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Finding the self by losing the self: Neural correlates of ego-dissolution under psilocybin.

ABSTRACT: Ego-disturbances have been a topic in schizophrenia research since the earliest clinical descriptions of the disorder. Manifesting as a feeling that one's "self," "ego," or "I" is disintegrating or that the border between one's self and the external world is dissolving, "ego-disintegration" or "dissolution" is also an important feature of the psychedelic experience, such as is produced by psilocybin (a compound found in "magic mushrooms"). Fifteen healthy subjects took part in this placebo-controlled study. Twelve-minute functional MRI scans were acquired on two occasions: subjects received an intravenous infusion of saline on one occasion (placebo) and 2 mg psilocybin on the other. Twenty-two visual analogue scale ratings were completed soon after scanning and the first principal component of these, dominated by items referring to "ego-dissolution", was used as a primary measure of interest in subsequent analyses. Employing methods of connectivity analysis and graph theory, an association was found between psilocybin-induced ego-dissolution and decreased functional connectivity between the medial temporal lobe and high-level cortical regions. Ego-dissolution was also associated with a "disintegration" of the salience network and reduced interhemispheric communication. Addressing baseline brain dynamics as a predictor of drug-response, individuals with lower diversity of executive network nodes were more likely to experience ego-dissolution under psilocybin. These results implicate MTL-cortical decoupling, decreased salience network integrity, and reduced inter-hemispheric communication in psilocybin-induced ego disturbance and suggest that the maintenance of "self"or "ego," as a perceptual phenomenon, may rest on the normal functioning of these systems.

SUBMITTER: Lebedev AV

PROVIDER: S-EPMC6869189 | biostudies-literature | 2015 Aug

REPOSITORIES: biostudies-literature

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Finding the self by losing the self: Neural correlates of ego-dissolution under psilocybin.

Lebedev Alexander V AV Lövdén Martin M Rosenthal Gidon G Feilding Amanda A Nutt David J DJ Carhart-Harris Robin L RL

Human brain mapping 20150522 8

Ego-disturbances have been a topic in schizophrenia research since the earliest clinical descriptions of the disorder. Manifesting as a feeling that one's "self," "ego," or "I" is disintegrating or that the border between one's self and the external world is dissolving, "ego-disintegration" or "dissolution" is also an important feature of the psychedelic experience, such as is produced by psilocybin (a compound found in "magic mushrooms"). Fifteen healthy subjects took part in this placebo-contr ...[more]

PMID: 26010878

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Project description:IntroductionThe neural substrates of states devoted to processing self-related information ("self-related states") remain not fully elucidated. Besides the complexity of the problem, there is evidence suggesting that self-related states vary according to the information domain being considered. Here, we investigated brain correlates for self-related states concerning historical aspects of one's life (autobiographical self), and one's ongoing body status (core self). We focused on memory-related regions, body-related regions, CMSs (cortical midline structures), and ICs (insular cortices).MethodsThis was a block-design fMRI study contrasting brain activity for core self (interoception and exteroception) and autobiographical self (personality traits and biographic facts) information domains. It involved 19 participants, who answered questions about each domain (four conditions).ResultsAll conditions appeared to engage the regions of interest. Nonetheless, autobiographical self compared with core self showed greater activity in memory-related regions (e.g., hippocampus), MPFC (medial prefrontal cortex), superior PMC (posteromedial cortex), and anterior ICs. Core self compared with autobiographical self was associated with greater activity in body-related regions (e.g., somatosensory cortices, and EBA [extrastriate body area]), superior PMC, and posterior ICs. In addition, (1) facts compared with traits showed greater activity in body-related regions, memory-related regions, MPFC, and PMC; (2) traits compared with facts were associated with greater activity in the posterior part of the anterior cingulate cortex; (3) interoception compared with exteroception was associated with greater activity in body-related regions (e.g. postcentral gyrus), memory-related regions, MPFC, inferior PMC and ICs; (4) exteroception compared with interoception showed greater activity in some body-related regions (e.g., premotor cortices and EBA) and superior PMC.ConclusionsThe results support the notion that the neural correlates of self-related states depend on the information domain. Those states seem distinguishable in terms of activity in memory-related and body-related regions, and activity in regions that have been associated with self processes (CMSs and the ICs).

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Finding the self by losing the self: Neural correlates of ego-dissolution under psilocybin.

Publications

Finding the self by losing the self: Neural correlates of ego-dissolution under psilocybin.

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