrates internal body sensations with external context. The training also predicted reduced activity in the dorsomedial prefrontal cortex and altered connectivity between that region and the posterior insula, the primary interoceptive cortex. Greater meditation practice was linked to more posterior insula activity and less reliance on visual brain regions during the task. These results suggest that mindfulness training produces plasticity in brain networks involved in sensing the body's internal state, similar to training-related changes seen in the external senses.