Psychopathology最新文献

{"title":"Depersonalization, Emotion Embodiment, and Alexithymia in the General Population.","authors":"Julia G Lebovitz, Sohee Park","doi":"10.1159/000553161","DOIUrl":"10.1159/000553161","url":null,"abstract":"<p><strong>Introduction: </strong>Alterations in emotional experiences have been demonstrated in depersonalization-derealization disorder, typically highlighting a blunting of emotions and decreased ability to recognize and name emotions (i.e., alexithymia). However, less research has focused on how individuals with depersonalization experiences embody emotion states. Therefore, the present study investigated emotional embodiment and alexithymia in a general population sample with high (n = 33) and low (n = 66) levels of depersonalization.</p><p><strong>Methods: </strong>Using a computerized topographical mapping task, the emBODY task, participants indicated where they experience sensations associated with specific emotion states.</p><p><strong>Results: </strong>We found that increased depersonalization was associated with increased alexithymia. Individuals with higher levels of depersonalization showed qualitative differences in bodily sensation maps, including more diffused and less localized embodiment for certain high arousal emotion states.</p><p><strong>Conclusion: </strong>These findings emphasize that individuals with increased levels of depersonalization may not simply experience a blanket numbing of emotions but instead may have increased attunement to certain high arousal emotion states.</p>","PeriodicalId":20723,"journal":{"name":"Psychopathology","volume":" ","pages":"1-11"},"PeriodicalIF":3.1,"publicationDate":"2026-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13446889/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148278458","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Symptom Course in Psychiatric and Neurodevelopmental Diagnostic Reasoning: An Exploratory Vignette-Based Study.","authors":"Hugo Peyre, Emmanuel Madieu, Paul Audoyer, Boris Chaumette, Christophe Gauld","doi":"10.1159/000553133","DOIUrl":"10.1159/000553133","url":null,"abstract":"<p><strong>Introduction: </strong>According to DSM-based diagnostic principles, psychiatric and neurodevelopmental diagnoses rely on symptom specificity (i.e., excluding alternative explanatory disorders) and on a conceptual separation between the diagnostic category and its potential underlying medical causes. In clinical practice, however, clinicians may also consider whether symptoms persist or resolve over time when deciding whether to retain a diagnosis. We examined whether clinicians take into account the longitudinal course of symptoms, including persistence and reversibility, when making diagnostic decisions.</p><p><strong>Methods: </strong>Twenty-seven French health professionals (13 psychiatrists and 14 non-medical clinicians) evaluated six clinical vignettes describing psychiatric or neurodevelopmental symptoms occurring in the context of underlying medical conditions, sensory impairments, or co-occurring disorders. Across vignettes, symptom trajectories differed: in some cases, symptoms resolved rapidly after treatment of the associated condition, whereas in others they followed a typical and persistent course. Clinicians indicated whether symptoms should be attributed solely to the associated condition or whether both diagnoses should be retained.</p><p><strong>Results: </strong>Clinicians' diagnostic decisions strongly depended on symptom evolution. When symptoms resolved rapidly after treatment (suggesting an abnormally favorable clinical course), clinicians predominantly attributed the presentation to the underlying condition alone (77.8-92.6%). This pattern was observed for ADHD-like symptoms associated with obstructive sleep apnea, language difficulties associated with hearing loss, and psychotic symptoms associated with anti-NMDAr encephalitis. In contrast, when symptoms followed a typical and persistent trajectory, clinicians largely maintained dual diagnoses (81.5-96.3%), as illustrated by schizophrenia associated with 22q11 microdeletion, ASD associated with SHANK3 mutations, and intellectual disability associated with fetal alcohol syndrome.</p><p><strong>Conclusion: </strong>These findings suggest that the described course of symptoms may influence clinicians' diagnostic judgments in complex cases, although further research is needed to clarify how symptom trajectories are used in real-world clinical reasoning.</p>","PeriodicalId":20723,"journal":{"name":"Psychopathology","volume":" ","pages":"1-6"},"PeriodicalIF":3.1,"publicationDate":"2026-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148278519","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Operationalizing the Whole of Psychic Life: Toward a Structured Framework for Psychopathology.","authors":"Ary Gadelha, Bernardo Haguiara, Pedro Gabriel Lorencetti, Gabriela Koga, Igor Studart, Lena Palaniyappan","doi":"10.1159/000552393","DOIUrl":"10.1159/000552393","url":null,"abstract":"<p><strong>Background: </strong>Contemporary psychiatry has advanced by decomposing behavior into discrete constructs, improving reliability but fragmenting conceptual foundations. Excessive comorbidity, blurred diagnostic boundaries, and the reification of operational criteria have created a gap between empirical data and the understanding of mental life as a coherent, lived whole - the modern paradox of \"more data, less coherence.\"</p><p><strong>Summary: </strong>We revisit Karl Jaspers' notion of the whole of psychic life (Ganze des Seelenlebens) as a foundational reference. After clarifying Jaspers' methodological framework - emphasizing the complementary roles of phenomenological description, understanding (Verstehen), and causal explanation (Erklären) - we propose an \"upframing\" of his concept through 5 guiding principles: relationality, historicity, subjectivity, intentionality, and indeterminacy. These principles translate classical phenomenology into a conceptual framework that can be operationalized in contemporary psychiatry, statistics, and neuroscience. We also develop practical tools to isolate patterns of experience without treating them as autonomous entities, allowing reductionism to function as a local methodological tool rather than a global explanatory framework. Finally, we discuss implications for diagnostic systems, transdiagnostic research, and emerging technologies.</p><p><strong>Key messages: </strong>Re-centering inquiry on the whole of psychic life restores context to clinical practice and integrates subjective experience with biological data. The 5 proposed principles offer a structured, operationalizable approach to Jaspers' legacy. This framework provides a coherent point of reference for psychiatric education, research design, and the interpretation of neurobiological findings without losing the human core of the discipline.</p>","PeriodicalId":20723,"journal":{"name":"Psychopathology","volume":" ","pages":"1-12"},"PeriodicalIF":3.1,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148259314","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"From Subjective Impression to Objective Measure: The Nonverbal Foundations of the Praecox Feeling.","authors":"Victor Vattier, Ludovic Marin, Richard Schmidt, Tifenn Fauviaux, Mathilde Parisi, Dorra Mrabet, Delphine Capdevielle, Stéphane Raffard","doi":"10.1159/000552391","DOIUrl":"10.1159/000552391","url":null,"abstract":"<p><strong>Introduction: </strong>The praecox feeling (PF) refers to clinicians' immediate sense of disturbed interpersonal contact when encountering individuals with schizophrenia. Although considered subjective, this experience persists in clinical practice through the PANSS poor rapport item, used as an indirect operational proxy. The behavioral substrates underlying this judgment remain insufficiently specified. We examined whether objectively quantified gestural behavior during first contact relates to clinician-rated poor rapport and whether interaction partners (IPs) adapt their nonverbal behavior accordingly.</p><p><strong>Methods: </strong>Naïve IPs engaged in two first contact interactions, one with an individual with schizophrenia (ISZ) and one with a matched control (MAT), in an ecological setting. Gestural expansiveness was quantified using automatic motion tracking. Poor rapport was assessed independently during a subsequent standardized PANSS interview conducted by a trained psychiatrist not involved in the interaction.</p><p><strong>Results: </strong>Within the schizophrenia group, reduced gestural expansiveness during first contact was associated with higher clinician-rated poor rapport. No significant group difference in gestural expansiveness was observed between ISZ and MAT. However, IPs showed reduced gestural expansiveness when interacting with ISZ.</p><p><strong>Conclusions: </strong>Ecologically measured gesture kinematics were associated with independently assessed clinician-rated interpersonal disturbance. These findings suggest that praecox feeling may reflect clinicians' sensitivity to subtle, measurable alterations in embodied interpersonal dynamics that generalize across interactional settings. Disturbed social contact appears to emerge within a dyadic system rather than from individual behavior alone. Objective movement markers may contribute to operationalizing early interpersonal disturbance and may contribute to refining the phenomenological construct of praecox feeling.</p>","PeriodicalId":20723,"journal":{"name":"Psychopathology","volume":" ","pages":"1-10"},"PeriodicalIF":3.1,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148144397","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Empirical Phenomenological Psychopathology: Aims, Methods, and Explanatory Relevance.","authors":"Pavan S Brar, Elizabeth Pienkos, Gil Grunfeld, Jasper Feyaerts","doi":"10.1159/000552634","DOIUrl":"10.1159/000552634","url":null,"abstract":"<p><strong>Background: </strong>An important feature of contemporary phenomenological psychopathology is the development of explanatory accounts, constructed at the level of first-person experience, for why certain phenomena appear in a psychiatric condition. Termed phenomenological explanation, this approach to explanation is intended to uniquely contribute to diagnostic classification and etiology. Despite its promise for psychiatry, there has yet to be sustained dialogue on the question of how phenomenological explanations can be developed, evaluated, and refined. This paper begins this project.</p><p><strong>Summary: </strong>We first explicitly articulate the philosophical commitments of phenomenological psychopathology. Focusing on the self-disorder model, we show how phenomenological psychopathology operates according to these commitments in proposing explanatory accounts that are in service of two disciplinary aims: typification (i.e., diagnostic classification) and pathogenetic insight (explaining how core symptoms of a condition emerge). We then turn our attention to the three research paradigms typically employed in phenomenological psychopathology: the clinical case study, quantitative methods, and qualitative methods. Here, we demonstrate how each paradigm has strengths and limitations in adhering to the commitments and aims of phenomenological psychopathology.</p><p><strong>Key message: </strong>The practice of phenomenological explanation is best understood as an integrative process in which awareness of the strengths and limitations of distinct research paradigms shapes study design, the interpretation of results, and decisions about future empirical projects.</p>","PeriodicalId":20723,"journal":{"name":"Psychopathology","volume":" ","pages":"1-10"},"PeriodicalIF":3.1,"publicationDate":"2026-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147988658","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Integrating Phenomenological Psychopathology and Group Visual Art Therapy for Patients with Schizophrenia Spectrum Disorders.","authors":"Barbara Kariž, Mads Gram Henriksen, Borut Škodlar","doi":"10.1159/000552544","DOIUrl":"10.1159/000552544","url":null,"abstract":"<p><strong>Introduction: </strong>There is a growing need to translate insights from phenomenological psychopathology into psychotherapeutic practice. Phenomenology offers a deeper understanding of the lived experience of psychosis, and this understanding can render psychotherapy more individualized, empathically attuned, and recovery oriented by attending to experiential dimensions that conventional, symptom-focused approaches may overlook. In this study, we report qualitative findings of patients' lived experiences of group visual art therapy, which we conceptualize as structured phenomenological art therapy. This approach was informed by insights from phenomenological psychopathology and designed specifically for psychiatric patients with schizophrenia spectrum disorders. This approach can be considered nested within arts-based phenomenological research.</p><p><strong>Methods: </strong>The structured phenomenological art therapy was offered to 15 patients with schizophrenia spectrum disorders. The intervention involved twelve structured sessions. The course of therapy was systematically documented, and each patient's experiences were examined through a combination of direct observation, in-depth interviews, and solicited diaries. The study adopted a qualitative research design, structured as a multiple or plural case study.</p><p><strong>Results: </strong>The results indicate that visual art can serve as a therapeutic medium, facilitating self-exploration, and contribute to the construction of narrative identity. Engaging in artistic expression helped patients articulate their emotions, gain new perspectives, and cultivate a sense of hope. The therapeutic process also fostered interpersonal communication and shaped patients' perceptions and experiences of others.</p><p><strong>Conclusion: </strong>During the structured phenomenological art therapy, several patients identified key personal challenges amenable to change, a core objective of psychotherapy, demonstrating the intervention's potential for patients with schizophrenia spectrum disorders.</p>","PeriodicalId":20723,"journal":{"name":"Psychopathology","volume":" ","pages":"1-11"},"PeriodicalIF":3.1,"publicationDate":"2026-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147974646","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Can Self-Disorders Be Self-Rated? Theoretical and Empirical Validity of the Inventory of Psychotic-Like Anomalous Self-Experiences.","authors":"Mads Gram Henriksen, Håvard Hovstad, Helena Cobanovic, Ida-Marie Mølstrøm, Sofie Ørsted-Høyer, Marlene Buch Pedersen, Julie Nordgaard","doi":"10.1159/000552007","DOIUrl":"10.1159/000552007","url":null,"abstract":"<p><strong>Background: </strong>The Inventory of Psychotic-Like Anomalous Self-Experiences (IPASE) was developed as an easy-to-use, self-report measure of self-disorders. Self-disorders are subtle, trait-like, non-psychotic anomalous self-experiences that are traditionally assessed by trained raters using a semi-structured clinical interview, such as the Examination of Anomalous Self-Experience (EASE). Whether self-disorders can be validly assessed via self-report measures remains uncertain. This study explores the theoretical and empirical validity of IPASE.</p><p><strong>Methods: </strong>Forty-one participants (patients with psychosis or schizotypal disorder, patients with other mental disorders, and healthy controls) completed the IPASE and were subsequently assessed with the EASE. Correlations between total scores of IPASE and EASE were analyzed using Spearman's ρ, and group differences were examined with one-way ANOVA. Participants were also asked to describe the experiences they had in mind when agreeing with IPASE items, enabling a qualitative comparison of IPASE item interpretation relative to EASE phenomena.</p><p><strong>Results: </strong>Scores on IPASE and EASE were moderately correlated (Spearman's ρ = 0.54, p < 0.01), corresponding to approximately 29% shared variance. While participants with higher EASE scores tended to report higher IPASE scores, the overlap was limited. Qualitative analyses showed that ordinary experiences, medication-related sensations, or psychotic phenomena often were the basis for agreement with IPASE items.</p><p><strong>Conclusion: </strong>Our findings suggest that, although related, IPASE and EASE do not measure the same construct. The moderate correlation and qualitative discrepancies cast serious doubts on the alleged validity of IPASE for assessing self-disorders, underscoring the importance of phenomenological-clinical interviewing for assessing such psychopathological phenomena.</p>","PeriodicalId":20723,"journal":{"name":"Psychopathology","volume":" ","pages":"1-11"},"PeriodicalIF":3.1,"publicationDate":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147779389","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Collaborative Care Model in Mental Health: Towards a \"Phenomenological Cowriting?\"","authors":"Matteo Chiarani","doi":"10.1159/000549671","DOIUrl":"10.1159/000549671","url":null,"abstract":"<p><strong>Background: </strong>The shift in mental health towards ecological and collaborative models, in alignment with the recovery paradigm, has sparked interest in dialogical and coproductive practices. These practices aimed to promote epistemic justice and strengthen the therapeutic alliance. Among these, collaborative writing (cowriting) is emerging as a promising tool. However, it currently lacks a robust theoretical and methodological foundation, particularly in its integration with phenomenology and its clinical applications. This article proposes the core elements of a \"phenomenological cowriting\" model that seeks to frame the practice within clinical phenomenology, distinguish it from purely narrativist approaches, and highlight its unique contributions.</p><p><strong>Summary: </strong>This study conducts a theoretical analysis with a focus on clinical applicability, integrating the principles of clinical phenomenology with collaborative and dialogical methods. The relevance of a phenomenological cowriting model is demonstrated through a comparative analysis with other collaborative writing approaches, such as those based on narrativist or ethnographic traditions, and is exemplified by a case vignette. From a clinical perspective, we propose a three-phase model: (1) therapeutic dialogue, (2) the use of transcription as a \"textual artefact,\" and (3) joint rewriting. This model provides significant value in terms of process and outcomes. As a process, it embodies a collaborative care framework that minimises epistemic asymmetry and promotes patient agency. As an outcome, it helps clarify the patient's lived experience, including its prereflective dimensions, thereby enriching shared psychopathological knowledge with a first-person perspective.</p><p><strong>Key message: </strong>Phenomenological cowriting should be understood not as a mere technique but as a comprehensive and integrated model of care. Grounded in clinical phenomenology and the coproduction of a text, it provides a structured method for constructing therapeutic pathways that foreground an active role for the patient, ultimately generating clinical knowledge rooted in the subjective experience of suffering.</p>","PeriodicalId":20723,"journal":{"name":"Psychopathology","volume":" ","pages":"154-162"},"PeriodicalIF":2.2,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145574192","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adolescent Non-Suicidal Self-Injury: An Integrative Review of Clinical, Psychopathological, and Sociocultural Dimensions.","authors":"Anneliese Dörr, Sandra Viani, Pablo Salinas, Rainer M Holm-Hadulla","doi":"10.1159/000549350","DOIUrl":"10.1159/000549350","url":null,"abstract":"<p><strong>Background: </strong>Self-injury has become increasingly prevalent among adolescents and young adults over the past decades, reflecting the intersection between individual vulnerability and sociocultural transformations. Understanding this phenomenon requires not only a clinical perspective but also a broader reflection on how current social dynamics - such as digital hyperconnectivity and weakened interpersonal bonds - shape subjectivity and emotional regulation.</p><p><strong>Summary: </strong>This article offers an integrative and interpretive study based on the authors' previous empirical research conducted in 2022, which included semi-structured clinical interviews with 20 young people (19 females and 1 male) aged between 13 and 28 years who engaged in skin-cutting. The analysis considered four dimensions: family dynamics, identity, symptom onset and context, and the function of the symptom. The findings revealed that self-injury is associated with difficulties in identity formation, emotional regulation, and family relationships, which were interpreted in light of contemporary sociocultural changes. To enrich this perspective, theoretical contributions from sociology and philosophy were incorporated to link individual experience with the broader cultural framework.</p><p><strong>Key messages: </strong>Self-injury reflects not only intrapsychic conflict but also the impact of sociocultural transformations characteristic of postmodernity. Understanding its meaning requires integrating clinical, familial, and sociocultural levels of analysis. The proposed therapeutic approach combines evidence-based strategies for emotion regulation with interventions that address the patient's identity and social context. This work aims to provide clinicians with conceptual and practical tools to better understand and treat self-injury as a phenomenon rooted in contemporary culture.</p>","PeriodicalId":20723,"journal":{"name":"Psychopathology","volume":" ","pages":"228-234"},"PeriodicalIF":3.1,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145459533","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Role of Interoception in Felt Presence and Psychosis Risk.","authors":"Anne Felsenheimer, Tatiana Baxter, Michael Sangimino, Sohee Park","doi":"10.1159/000549423","DOIUrl":"10.1159/000549423","url":null,"abstract":"<p><p><p>Background: Felt presence (FP) - the sensation of someone nearby without sensory evidence - is common in healthy adults and related to psychosis risk. FP may arise from a misattribution of internal signals to an external source and often occurs when people are alone. Interoception, the ability to perceive one's own bodily signals, may help distinguish oneself from others. FP could relate to interoception across several dimensions: through altered signal perception (interoceptive accuracy), insight into their perception (interoceptive insight), and/or self-reported beliefs (interoceptive beliefs). This is the first study that investigates this potential relationship.</p><p><strong>Method: </strong>A total of 55 healthy adults completed the heartbeat counting task to assess interoceptive accuracy and insight under three \"social\" conditions: self-view (observing oneself on a screen), other view (being observed by the experimenter on a screen), and baseline (no viewing). Participants completed the Prodromal Questionnaire-16 to screen for psychosis risk, the Inclusion of Other in the Self Scale as a measure of self-other overlap, the Multidimensional Assessment of Interoceptive Awareness (MAIA-2), and indicated whether they ever had a \"felt- or sensed-presence experience\" (Y/N).</p><p><strong>Results: </strong>Psychotic experiences were elevated in individuals with FP, and it was experienced more often in solitude. Overall, the other-view condition reduced both interoceptive accuracy and insight. Distinct interoceptive patterns emerged for FP and psychosis risk. High risk was related to lower interoceptive accuracy, particularly when perceived self-other overlap was low. In contrast, individuals with FP showed intact interoceptive insight when the self-other overlap was low. Both FP and psychosis risk were associated with lower trust in bodily signals and tendency to not distract oneself from bodily sensations. Only FP group reported attending to bodily sensations to calm oneself.</p><p><strong>Conclusion: </strong>Interoceptive accuracy was preserved in those with FP regardless of their psychosis risk, but their trust of and insight into their own bodily signals were reduced. This mismatch may lead to misattributing internal signals to external sources, contributing to FP. However, preserved interoceptive accuracy may support self-regulation, potentially offering a protective effect. These results highlight the potential of interoceptive training to enhance resilience in individuals at risk for psychosis. </p>.</p>","PeriodicalId":20723,"journal":{"name":"Psychopathology","volume":" ","pages":"215-227"},"PeriodicalIF":3.1,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12716850/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145506582","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}