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Saturday, July 26, 2025

Mind–body problem

From Wikipedia, the free encyclopedia
Illustration of mind–body dualism by René Descartes. Inputs are passed by the sensory organs to the pineal gland, and from there to the immaterial spirit.

The mind–body problem is a philosophical problem concerning the relationship between thought and consciousness in the human mind and body. It addresses the nature of consciousness, mental states, and their relation to the physical brain and nervous system. The problem centers on understanding how immaterial thoughts and feelings can interact with the material world, or whether they are ultimately physical phenomena.

This problem has been a central issue in philosophy of mind since the 17th century, particularly following René Descartes' formulation of dualism, which proposes that mind and body are fundamentally distinct substances. Other major philosophical positions include monism, which encompasses physicalism (everything is ultimately physical) and idealism (everything is ultimately mental). More recent approaches include functionalism, property dualism, and various non-reductive theories.

The mind-body problem raises fundamental questions about causation between mental and physical events, the nature of consciousness, personal identity, and free will. It remains significant in both philosophy and science, influencing fields such as cognitive science, neuroscience, psychology, and artificial intelligence.

In general, the existence of these mind–body connections seems unproblematic. Issues arise, however, when attempting to interpret these relations from a metaphysical or scientific perspective. Such reflections raise a number of questions, including:

  • Are the mind and body two distinct entities, or a single entity?
  • If the mind and body are two distinct entities, do the two of them causally interact?
  • Is it possible for these two distinct entities to causally interact?
  • What is the nature of this interaction?
  • Can this interaction ever be an object of empirical study?
  • If the mind and body are a single entity, then are mental events explicable in terms of physical events, or vice versa?
  • Is the relation between mental and physical events something that arises de novo at a certain point in development?

These and other questions that discuss the relation between mind and body are questions that all fall under the banner of the 'mind–body problem'.

Mind–body interaction and mental causation

Philosophers David L. Robb and John F. Heil introduce mental causation in terms of the mind–body problem of interaction:

Mind–body interaction has a central place in our pretheoretic conception of agency. Indeed, mental causation often figures explicitly in formulations of the mind–body problem. Some philosophers insist that the very notion of psychological explanation turns on the intelligibility of mental causation. If your mind and its states, such as your beliefs and desires, were causally isolated from your bodily behavior, then what goes on in your mind could not explain what you do. If psychological explanation goes, so do the closely related notions of agency and moral responsibility. Clearly, a good deal rides on a satisfactory solution to the problem of mental causation [and] there is more than one way in which puzzles about the mind's "causal relevance" to behavior (and to the physical world more generally) can arise.

[René Descartes] set the agenda for subsequent discussions of the mind–body relation. According to Descartes, minds and bodies are distinct kinds of "substance". Bodies, he held, are spatially extended substances, incapable of feeling or thought; minds, in contrast, are unextended, thinking, feeling substances. If minds and bodies are radically different kinds of substance, however, it is not easy to see how they "could" causally interact. Princess Elizabeth of Bohemia puts it forcefully to him in a 1643 letter:

how the human soul can determine the movement of the animal spirits in the body so as to perform voluntary acts—being as it is merely a conscious substance. For the determination of movement seems always to come about from the moving body's being propelled—to depend on the kind of impulse it gets from what sets it in motion, or again, on the nature and shape of this latter thing's surface. Now the first two conditions involve contact, and the third involves that the impelling thing has extension; but you utterly exclude extension from your notion of soul, and contact seems to me incompatible with a thing's being immaterial...

Elizabeth is expressing the prevailing mechanistic view as to how causation of bodies works. Causal relations countenanced by contemporary physics can take several forms, not all of which are of the push–pull variety.

— David Robb and John Heil, "Mental Causation" in The Stanford Encyclopedia of Philosophy

Contemporary neurophilosopher Georg Northoff suggests that mental causation is compatible with classical formal and final causality.

Biologist, theoretical neuroscientist and philosopher, Walter J. Freeman, suggests that explaining mind–body interaction in terms of "circular causation" is more relevant than linear causation.

In neuroscience, much has been learned about correlations between brain activity and subjective, conscious experiences. Many suggest that neuroscience will ultimately explain consciousness: "...consciousness is a biological process that will eventually be explained in terms of molecular signaling pathways used by interacting populations of nerve cells..." However, this view has been criticized because consciousness has yet to be shown to be a process, and the "hard problem" of relating consciousness directly to brain activity remains elusive.

Cognitive science today gets increasingly interested in the embodiment of human perception, thinking, and action. Abstract information processing models are no longer accepted as satisfactory accounts of the human mind. Interest has shifted to interactions between the material human body and its surroundings and to the way in which such interactions shape the mind. Proponents of this approach have expressed the hope that it will ultimately dissolve the Cartesian divide between the immaterial mind and the material existence of human beings (Damasio, 1994; Gallagher, 2005). A topic that seems particularly promising for providing a bridge across the mind–body cleavage is the study of bodily actions, which are neither reflexive reactions to external stimuli nor indications of mental states, which have only arbitrary relationships to the motor features of the action (e.g., pressing a button for making a choice response). The shape, timing, and effects of such actions are inseparable from their meaning. One might say that they are loaded with mental content, which cannot be appreciated other than by studying their material features. Imitation, communicative gesturing, and tool use are examples of these kinds of actions.

— Georg Goldenberg, "How the Mind Moves the Body: Lessons From Apraxia" in Oxford Handbook of Human Action

Since 1927, at the Solvay Conference in Austria, European physicists of the late 19th and early 20th centuries realized that the interpretations of their experiments with light and electricity required a different theory to explain why light behaves both as a wave and particle. The implications were profound. The usual empirical model of explaining natural phenomena could not account for this duality of matter and non-matter. In a significant way, this has brought back the conversation on the mind–body duality.

Neural correlates

The neuronal correlates of consciousness constitute the smallest set of neural events and structures sufficient for a given conscious percept or explicit memory. This case involves synchronized action potentials in neocortical pyramidal neurons.

The neural correlates of consciousness "are the smallest set of brain mechanisms and events sufficient for some specific conscious feeling, as elemental as the color red or as complex as the sensual, mysterious, and primeval sensation evoked when looking at [a] jungle scene..." Neuroscientists use empirical approaches to discover neural correlates of subjective phenomena.

Neurobiology and neurophilosophy

A science of consciousness must explain the exact relationship between subjective conscious mental states and brain states formed by electrochemical interactions in the body, the so-called hard problem of consciousnessNeurobiology studies the connection scientifically, as do neuropsychology and neuropsychiatry. Neurophilosophy is the interdisciplinary study of neuroscience and philosophy of mind. In this pursuit, neurophilosophers, such as Patricia ChurchlandPaul Churchland and Daniel Dennett, have focused primarily on the body rather than the mind. In this context, neuronal correlates may be viewed as causing consciousness, where consciousness can be thought of as an undefined property that depends upon this complex, adaptive, and highly interconnected biological system. However, it's unknown if discovering and characterizing neural correlates may eventually provide a theory of consciousness that can explain the first-person experience of these "systems", and determine whether other systems of equal complexity lack such features.

The massive parallelism of neural networks allows redundant populations of neurons to mediate the same or similar percepts. Nonetheless, it is assumed that every subjective state will have associated neural correlates, which can be manipulated to artificially inhibit or induce the subject's experience of that conscious state. The growing ability of neuroscientists to manipulate neurons using methods from molecular biology in combination with optical tools was achieved by the development of behavioral and organic models that are amenable to large-scale genomic analysis and manipulation. Non-human analysis such as this, in combination with imaging of the human brain, have contributed to a robust and increasingly predictive theoretical framework.

Arousal and content

Midline structures in the brainstem and thalamus necessary to regulate the level of brain arousal. Small, bilateral lesions in many of these nuclei cause a global loss of consciousness.

There are two common but distinct dimensions of the term consciousness, one involving arousal and states of consciousness and the other involving content of consciousness and conscious states. To be conscious of something, the brain must be in a relatively high state of arousal (sometimes called vigilance), whether awake or in REM sleep. Brain arousal level fluctuates in a circadian rhythm but these natural cycles may be influenced by lack of sleep, alcohol and other drugs, physical exertion, etc. Arousal can be measured behaviorally by the signal amplitude required to trigger a given reaction (for example, the sound level that causes a subject to turn and look toward the source). High arousal states involve conscious states that feature specific perceptual content, planning and recollection or even fantasy. Clinicians use scoring systems such as the Glasgow Coma Scale to assess the level of arousal in patients with impaired states of consciousness such as the comatose state, the persistent vegetative state, and the minimally conscious state. Here, "state" refers to different amounts of externalized, physical consciousness: ranging from a total absence in coma, persistent vegetative state and general anesthesia, to a fluctuating, minimally conscious state, such as sleep walking and epileptic seizure.

Many nuclei with distinct chemical signatures in the thalamus, midbrain and pons must function for a subject to be in a sufficient state of brain arousal to experience anything at all. These nuclei therefore belong to the enabling factors for consciousness. Conversely it is likely that the specific content of any particular conscious sensation is mediated by particular neurons in the cortex and their associated satellite structures, including the amygdala, thalamus, claustrum and the basal ganglia.

Theoretical frameworks

Different approaches toward resolving the mind–body problem

A variety of approaches have been proposed. Most are either dualist or monist. Dualism maintains a rigid distinction between the realms of mind and matter. Monism maintains that there is only one unifying reality as in neutral or substance or essence, in terms of which everything can be explained.

Each of these categories contains numerous variants. The two main forms of dualism are substance dualism, which holds that the mind is formed of a distinct type of substance not governed by the laws of physics, and property dualism, which holds that mental properties involving conscious experience are fundamental properties, alongside the fundamental properties identified by a completed physics. The three main forms of monism are physicalism, which holds that the mind consists of matter organized in a particular way; idealism, which holds that only thought truly exists and matter is merely a representation of mental processes; and neutral monism, which holds that both mind and matter are aspects of a distinct essence that is itself identical to neither of them. Psychophysical parallelism is a third possible alternative regarding the relation between mind and body, between interaction (dualism) and one-sided action (monism).

Several philosophical perspectives that have sought to escape the problem by rejecting the mind–body dichotomy have been developed. The historical materialism of Karl Marx and subsequent writers, itself a form of physicalism, held that consciousness was engendered by the material contingencies of one's environment. An explicit rejection of the dichotomy is found in French structuralism, and is a position that generally characterized post-war Continental philosophy.

An ancient model of the mind known as the Five-Aggregate Model, described in the Buddhist teachings, explains the mind as continuously changing sense impressions and mental phenomena. Considering this model, it is possible to understand that it is the constantly changing sense impressions and mental phenomena (i.e., the mind) that experience/analyze all external phenomena in the world as well as all internal phenomena including the body anatomy, the nervous system as well as the organ brain. This conceptualization leads to two levels of analyses: (i) analyses conducted from a third-person perspective on how the brain works, and (ii) analyzing the moment-to-moment manifestation of an individual's mind-stream (analyses conducted from a first-person perspective). Considering the latter, the manifestation of the mind-stream is described as happening in every person all the time, even in a scientist who analyzes various phenomena in the world, including analyzing and hypothesizing about the organ brain.

Christian List argues that Benj Hellie's vertiginous question, i.e. why an individual exists as themselves and not as someone else, and the existence of first-personal facts, is evidence against physicalism. However, according to List, this is also evidence against other third-personal metaphysical pictures, including standard versions of dualism. List also argues that the vertiginous question implies a "quadrilemma" for theories of consciousness. He claims that at most three of the following metaphysical claims can be true: 'first-person realism', 'non-solipsism', 'non-fragmentation', and 'one world' – and thus one of these four must be rejected. List has proposed a model he calls the "many-worlds theory of consciousness" in order to reconcile the subjective nature of consciousness without lapsing into solipsism.

Dualism

The following is a very brief account of some contributions to the mind–body problem.

Interactionism

The viewpoint of interactionism suggests that the mind and body are two separate substances, but that each can affect the other. This interaction between the mind and body was first put forward by the philosopher René Descartes. Descartes believed that the mind was non-physical and permeated the entire body, but that the mind and body interacted via the pineal gland. This theory has changed throughout the years, and in the 20th century its main adherents were the philosopher of science Karl Popper and the neurophysiologist John Carew Eccles. A more recent and popular version of Interactionism is the viewpoint of emergentism. This perspective states that mental states are a result of the brain states, and that the mental events can then influence the brain, resulting in a two way communication between the mind and body.

The absence of an empirically identifiable meeting point between the non-physical mind (if there is such a thing) and its physical extension (if there is such a thing) has been raised as a criticism of interactionalist dualism. This criticism has led many modern philosophers of mind to maintain that the mind is not something separate from the body. These approaches have been particularly influential in the sciences, particularly in the fields of sociobiology, computer science, evolutionary psychology, and the neurosciences.

Avshalom Elitzur has defended interactionism and has described himself as a "reluctant dualist". One argument Elitzur makes in favor of dualism is an argument from bafflement. According to Elitzur, a conscious being can conceive of a P-zombie version of his/herself. However, a P-zombie cannot conceive of a version of itself that lacks corresponding qualia.

Epiphenomenalism

The viewpoint of epiphenomenalism suggests that the physical brain can cause mental events in the mind, but that the mind cannot interact with the brain at all; stating that mental occurrences are simply a side effect of the brain's processes. This viewpoint explains that while one's body may react to them feeling joy, fear, or sadness, that the emotion does not cause the physical response. Rather, it explains that joy, fear, sadness, and all bodily reactions are caused by chemicals and their interaction with the body.

Psychophysical parallelism

The viewpoint of psychophysical parallelism suggests that the mind and body are entirely independent from one another. Furthermore, this viewpoint states that both mental and physical stimuli and reactions are experienced simultaneously by both the mind and body, however, there is no interaction nor communication between the two.

Double aspectism

Double aspectism is an extension of psychophysical parallelism which also suggests that the mind and body cannot interact, nor can they be separated. Baruch Spinoza and Gustav Fechner were two of the notable users of double aspectism, however, Fechner later expanded upon it to form the branch of psychophysics in an attempt to prove the relationship of the mind and body.

Pre-established harmony

The viewpoint of pre-established harmony is another offshoot of psychophysical parallelism which suggests that mental events and bodily events are separate and distinct, but that they are both coordinated by an external agent: an example of such an agent could be God. A notable adherent to the idea of pre-established harmony is Gottfried Wilhelm von Leibniz in his theory of Monadology. His explanation of pre-established harmony relied heavily upon God as the external agent who coordinated the mental and bodily events of all things in the beginning.

Gottfried Wilhelm Leibniz's theory of pre-established harmony (French: harmonie préétablie) is a philosophical theory about causation under which every "substance" affects only itself, but all the substances (both bodies and minds) in the world nevertheless seem to causally interact with each other because they have been programmed by God in advance to "harmonize" with each other. Leibniz's term for these substances was "monads", which he described in a popular work (Monadology §7) as "windowless".

The concept of pre-established harmony can be understood by considering an event with both seemingly mental and physical aspects. For example, consider saying 'ouch' after stubbing one's toe. There are two general ways to describe this event: in terms of mental events (where the conscious sensation of pain caused one to say 'ouch') and in terms of physical events (where neural firings in one's toe, carried to the brain, are what caused one to say 'ouch'). The main task of the mind–body problem is figuring out how these mental events (the feeling of pain) and physical events (the nerve firings) relate. Leibniz's pre-established harmony attempts to answer this puzzle, by saying that mental and physical events are not genuinely related in any causal sense, but only seem to interact due to psycho-physical fine-tuning.

Leibniz's theory is best known as a solution to the mind–body problem of how mind can interact with the body. Leibniz rejected the idea of physical bodies affecting each other, and explained all physical causation in this way.

Under pre-established harmony, the preprogramming of each mind must be extremely complex, since only it causes its own thoughts or actions, for as long as it exists. To appear to interact, each substance's "program" must contain a description of either the entire universe, or of how the object behaves at all times during all interactions that appear to occur.

An example:

An apple falls on Alice's head, apparently causing the experience of pain in her mind. In fact, the apple does not cause the pain—the pain is caused by some previous state of Alice's mind. If Alice then seems to shake her hand in anger, it is not actually her mind that causes this, but some previous state of her hand.

Note that if a mind behaves as a windowless monad, there is no need for any other object to exist to create that mind's sense perceptions, leading to a solipsistic universe that consists only of that mind. Leibniz seems to admit this in his Discourse on Metaphysics, section 14. However, he claims that his principle of harmony, according to which God creates the best and most harmonious world possible, dictates that the perceptions (internal states) of each monad "expresses" the world in its entirety, and the world expressed by the monad actually exists. Although Leibniz says that each monad is "windowless", he also claims that it functions as a "mirror" of the entire created universe.

On occasion, Leibniz styled himself as "the author of the system of pre-established harmony".

Immanuel Kant's professor Martin Knutzen regarded pre-established harmony as "the pillow for the lazy mind".

In his sixth Metaphysical Meditation, Descartes talked about a "coordinated disposition of created things set up by God", shortly after having identified "nature in its general aspect" with God himself. His conception of the relationship between God and his normative nature actualized in the existing world recalls both the pre-established harmony of Leibniz and the Deus sive Natura of Baruch Spinoza.

Occasionalism

The viewpoint of Occasionalism is another offshoot of psychophysical parallelism, however, the major difference is that the mind and body have some indirect interaction. Occasionalism suggests that the mind and body are separate and distinct, but that they interact through divine intervention. Nicolas Malebranche was one of the main contributors to this idea, using it as a way to address his disagreements with Descartes' view of the mind–body problem. In Malebranche's occasionalism, he viewed thoughts as a wish for the body to move, which was then fulfilled by God causing the body to act.

Historical background

The problem was popularized by René Descartes in the 17th century, which resulted in Cartesian dualism, also by pre-Aristotelian philosophers, in Avicennian philosophy, and in earlier Asian traditions.

The Buddha

The Buddha (480–400 B.C.E), founder of Buddhism, described the mind and the body as depending on each other in a way that two sheaves of reeds were to stand leaning against one another and taught that the world consists of mind and matter which work together, interdependently. Buddhist teachings describe the mind as manifesting from moment to moment, one thought moment at a time as a fast flowing stream. The components that make up the mind are known as the five aggregates (i.e., material form, feelings, perception, volition, and sensory consciousness), which arise and pass away continuously. The arising and passing of these aggregates in the present moment is described as being influenced by five causal laws: biological laws, psychological laws, physical laws, volitional laws, and universal laws. The Buddhist practice of mindfulness involves attending to this constantly changing mind-stream.

Ultimately, the Buddha's philosophy is that both mind and forms are conditionally arising qualities of an ever-changing universe in which, when nirvāna is attained, all phenomenal experience ceases to exist. According to the anattā doctrine of the Buddha, the conceptual self is a mere mental construct of an individual entity and is basically an impermanent illusion, sustained by form, sensation, perception, thought and consciousness. The Buddha argued that mentally clinging to any views will result in delusion and stress, since, according to the Buddha, a real self (conceptual self, being the basis of standpoints and views) cannot be found when the mind has clarity.

Plato

Plato (429–347 B.C.E.) believed that the material world is a shadow of a higher reality that consists of concepts he called Forms. According to Plato, objects in our everyday world "participate in" these Forms, which confer identity and meaning to material objects. For example, a circle drawn in the sand would be a circle only because it participates in the concept of an ideal circle that exists somewhere in the world of Forms. He argued that, as the body is from the material world, the soul is from the world of Forms and is thus immortal. He believed the soul was temporarily united with the body and would only be separated at death, when it, if pure, would return to the world of Forms; otherwise, reincarnation follows. Since the soul does not exist in time and space, as the body does, it can access universal truths. For Plato, ideas (or Forms) are the true reality, and are experienced by the soul. The body is for Plato empty in that it cannot access the abstract reality of the world; it can only experience shadows. This is determined by Plato's essentially rationalistic epistemology.

Aristotle

For Aristotle (384–322 BC) mind is a faculty of the soul. Regarding the soul, he said:

It is not necessary to ask whether soul and body are one, just as it is not necessary to ask whether the wax and its shape are one, nor generally whether the matter of each thing and that of which it is the matter are one. For even if one and being are spoken of in several ways, what is properly so spoken of is the actuality.

— De Anima ii 1, 412b6–9

In the end, Aristotle saw the relation between soul and body as uncomplicated, in the same way that it is uncomplicated that a cubical shape is a property of a toy building block. The soul is a property exhibited by the body, one among many. Moreover, Aristotle proposed that when the body perishes, so does the soul, just as the shape of a building block disappears with destruction of the block.

Medieval Aristotelianism

Working in the Aristotelian-influenced tradition of Thomism, Thomas Aquinas (1225–1274), like Aristotle, believed that the mind and the body are one, like a seal and wax; therefore, it is pointless to ask whether or not they are one. However, (referring to "mind" as "the soul") he asserted that the soul persists after the death of the body in spite of their unity, calling the soul "this particular thing". Since his view was primarily theological rather than philosophical, it is impossible to fit it neatly within either the category of physicalism or dualism.

Influences of Eastern monotheistic religions

In religious philosophy of Eastern monotheism, dualism denotes a binary opposition of an idea that contains two essential parts. The first formal concept of a "mind–body" split may be found in the divinitysecularity dualism of the ancient Persian religion of Zoroastrianism around the mid-fifth century BC. Gnosticism is a modern name for a variety of ancient dualistic ideas inspired by Judaism popular in the first and second century AD. These ideas later seem to have been incorporated into Galen's "tripartite soul"  that led into both the Christian sentiments expressed in the later Augustinian theodicy and Avicenna's Platonism in Islamic Philosophy.

Descartes

My view is that this gland is the principal seat of the soul, and the place in which all our thoughts are formed.

— René Descartes, Treatise of Man

[The] mechanism of our body is so constructed that simply by this gland's being moved in any way by the soul or by any other cause, it drives the surrounding spirits towards the pores of the brain, which direct them through the nerves to the muscles; and in this way the gland makes the spirits move the limbs.

— René Descartes, Passions of the Soul

His posited relation between mind and body is called Cartesian dualism or substance dualism. He held that mind was distinct from matter, but could influence matter. How such an interaction could be exerted remains a contentious issue.

Kant

For Immanuel Kant (1724–1804) beyond mind and matter there exists a world of a priori forms, which are seen as necessary preconditions for understanding. Some of these forms, space and time being examples, today seem to be pre-programmed in the brain.

...whatever it is that impinges on us from the mind-independent world does not come located in a spatial or a temporal matrix,...The mind has two pure forms of intuition built into it to allow it to... organize this 'manifold of raw intuition'.

— Andrew Brook, Kant's view of the mind and consciousness of self: Transcendental aesthetic

Kant views the mind–body interaction as taking place through forces that may be of different kinds for mind and body.

Huxley

For Thomas Henry Huxley (1825–1895) the conscious mind was a by-product of the brain that has no influence upon the brain, a so-called epiphenomenon.

On the epiphenomenalist view, mental events play no causal role. Huxley, who held the view, compared mental events to a steam whistle that contributes nothing to the work of a locomotive.

— William Robinson, Epiphenomenalism

Whitehead

Alfred North Whitehead advocated a sophisticated form of panpsychism that has been called by David Ray Griffin panexperientialism.

Popper

For Karl Popper (1902–1994) there are three aspects of the mind–body problem: the worlds of matter, mind, and of the creations of the mind, such as mathematics. In his view, the third-world creations of the mind could be interpreted by the second-world mind and used to affect the first-world of matter. An example might be radio, an example of the interpretation of the third-world (Maxwell's electromagnetic theory) by the second-world mind to suggest modifications of the external first world.

The body–mind problem is the question of whether and how our thought processes in World 2 are bound up with brain events in World 1. ...I would argue that the first and oldest of these attempted solutions is the only one that deserves to be taken seriously [namely]: World 2 and World 1 interact, so that when someone reads a book or listens to a lecture, brain events occur that act upon the World 2 of the reader's or listener's thoughts; and conversely, when a mathematician follows a proof, his World 2 acts upon his brain and thus upon World 1. This, then, is the thesis of body–mind interaction.

— Karl Popper, Notes of a realist on the body–mind problem

Ryle

With his 1949 book, The Concept of Mind, Gilbert Ryle "was seen to have put the final nail in the coffin of Cartesian dualism".

In the chapter "Descartes' Myth," Ryle introduces "the dogma of the Ghost in the machine" to describe the philosophical concept of the mind as an entity separate from the body:

I hope to prove that it is entirely false, and false not in detail but in principle. It is not merely an assemblage of particular mistakes. It is one big mistake and a mistake of a special kind. It is, namely, a category mistake.

Searle

For John Searle (b. 1932) the mind–body problem is a false dichotomy; that is, mind is a perfectly ordinary aspect of the brain. Searle proposed biological naturalism in 1980.

According to Searle then, there is no more a mind–body problem than there is a macro–micro economics problem. They are different levels of description of the same set of phenomena. [...] But Searle is careful to maintain that the mental – the domain of qualitative experience and understanding – is autonomous and has no counterpart on the microlevel; any redescription of these macroscopic features amounts to a kind of evisceration, ...

Depersonalization

From Wikipedia, the free encyclopedia

Depersonalization is a dissociative phenomenon characterized by a subjective feeling of detachment from oneself, manifesting as a sense of disconnection from one's thoughts, emotions, sensations, or actions, and often accompanied by a feeling of observing oneself from an external perspective. Subjects perceive that the world has become vague, dreamlike, surreal, or strange, leading to a diminished sense of individuality or identity. Those affected often feel as though they are observing the world from a distance, as if separated by a barrier "behind glass". They maintain insight into the subjective nature of their experience, recognizing that it pertains to their own perception rather than altering objective reality. This distinction between subjective experience and objective reality distinguishes depersonalization from delusions, where individuals firmly believe in false perceptions as genuine truths. Depersonalization is also distinct from derealization, which involves a sense of detachment from the external world rather than from oneself.

Depersonalization-derealization disorder refers to chronic depersonalization, classified as a dissociative disorder in both the DSM-4 and the DSM-5, which underscores its association with disruptions in consciousness, memory, identity, or perception. This classification is based on the findings that depersonalization and derealization are prevalent in other dissociative disorders including dissociative identity disorder.

Though degrees of depersonalization can happen to anyone who is subject to temporary anxiety or stress, chronic depersonalization is more related to individuals who have experienced a severe trauma or prolonged stress/anxiety. Depersonalization-derealization is the single most important symptom in the spectrum of dissociative disorders, including dissociative identity disorder and "dissociative disorder not otherwise specified" (DD-NOS). It is also a prominent symptom in some other non-dissociative disorders, such as anxiety disorders, clinical depression, bipolar disorder, schizophreniaschizoid personality disorder, hypothyroidism or endocrine disorders, schizotypal personality disorder, borderline personality disorder, obsessive–compulsive disorder, migraines, and sleep deprivation; it can also be a symptom of some types of neurological seizure, and it has been suggested that there could be common aetiology between depersonalization symptoms and panic disorder, on the basis of their high co-occurrence rates.

In social psychology, and in particular self-categorization theory, the term depersonalization has a different meaning and refers to "the stereotypical perception of the self as an example of some defining social category".

Description

Individuals who experience depersonalization feel divorced from their own personal self by sensing their body sensations, feelings, emotions, behaviors, etc. as not belonging to the same person or identity. Often a person who has experienced depersonalization claims that things seem unreal or hazy. Also, a recognition of a self breaks down (hence the name). Depersonalization can result in very high anxiety levels, which further increase these perceptions.

Depersonalization is a subjective experience of unreality in one's self, while derealization is unreality of the outside world. Although most authors currently regard depersonalization (personal/self) and derealization (reality/surroundings) as independent constructs, many do not want to separate derealization from depersonalization.

History

In 1904, Freud described his own experience of depersonalization at the Athens' Acropolis. He described the incident 32 years later, in 1936. He interpreted his experience as an unconscious psychological defense, in which he was repressing feelings of guilt for outliving his father, whose cause of death remained unknown.

In his case study of the Wolf Man, Freud emphasized that depersonalization and derealization serve psychologically defensive functions. A young Russian man known as the "Wolf Man" experienced derealization, which is the sensation of being separated from his surroundings by a veil. This description of being separated from one's surroundings by a veil is reminiscent of derealization. This symptom was accompanied by fear of wolves. Freud's case description revolves around the man's dream of white wolves in a tree peering at him through an open window.

Epidemiology

Despite the distressing nature of symptoms, estimating the prevalence rates of depersonalization is challenging due to inconsistent definitions and variable timeframes.

Depersonalization is a symptom of anxiety disorders, such as panic disorder. It can also accompany sleep deprivation (often occurring when experiencing jet lag), migraine, epilepsy (especially temporal lobe epilepsycomplex-partial seizure, both as part of the aura and during the seizure), obsessive-compulsive disorder, severe stress or trauma, anxiety, the use of recreational drugs —especially cannabis, hallucinogens, ketamine, and MDMA, certain types of meditation, deep hypnosis, extended mirror or crystal gazing, sensory deprivation, and mild-to-moderate head injury with little or full loss of consciousness (less likely if unconscious for more than 30 minutes). Interoceptive exposure is a non-pharmacological method that can be used to induce depersonalization.

In the general population, transient depersonalization and derealization are common, having a lifetime prevalence between 26 and 74%. A random community-based survey of 1,000 adults in the US rural south found a 1-year depersonalization prevalence rate at 19%. Standardized diagnostic interviews have reported prevalence rates of 1.2% to 1.7% over one month in UK samples, and a rate of 2.4% in a single-point Canadian sample. In clinical populations, prevalence rates range from 1% to 16%, with varying rates in specific psychiatric disorders such as panic disorder and unipolar depression. Co-occurrence between depersonalization/derealization and panic disorder is common, suggesting a possible common etiology. Co-morbidity with other disorders does not influence symptom severity consistently.

Depersonalization is reported 2–4 times more in women than in men, but depersonalization/derealization disorder is diagnosed approximately equally across men and women, with symptoms typically emerging around the age of 16.

A similar and overlapping concept called ipseity disturbance (ipse is Latin for "self" or "itself") may be part of the core process of schizophrenia spectrum disorders. However, specific to the schizophrenia spectrum seems to be "a dislocation of first-person perspective such that self and other or self and world may seem to be non-distinguishable, or in which the individual self or field of consciousness takes on an inordinate significance in relation to the objective or intersubjective world" (emphasis in original).

For the purposes of evaluation and measurement, depersonalization can be conceived of as a construct and scales are now available to map its dimensions in time and space. A study of undergraduate students found that individuals high on the depersonalization/derealization subscale of the Dissociative Experiences Scale exhibited a more pronounced cortisol response in stress. Individuals high on the absorption subscale, which measures a subject's experiences of concentration to the exclusion of awareness of other events, showed weaker cortisol responses.

Causes

Depersonalization can arise from a variety of factors, of both a psychological and physiological nature. Common immediate precipitants include instances of severe stress, depressive episodes, panic attacks, and the consumption of psychoactive substances such as marijuana and hallucinogens. Additionally, there exists a correlation between frequent depersonalization and childhood interpersonal trauma, particularly cases involving emotional maltreatment.

A case-control study conducted at a specialized depersonalization clinic included 164 individuals with chronic depersonalization symptoms, of which 40 linked their symptoms to illicit drug use. Phenomenological similarity between drug-induced and non-drug groups was observed, and comparison with matched controls further supported the lack of distinction. The severity of clinical depersonalization symptoms remains consistent regardless of whether they are triggered by illicit drugs or psychological factors.

Pharmacological

Depersonalization has been described by some as a desirable state, particularly by those that have experienced it under the influence of mood-altering recreational drugs. It is an effect of dissociatives and psychedelics, as well as a possible side effect of caffeine, alcohol, amphetamine, cannabis, and antidepressants. It is a classic withdrawal symptom from many drugs.

Benzodiazepine dependence, which can occur with long-term use of benzodiazepines, can induce chronic depersonalization symptomatology and perceptual disturbances in some people, even in those who are taking a stable daily dosage, and it can also become a protracted feature of the benzodiazepine withdrawal syndrome.

Lieutenant Colonel Dave Grossman, in his book On Killing, suggests that military training artificially creates depersonalization in soldiers, suppressing empathy and making it easier for them to kill other human beings.

Graham Reed (1974) claimed that depersonalization occurs in relation to the experience of falling in love.

Situational

Experiences of depersonalization/derealization occur on a continuum, ranging from momentary episodes in healthy individuals under conditions of stress, fatigue, or drug use, to severe and chronic disorders that can persist for decades. Several studies found that up to 66% of individuals in life-threatening accidents report at least transient depersonalization during or immediately after the accidents.

Several studies, but not all, found age to be a significant factor: adolescents and young adults in the normal population reported the highest rate. In a study, 46% of college students reported at least one significant episode in the previous year. In another study, 20% of patients with minor head injury experience significant depersonalization and derealization.

In general infantry and special forces soldiers, measures of depersonalization and derealization increased significantly after training that includes experiences of uncontrollable stress, semi-starvation, sleep deprivation, as well as lack of control over hygiene, movement, communications, and social interactions.

Biological

Studies have linked dysregulation of the immune system with depersonalisation. Researchers compared protein expression in serum samples of individuals with depersonalisation/derealization disorder (DPDR, DDD) and healthy controls, and found that many key proteins involved in maintaining homeostasis were present at altered levels. Decreased levels of C-reactive protein (CRP), complement C1q subcomponent subunit B, and apolipoprotein A-IV, and increased levels of alpha-1-antichymotrypsin (SERPINA3) were observed in patients with DPDR. Furthermore, expressions of CRP and SERPINA3 were found to be linked with the ability to inhibit cognitive interference of DPDR.

Psychobiological mechanisms

Proximate mechanism

Depersonalization involves disruptions in the integration of interoceptive and exteroceptive signals, particularly in response to acute anxiety or trauma-related events. Studies spanning from 1992 to 2020 have highlighted abnormalities in primary somatosensory cortex processing and insula activity as contributing factors to depersonalization experiences. Additionally, abnormal EEG activities, notably in the theta band, suggest potential biomarkers for emotion processing, attention, and working memory, though specific oscillatory signatures associated with depersonalization are yet to be determined. Reduced brain activities in sensory processing units, along with alterations in visceral signal processing regions, are observed, particularly in the early stages of information processing.

Furthermore, vestibular signal processing, crucial for balance and spatial orientation, is increasingly recognized as a factor contributing to feelings of disembodiment during depersonalization experiences. Research suggests that abnormal activity in the left hemisphere may play a role, although abnormalities in right hemisphere brain activity, responsible for self-awareness and emotion processing, may also contribute to depersonalization symptoms. Higher activity in the right parietal lobe's angular gyrus has been linked to more severe depersonalisation, supporting this idea.

Potential involvement of serotonergic, endogenous opioid, and glutamatergic NMDA pathways has also been proposed, alongside alterations in metabolic activity in the sensory association cortex, prefrontal hyperactivation, and limbic inhibition in response to aversive stimuli revealed by brain imaging studies.

In addition to this, research suggests that individuals with depersonalization often exhibit autonomic blunting, characterized by reduced physiological responses to stressors or emotional stimuli. This blunting may reflect a diminished capacity to engage with the external world or to experience emotions fully, contributing to the subjective sense of detachment from oneself. Additionally, dysregulation of the HPA axis, which governs the body's stress response system, is frequently observed in individuals who experience depersonalization. This dysregulation can manifest as alterations in cortisol levels and responsiveness to stress, potentially exacerbating feelings of detachment and unreality.

Ultimate mechanism

Depersonalization is a classic response to acute trauma, and may be highly prevalent in individuals involved in different traumatic situations including motor vehicle collision and imprisonment.

Psychologically depersonalization can, just like dissociation in general, be considered a type of coping mechanism, used to decrease the intensity of unpleasant experience, whether that is something as mild as stress or something as severe as chronically high anxiety and post-traumatic stress disorder.

The decrease in anxiety and psychobiological hyperarousal helps preserving adaptive behaviors and resources under threat or danger.

Depersonalization is an overgeneralized reaction in that it does not diminish just the unpleasant experience, but more or less all experience – leading to a feeling of being detached from the world and experiencing it in a more bland way. An important distinction must be made between depersonalization as a mild, short-term reaction to unpleasant experience and depersonalization as a chronic symptom stemming from a severe mental disorder such as PTSD or dissociative identity disorder.

Chronic symptoms may represent persistence of depersonalization beyond the situations under threat.

Treatment

Currently, no universally accepted treatment guidelines have been established for depersonalization. Pharmacotherapy remains a primary avenue of treatment, with medications such as clomipramine, fluoxetine, lamotrigine, and opioid antagonists being commonly prescribed. However, it is important to note that none of these medications have demonstrated a potent anti-dissociative effect in managing symptoms.

In addition to pharmacological interventions, various psychotherapeutic techniques have been employed in attempts to alleviate depersonalization symptoms. Modalities such as trauma-focused therapy and cognitive-behavioral techniques have been utilized, although their efficacy remains uncertain and not firmly established.

An attempt at a visual representation of depersonalization

Treatment is dependent on the underlying cause, whether it is organic or psychological in origin. If depersonalization is a symptom of neurological disease, then diagnosis and treatment of the specific disease is the first approach. Depersonalization can be a cognitive symptom of such diseases as amyotrophic lateral sclerosis, Alzheimer's disease, multiple sclerosis (MS), or any other neurological disease affecting the brain. For those with both depersonalization and migraine, tricyclic antidepressants are often prescribed.

If depersonalization is a symptom of psychological causes such as developmental trauma, treatment depends on the diagnosis. In case of dissociative identity disorder or DD-NOS as a developmental disorder, in which extreme developmental trauma interferes with formation of a single cohesive identity, treatment requires proper psychotherapy, and—in the case of additional (co-morbid) disorders such as eating disorders—a team of specialists treating such an individual. It can also be a symptom of borderline personality disorder, which can be treated in the long term with proper psychotherapy and psychopharmacology.

The treatment of chronic depersonalization is considered in depersonalization disorder.

A 2001 Russian study showed that naloxone, a drug used to reverse the intoxicating effects of opioid drugs, can successfully treat depersonalization disorder. According to the study: "In three of 14 patients, depersonalization symptoms disappeared entirely and seven patients showed a marked improvement. The therapeutic effect of naloxone provides evidence for the role of the endogenous opioid system in the pathogenesis of depersonalization." The anticonvulsant drug lamotrigine has shown some success in treating symptoms of depersonalization, often in combination with a selective serotonin reuptake inhibitor and is the first drug of choice at the depersonalisation research unit at King's College London.

Research directions

Interest in DPDR has increased over the past few decades, leading to a large accumulation of literature on dissociative disorders. There has been a shift towards the use of research studies, rather than case studies to understand depersonalization. However, there remains a lack of solid consensus on its definition and scales used for assessment. Salami and colleagues argued that studies of electrophysiological depersonalization-derealization markers are urgently needed, and that future research should use analysis methods that can account for the integration of interoceptive and exteroceptive signals.

The Depersonalisation Research Unit at the Institute of Psychiatry in London conducts research into depersonalization disorder. Researchers there use the acronym DPAFU (Depersonalisation and Feelings of Unreality) as a shortened label for the disorder.

In a 2020 article in the Journal Nature, Vesuna, et al. describe experimental findings which show that layer 5 of the retrosplenial cortex is likely responsible for dissociative states of consciousness in mammals.

Otherkin

From Wikipedia, the free encyclopedia

Otherkin is a subculture of individuals who identify as partially or entirely nonhuman. Some otherkin believe their identity derives from non-physical spiritual phenomena, such as having a nonhuman soul or reincarnation. Some otherkin give non-spiritual explanations for themselves, such as unusual psychology or neurodivergence, or as part of dissociative identity disorder or multiplicity. Many otherkin say they are physically human.

The otherkin subculture developed primarily as an online community during the 1990s. It had partly grown out of some small groups of people who described themselves as elves during the 1970s and 1980s. During the late 2000s, the word has come to be treated as an umbrella term for some other nonhuman identity subcultures.

Etymology

The word otherkin, in the context of a subculture, was created in July 1990 by participants of the mailing list Elfinkind Digest. It came along with the variant "otherkind," which appeared first in April 1990. It was a more widely inclusive derivative of the mailing list's name. Mailing list participants used both interchangeably for a while. Over the following decades, the word "otherkin" entered common usage enough to be later added to the principal historical dictionary of the English language. In 2017, the Oxford English Dictionary defined otherkin as "a person who identifies as non-human, typically as being wholly or partially an animal or mythical being."

Coincidentally, the word "otherkin" also existed in the Middle English language. The Middle English Dictionary (1981) defines the adjective "otherkin" as "a different or an additional kind of, other kinds of".

Terms and identities

The term otherkin includes a broad range of identities. Otherkin may identify as creatures of the natural world, mythology, or popular culture. Examples include but are not limited to the following: aliens, angels, demons, dragons, elves, fairies, horses, foxes, wolves, sprites, unicorns, and fictional characters. Rarer are those who identify as plants, machines, concepts, or natural phenomena such as weather systems.

The term "therianthrope" commonly called "therian" refers to people who spiritually, physically, or psychologically identify as an animal. The species of animal a therian identifies as is called a theriotype. While therians mainly attribute their experiences of therianthropy to either spirituality or psychology, the way in which they consider their therian identity is not a defining characteristic of therianthropy. The identity "transspecies" is used by some.

Community

Otherkin communities online largely function without formal authority structures and mostly focus on support and information gathering, often dividing into more specific groups based on kintype. There are occasional offline gatherings, but the otherkin network is mostly an online phenomenon.

The therian and vampire subcultures are related to the otherkin community, and are considered part of it by most otherkin but are culturally and historically distinct movements of their own, despite some overlap in membership. The word alterhuman exists as an umbrella term which intends to encompass all of these subcultures, as well as others such as plurality.

Symbols

A regular {7/3} heptagram known as the Elven Star or Fairy Star

A common symbol for otherkin is a seven-pointed star, specifically a regular {7/3} heptagram, known as the Elven Star or Fairy Star. Otherkin have used it for decades. For example, one early use of it was by the Silver Elves in an article they published in the summer 1986 issue of Circle Network News.

Religious and spiritual beliefs

Joseph P. Laycock, assistant professor of religious studies at Texas State University, considers otherkin beliefs to have a religious dimension, but asserts that "the argument that Otherkin identity claims conform to a substantive definition of religion is problematic". Many otherkin themselves reject the notion that being otherkin is a religious belief.

Some otherkin claim to be especially empathic and attuned to nature. Some claim to be able to shapeshift or "shift" mentally or astrally, meaning that they experience the sense of being in their particular form while not actually changing physically. Moreover, the claim to be able to physically shift is generally looked down on by the community. They may also describe being able to feel phantom limbs/wings/tails/horns, that coordinates with their kintype. Some otherkin claim to also go through an 'awakening' that alerts them to their kintype.

Many otherkin believe in the existence of a multitude of parallel universes, and their belief in the existence of supernatural or sapient non-human beings is grounded in that idea.

History

1990s

A student at the University of Kentucky created the Elfinkind Digest, a mailing list for "elves and interested observers." Also in the early 1990s, newsgroups such as alt.horror.werewolves (AHWW) and alt.fan.dragons on Usenet, which were initially created for fans of these creatures in the context of fantasy and horror literature and films, also developed followings of individuals who identified as mythological beings.

2000s

On 15 December 2006, the Minneapolis-based newspaper Star Tribune published an article about dragons that included a section about the otherkin blog Draconic. The article took quotes from the mission statement of the blog, written by site founder Chris Dragon.[citation needed]

2010s

On 7 April 2010, the Swedish newspaper Dagens Nyheter published an article titled "Ibland får jag lust att yla som en varg" (“Sometimes I get the urge to howl like a wolf”) in which Lanina, founder of the Swedish language otherkin and therian forum therian.forumer.com, described the basics of what it is like to be a therian. The article is the first known article to offer a description of "therian" identity by a major European newspaper.

In 2011, the International Anthropomorphic Research Project (IARP), a Canadian-American multidisciplinary research group, expanded the scope of its annual International Furry Survey to include otherkin and therians for the first time.

Research

Daniell Kirby wrote the first academic paper on otherkin in 2008, which served to introduce the community to other academics. Kirby described otherkin as sharing ideas with the neopagan movement, however she called this an "interim classification", and warned that "to construe this group as specifically neo-pagan or techno-pagan obscures the focus of the participants". Subsequent research has treated the otherkin community as having an essentially religious character.

From 2016 onwards, otherkin research has taken more of a narrative identity approach, investigating how otherkin come to understand their experiences. Reviewing prior research, Stephanie C. Shea criticizes the prevailing conception of the otherkin subculture as being, or being alike to, either a religion or a spirituality.

In four surveys of furries (with a sample size of 4338, 1761, 951 and 1065 respectively), depending on the sample, between 25% and 44% responded that they consider themselves to be "less than 100% human", compared to 7% of a sample of 802 non-furries surveyed at furry conventions.[30]

Public perception and media coverage

Outside viewers may have varying opinions about people who identify as otherkin, such as considering them psychologically dysfunctional. Reactions often range from disbelief to aggressive antagonism, especially online.

Otherkin have been called one of the world's most bizarre subcultures, and a religious movement (or a "quasi-religion") that "in some of its forms, largely only exists on the Internet". Although otherkin beliefs deviate from the definition of "religion", they share the primary interest in the paranormal.

Joseph P. Laycock argues that the otherkin community serves existential and social functions commonly associated with religion, and regards it as an alternative nomos that sustains alternate ontologies. Professor Jay Johnston feels that nonhuman identity "is perhaps not so much pathological as political".

According to Nick Mamatas, they represent a dissatisfaction with the modern world, and they have taken fairy lore out of its original context.

Petroleum exploration in the Arctic

From Wikipedia, the free encyclopedia https://en.wikipedia.org/wiki/Petroleum_exploration_in_the_Arctic   ...