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RESEARCH PRODUCT
Symptoms and the body: Taking the inferential leap
Sibylle PetersenRichard J. BrownOmer Van Den BerghMichael Witthöftsubject
Predictive codingConsciousnessCognitive Neurosciencemedia_common.quotation_subject: Neurosciences & comportement [H07] [Sciences sociales & comportementales psychologie]Medically unexplainedContext (language use)Bayesian030227 psychiatryDevelopmental psychologyInteroception03 medical and health sciencesBehavioral NeuroscienceVariable (computer science)0302 clinical medicineNeuropsychology and Physiological PsychologySymptom perceptionCurrent theoryHumans: Neurosciences & behavior [H07] [Social & behavioral sciences psychology]ConsciousnessPsychology030217 neurology & neurosurgeryCognitive psychologymedia_commondescription
The relationship between the conscious experience of physical symptoms and indicators of objective physiological dysfunction is highly variable and depends on characteristics of the person, the context and their interaction. This relationship often breaks down entirely in the case of "medically unexplained" or functional somatic symptoms, violating the basic assumption in medicine that physical symptoms have physiological causes. In this paper, we describe the prevailing theoretical approach to this problem and review the evidence pertaining to it. We then use the framework of predictive coding to propose a new and more comprehensive model of the body-symptom relationship that integrates existing concepts within a unifying framework that addresses many of the shortcomings of current theory. We describe the conditions under which a close correspondence between the experience of symptoms and objective physiology might be expected, and when they are likely to diverge. We conclude by exploring some theoretical and clinical implications of this new account. publisher: Elsevier articletitle: Symptoms and the body: Taking the inferential leap journaltitle: Neuroscience & Biobehavioral Reviews articlelink: http://dx.doi.org/10.1016/j.neubiorev.2017.01.015 content_type: article copyright: © 2017 Elsevier Ltd. All rights reserved. ispartof: Neuroscience and Biobehavioral Reviews vol:74 issue:Pt A pages:185-203 ispartof: location:United States status: published
| year | journal | country | edition | language |
|---|---|---|---|---|
| 2017-01-01 |