The case of pain asymbolia is a case study that provides evidence of the mechanisms underlying the relationship between bodily experience, affective experience, and self-awareness. On one account pain asymbolia is the result of an affective deficit. Sensory signals of bodily damage are not associated with characteristic negative affect. Cochrane endorses this account as part of his version of a “conceptual act” theory of affective experience. In contrast, I propose an active inference account of affect in general and pain asymbolia (...) in particular. In the active inference framework the self is inferred as the endogenous cause of bodily and affective experience in the process of organismic regulation. This preserves Cochranes ambition to ground affect in bodily regulation but avoids the problem for affective deficit accounts of asymbolia that cannot do justice to the neural correlates. (shrink)

This paper offers theoretical explanations for why “guided touch” or manual touch with verbal communication can be an effective way of treating the body and the mind. The active inference theory suggests that chronic pain and emotional disorders can be attributed to distorted and exaggerated patterns of interoceptive and proprioceptive inference. We propose that the nature of active inference is abductive. As such, to rectify aberrant active inference processes, we should change the “Rule” of abduction, or the “prior beliefs” entailed (...) by a patient’s generative model. This means pre-existing generative models should be replaced with new models. To facilitate such replacement—or updating—the present treatment proposes that we should weaken prior beliefs, especially the one at the top level of hierarchical generative models, thereby altering the sense of agency, and redeploying attention. Then, a new prior belief can be installed through inner communication along with manual touch. The present paper proposes several hypotheses for possible experimental studies. If touch with verbal guidance is proven to be effective, this would demonstrate the relevance of active inference and the implicit prediction model at a behavioral level. Furthermore, it would open new possibilities of employing inner communication interventions, including self-talk training, for a wide range of psychological and physical therapies. (shrink)