Interoception, contemplative practice, and health

Interoception, the sense of internal bodily signals, is essential for embodiment, motivation, and well-being but remains poorly understood. This review integrates perspectives from neuroscience, clinical practice, and contemplative studies, introducing an expanded taxonomy of interoceptive processes. It argues that many of these processes can be explained by a predictive coding model of mind-body integration, which describes tension between expected and felt body sensations. This model parallels contemplative theories and links interoception to affective and psychosomatic disorders. Maladaptive interpretation of bodily sensations may underlie many contemporary maladies, and contemplative practices may reduce these biases, restoring a sense of presence and agency.

Study at a glance

Abstract

Interoception can be broadly defined as the sense of signals originating within the body. As such, interoception is critical for our sense of embodiment, motivation, and well-being. And yet, despite its importance, interoception remains poorly understood within modern science. This paper reviews interdisciplinary perspectives on interoception, with the goal of presenting a unified perspective from diverse fields such as neuroscience, clinical practice, and contemplative studies. It is hoped that this integrative effort will advance our understanding of how interoception determines well-being, and identify the central challenges to such understanding. To this end, we introduce an expanded taxonomy of interoceptive processes, arguing that many of these processes can be understood through an emerging predictive coding model for mind-body integration. The model, which describes the tension between expected and felt body sensation, parallels contemplative theories, and implicates interoception in a variety of affective and psychosomatic disorders. We conclude that maladaptive construal of bodily sensations may lie at the heart of many contemporary maladies, and that contemplative practices may attenuate these interpretative biases, restoring a person's sense of presence and agency in the world.