Abstract
Clinical and experimental evidence on referred pain and spinal-afferent convergence demonstrates a close relationship between visceral and somatosensory perception, which is important for current models of symptom perception and central body representation. The study uses a psychophysical approach to quantify these interactions at the perceptual level, taking into account problems of comparable intermodal scaling and the role of awareness. An experiment on somatosensory masking of distension stimuli in the colon is reported in which a multiple staircase method of forced choice discrimination with concurrent sensation ratings was employed. Results showed perceptual masking of visceral by abdominal stimuli but not vice versa. The masking effect was not enhanced by intratomal placement of the abdominal stimulus in the lower left quadrant. This contradicts the spinal sensory convergence model and points to perceptual interactions at higher brain levels. Loglinear analysis of relations between discrimination and subjective sensation revealed qualitative differences of somatovisceral perception at the preconscious as compared to the conscious level. This argues for a two-process model of integrative body perception.
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References
Ádám, G. (1967),Interoception and behavior: An experimental study Budapest: Akadémiai Kiadó.
Ádám, G. (1983). Intestinal afferent influences on behavior. In: R. Hölzl & W. E. Whitehead (eds.),Psychophysiology of the gastrointestinal tract. Experimental and clinical applications, pp. 351–360. New York and London: Plenum Press.
Ádám, G., Balasz, L., Vidos, T., & Kessler, P. (1990). Detection of colon distenstion in colonostomy patients.Psychophysiology 27: 451–456.
Bishop, Y.M.M., Fienberg, S. E., & Holland, P.W. (1976).Discrete multivariate analysis: Theory and practice. Cambridge, MA: MIT Press.
Brener, J. (1977). Visceral perception. In J. Beatty & H. Legewie (eds.),Biofeedback and Behavior, pp. 235–259. New York: Plenum Press.
Brener, J., & Ring, C. (1995). Sensory and perceptual factors in heart beat detection. In D. Vaitl & R. Schandry (eds.),From the heart to the brain, pp. 193–222. Frankfurt am Main: Peter Lang.
Cechetto, D.F. (1995). Supraspinal mechanisms of visceral representation. In: G.F. Gebhart (ed.),Visceral pain. Progress in pain research and management:Vol. 5, pp. 261–290. Seattle: IASP Press.
Cervero, F. (1994). Sensory innervation of the viscera: Peripheral basis of visceral pain.Physiological Review 74: 95–138.
Damasio, A.R., Tranel, D., & Damasio, H. (1994). Somatic markers and the guidance of behavior: Theory and preliminary testing. In: H.S. Levin, H.M. Eisenberg & A.L. Benton (eds.),Frontal lobe function and dysfunction, pp. 217–229. New York: Oxford University Press.
Dworkin, B. (1993).Learning and physiological regulation. Chicago and London: University of Chicago Press.
Erasmus, L.-P., Sarno, S., & Hölzl, R. (1993). Bestimmung der lokalen Diskrimination viszeraler Dehnungsreize durch adaptive, selbstkalibrierende Verfahren (Determination of the local discrimination of visceral distension stimuli by adaptive, self-calibrating procedures).Forschungsberichte aus dem Otto-Selz-Institut der Universität Mannheim 22: 1–27.
Erasmus, L.-P., Püll, O., Kratzmair, M., & Hölzl, R. (1994). Method and apparatus for pressure-controlled distension of the lower gastrointestinal tract and simultaneous recording of electric and contractile responses.Medical Engineering and Physics 16(4): 338–347.
Gebhart, G.F. (ed.). (1995).Visceral pain. Progress in pain research and management:Vol. 5. Seattle: IASP Press.
Gracely, R.H., Lota, L., Walter, D.H., & Dubner, R. (1988). A multiple random staircase method of psychophysical pain assessment.Pain 32: 55–63.
Hansen, K., & Schliack, H. (1962).Segmentale Innervation: Ihre Bedeutung für Klinik und Praxis (Segmental Innervation: Relevance to Clinics and Practice). Stuttgart: Thieme Verlag.
Head, H. (1893). On disturbances of sensation with special reference to the pain of visceral disease.Brain 16: 1–133.
Hölzl, R., Erasmus, L.-P., & Möltner, A. (1996). Detection, discrimination and sensation of visceral stimuli.Biological Psychology 42: 199–214.
Jänig, W. (1996). Neurobiology of visceral afferent neurons: Neuroanatomy, functions, organ regulations and sensations.Biological Psychology 42: 29–51.
Jänig, W., & Häbler, H.-J. (1995). Visceral-autonomic integration. In: G.F. Gebhart (ed.),Visceral pain. Progress in pain research and management:Vol. 5, pp. 311–348. Seattle: IASP Press.
Jennings, J.R. (1991). Is it important that the mind is in a body? Inhibition and the heart.Psychophysiology 29: 369–383.
Jones, G.E. (1994). Perception of visceral sensations: a review of recent findings, methodologies, and future directions. In: J.R. Jennings, P.K. Ackles, & M.G.H. Coles (eds.),Advances in psychophysiology:Vol. 5, pp. 55–192. London and Bristol, PA: J. Kingsley Publishers.
Koch, G.G., Landis, J.R., Freeman, J.L., Freeman, D.H., Jr., & Lehnen, R.G. (1977). A general methodology for the analysis of experiments with repeated measurement of categorical data.Biometrics 33: 133–158.
Kollmeier, B., Gilkey, R.H., & Sieben, U.K. (1988). Adaptive staircase techniques in psychoacoustics: A comparison of human data and a mathematical model.Journal of the Acoustical Society of America 83: 1852–1862.
Libet, B., Pearl, D.K., Morledge, D.E., Gleason, C.A., Hosobuchi, Y., & Barbaro, N.M. (1991). Control of the transition from sensory detection to sensory awareness in man by the duration of a thalamic stimulus.Brain 114: 1731–1757.
Melzack, R. (1989). Phantom limbs, the self and the brain: The D.O. Hebb memorial lecture.Canadian Psychology 30: 1–16.
Mesulam, M.-M., & Mufson, E.J. (1985). The insula of Reil in man and monkey. Architectonics, connectivity, and function. In: A. Peters & E.G. Jones (eds.),Cerebral Cortex, Vol. 4: Association and auditory cortices, p. 179–227. New York: Plenum Press.
Möltner, A. (1996). Sequentielle Verfahren zur Bestimmung psychophysikalischer Kennwerte in der Interozeption (Sequential methods for the determination of psychophysical characteristics in interoception). Mannheim: Philosophical Dissertation, University of Mannheim.
Neidig, C.W. (1995).Somatoviszerale Interaktionen in der gastrointestinalen Wahrnehmung. Maskierung und Summation (Somatovisceral Interactions in Gastrointestinal Perception). Münster and New York: Waxmann (Dissertation Prints).
Neidig, C.W., Erasmus, L.-P., Möltner, A., & Hölzl, R. (1993). Beeinflussung der viszeralen Sensibilität durch somatosensorische Signale. Teil I. Maskierung (Influence of somatosensory signals on visceral sensitivity. Part I. Masking).Forschungsberichte aus dem Otto-Selz-Institut der Universität Mannheim 27: 1–16.
Ness, T.J. (1995). Historical and clinical perspectives of visceral pain. In: G.F. Gebhart (ed.),Visceral pain. Progress in pain research and management:Vol. 5, pp. 3–24. Seattle: IASP Press.
Ness, T.J., Metcalf, A.M., & Gebhart, G.F. (1990). A psychophysiological study in humans using phasic colonic distension as a noxious visceral stimulus.Pain 43: 377–386.
Nieuwenhuys, R., Voogd, J., & van Huijzen, C. (1991).The human central nervous system—A synopsis and atlas (3rd Ed.). Berlin, Heidelberg, New York: Springer Verlag.
Pennebaker, J.W. (1982).The psychology of physical symptoms. New York: Springer.
Pribram, K.H. (1981). Emotions. In: S.B. Filskov & T.J. Boll (eds.),Handbook of clinical neuropsychology, pp. 102–134. New York: Wiley.
Sarno, S., Erasmus, L.-P., Haslbeck, M., & Hölzl, R. (1994). Visceral perception and gut changes in diabetes mellitus.Neurogastroenterology and Motility 6: 85–94.
Schandry, R., & Weitkunat, R. (1990). Enhancement of heartbeat-related brain potentials through cardiac awareness training.International Journal of Neuroscience 53: 243–253.
Vaitl, D. (ed.). (1996). Interoception and behavior.Biological Psychology 42(1,2) 1–244 (special issue).
Weiskrantz, L. (1987).Blindsight. A case study and implications. Oxford: Oxford University Press.
Whitehead, W.E. (1983). Interoception: Awareness of sensations arising in the gastrointestinal tract. In: R. Hölzl & W.E. Whitehead (eds.),Psychophysiology of the gastrointestinal tract, pp. 333–350. New York and London: Plenum Press.
Whitehead, W.E., Holtkötter, B., Enck, P., Hölzl, R., Holmes K.D., Anthony, J., Shabsin, H.S., Schuster, M.M. (1990). Tolerance for rectosigmoid distension in irritable bowel syndrome.Gastroenterology 98: 1187–1992.
Wickens, T.D. (1993). Analysis of contingency tables with between-subjects variability.Psychological Bulletin 113: 191–204.
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Hölzl, R., Möltner, A. & Neidig, C.W. Somatovisceral interactions in visceral perception: Abdominal masking of colonic stimuli. Integrative Physiological and Behavioral Science 34, 269–284 (1999). https://doi.org/10.1007/BF02688694
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DOI: https://doi.org/10.1007/BF02688694