Recognizing and aligning individuals’ unique adaptive beliefs or “priors” through cooperative communication is critical to establishing a therapeutic relationship and alliance. Using active inference, we present an empirical integrative account of the biobehavioral mechanisms that underwrite therapeutic relationships. A significant mode of establishing cooperative alliances—and potential synchrony relationships—is through ostensive cues generated by repetitive coupling during dynamic touch. Established models speak to the unique role of affectionate touch in developing communication, interpersonal interactions, and a wide variety of therapeutic benefits for (...) patients of all ages; both neurophysiologically and behaviorally. The purpose of this article is to argue for the importance of therapeutic touch in establishing a therapeutic alliance and, ultimately, synchrony between practitioner and patient. We briefly overview the importance and role of therapeutic alliance in prosocial and clinical interactions. We then discuss how cooperative communication and mental state alignment—in intentional communication—are accomplished using active inference. We argue that alignment through active inference facilitates synchrony and communication. The ensuing account is extended to include the role of tactile afferents in realizing the beneficial effect of therapeutic synchrony. We conclude by proposing a method for synchronizing the effects of touch using the concept of active inference. (shrink)

This paper explicates how we might positively understand the distinctive, nonconceptual experience of our own actions and experiences by drawing on insights from a radically enactive take on phenomenal experience. We defend a late-developing relationalism about the emergence of explicit, conceptually based self-awareness, proposing that the latter develops in tandem with the mastery of self-reflective narrative practices. Focusing on the case of human newborns, Sect. 1 reviews and rejects claims that the capacities of actors to keep track of aspects of (...) themselves—e.g. their bodies, body parts, movements, activities, actions and experiences—when coordinating what they do equates to or is best explained by positing minimal, tacit awareness of their experiences as their own. Section 2 then considers and resists more familiar arguments, based on the so-called reflexivity thesis, that take such minimal self-awareness to be implied wherever there is any kind of phenomenal experience. In place of these ideas, we promote an alternative proposal of what is involved when agents keep track of aspects of themselves, drawing on a radically enactive conception of basic experience. Section 3 concludes by proposing that our first conceptual, explicit sense of self is something that only arrives on the scene once we become able to hold our own—through the support of others—in discursive, narrative practices that give us a conceptual grip on what it is to be a temporally extended self that persists over time. (shrink)

This paper explicates how we might positively understand the distinctive, nonconceptual experience of our own actions and experiences by drawing on insights from a radically enactive take on phenomenal experience. We defend a late-developing relationalism about the emergence of explicit, conceptually based self-awareness, proposing that the latter develops in tandem with the mastery of self-reflective narrative practices. Focusing on the case of human newborns, Sect. 1 reviews and rejects claims that the capacities of actors to keep track of aspects of (...) themselves—e.g. their bodies, body parts, movements, activities, actions and experiences—when coordinating what they do equates to or is best explained by positing minimal, tacit awareness of their experiences as their own. Section 2 then considers and resists more familiar arguments, based on the so-called reflexivity thesis, that take such minimal self-awareness to be implied wherever there is any kind of phenomenal experience. In place of these ideas, we promote an alternative proposal of what is involved when agents keep track of aspects of themselves, drawing on a radically enactive conception of basic experience. Section 3 concludes by proposing that our first conceptual, explicit sense of self is something that only arrives on the scene once we become able to hold our own—through the support of others—in discursive, narrative practices that give us a conceptual grip on what it is to be a temporally extended self that persists over time. (shrink)

In his paper “Whatever next? Predictive brains, situated agents, and the future of cognitive science,” Andy Clark seminally proposed that the brain's job is to predict whatever information is coming “next” on the basis of prior inputs and experiences. Perception fundamentally subserves survival and self-preservation in biological agents, such as humans. Survival however crucially depends on rapid and accurate information processing of what is happening in the here and now. Hence, the term “next” in Clark's seminal formulation must include not (...) only the temporal dimension (i.e., what is perceivednow) but also the spatial dimension (i.e., what is perceivedhereor next-to-my-body). In this paper, we propose to focus on perceptual experiences that happen “next,” i.e., close-to-my-body. This is because perceptual processing of proximal sensory inputs has a key impact on the organism's survival. Specifically, we focus on tactile experiences mediated by the skin and what we will call the “extended skin” or “second skin,” that is, immediate objects/materials that envelop closely to our skin, namely, clothes. We propose that the skin and tactile experiences are not a mere border separating the self and world. Rather, they simultaneously and inherently distinguishandconnect the bodily self to its environment. Hence, these proximal and pervasive tactile experiences can be viewed as a “transparent bridge” intrinsically relating and facilitating exchanges between the self and the physical and social world. We conclude with potential implications of this observation for the case of Depersonalization Disorder, a condition that makes people feel estranged and detached from their self, body, and the world. (shrink)

There has recently been a resurgence of philosophical and scientific interest in the foundations of self-consciousness, with particular focus on its altered, anomalous forms. This paper looks at the altered forms of self-awareness in Depersonalization Disorder (DPD), a condition in which people feel detached from their self, their body and the world (Derealisation). Building upon the phenomenological distinction between reflective and pre-reflective self-consciousness, we argue that DPD may alter thetransparencyof basic embodied forms of pre-reflective self-consciousness, as well as the capacity (...) to flexibly modulate and switch between the reflective and pre-reflective facets of self-awareness. Empirical evidence will be invoked in support of the idea that impaired processing of bodily signals is characteristic of the condition. We provide first-hand subjective reports describing the experience of self-detachment or fracture between an observing and an observed self. This split is compared with similar self-detachment phenomena reported in certain Buddhist-derived meditative practices. We suggest that these alterations and changes may reveal the underlying and tacit transparency that characterises the embodied and basic pre-reflective forms of self-consciousness, in the same way that a crack in a transparent glass may indicate the presence of an unnoticed window. (shrink)

This paper examines two twenty-first-century developments in the enactive approach in philosophy and the cognitive sciences. The first is the surging interest in Hans Jonas, which begins with Weber and Varela's 'Life After Kant' (2002) and continues up to the present. The second is the 'social turn' that the enactive approach has taken, especially after De Jaegher and Di Paolo's (2007) work on participatory sense-making. We look at these two developments through the lens of the problem of other minds. We (...) argue that they are incompatible due to a residual solipsism in Jonasian phenomenology. Ultimately, this leaves enactive theory with a choice between embracing Jonas or embracing the social turn in enactive theory. We recommend replacing Jonasian influences with those from the late work of Maurice Merleau-Ponty. We argue that enactivism can evade the problem of other minds using Merleau-Ponty's discussion of 'flesh' and 'expression'. (shrink)