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Deliberate and spontaneous sensations of disembodiment: capacity or flaw?

Klaus Kessler, Jason J Braithwaite

Cognitive Neuropsychiatry August 10, 2016 DOI: 10.1080/13546805.2016.1203769 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Narrative review Peer reviewed
Keywords Humans Hallucinations Depersonalization Emotions Self concept Imagination Body image Sensation Social alienation Female Neuroimaging Perspective taking Out-of-body experiences Temporo-parietal junction Dis-embodiment Hobt task
Key findings The authors argue that behavioral evidence linking visuo-spatial perspective taking (VPT) and out-of-body experiences (OBEs) is mixed, partly due to unrealistic tasks and use of general DPD-DR patients instead of genuine OBEers, but that overlapping neural substrates support a relationship. They conclude that OBE should be regarded as a necessary implication of VPT ability in humans, or even as a necessary and potentially sufficient condition for the evolution of VPT.

Abstract

Introduction: Hallucinations that involve shifts in the subjectively experienced location of the self, have been termed "out-of-body experiences" (OBEs). Early psychiatric accounts cast OBEs as a specific instance of depersonalisation and derealisation disorder (DPD-DR). However, during feelings of alienation and lack of body realism in DPD-DR the self is experienced within the physical body. Deliberate forms of "disembodiment" enable humans to imagine another's visuo-spatial perspective taking (VPT), thus, if a strong relationship between deliberate and spontaneous forms of disembodiment could be revealed, then uncontrolled OBEs could be "the other side of the coin" of a uniquely human capacity.

Methods: We present a narrative review of behavioural and neuroimaging work emphasising methodological and theoretical aspects of OBE and VPT research and a potential relationship.

Results: Results regarding a direct behavioural relationship between VPT and OBE are mixed and we discuss reasons by pointing out the importance of using realistic tasks and recruiting genuine OBEers instead of general DPD-DR patients. Furthermore, we review neuroimaging evidence showing overlapping neural substrates between VPT and OBE, providing a strong argument for a relationship between the two processes.

Conclusions: We conclude that OBE should be regarded as a necessary implication of VPT ability in humans, or even as a necessary and potentially sufficient condition for the evolution of VPT.

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