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Neurobiology

Daphne Simeon, Jeffrey Abugel

Feeling Unreal June 22, 2023 DOI: 10.1093/oso/9780197622445.003.0008 (opens in new tab)

Summary

AI-generated from the abstract

This chapter reviews biological factors potentially involved in depersonalization/derealization (dpdr) and depersonalization/derealization disorder (DDD). It discusses sensory association cortical areas and corticocortical dysconnectivity models in relation to perceptual alterations, the limbic system and cortico-limbic disconnection hypothesis regarding hypoemotionality, and findings on the autonomic system and hypothalamic-pituitary-adrenal (HPA) axis. The putative roles of the serotonergic and endogenous opioid systems are examined, along with brain rhythm findings related to dissociation and the neuroscience of selfhood.

Study at a glance

Characteristics Review Peer reviewed
Key finding Reviews biological factors including cortical dysconnectivity, limbic disconnection, autonomic and HPA axis findings, and serotonergic/opioid systems in depersonalization/derealization disorder.

Abstract

Abstract This chapter examines the various biological factors that may be involved in depersonalization/derealization (dpdr) and depersonalization/derealization disorder (DDD). The role of sensory association cortical areas and corticocortical dysconnectivity models are discussed, vis-à-vis the perceptual alterations characteristic of the disorder. The role of the limbic system and the cortico-limbic disconnection hypothesis, as relating to the hypoemotionality of DDD, are explored. Findings related to the autonomic system and the hypothalamic-pituitary-adrenal (HPA) axis are presented. The putative role of the serotonergic and endogenous opioid systems is examined. Finally, we discuss brain rhythm findings related to dissociation, as well as the neuroscience of selfhood.

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