Mindfulness-Based Interventions for Caregivers (Parents) of Children With Cerebral Palsy

Families of children with disabilities often experience high levels of stress associated with taking care of a child with disability. The perceived stress by the caregivers may often lead to negative outcomes in day-to-day functioning for caregivers themselves as well as the child. Mindfulness as an element of consciousness has been acknowledged to promote positivity and well-being among individuals. It is a mental state achieved by focusing one's awareness on the present moment, while calmly acknowledging and accepting one's feelings, thoughts, and bodily sensations. This chapter focuses on the application of mindfulness-based therapies for caregivers (parents) of children with cerebral palsy. This chapter also entails in detail therapeutic techniques like Mindfulness-Based Stress Reduction (MBSR), its in-depth description, background, and applications as an effective approach for the intervention of caregivers.

Relaxing music and the self: Insights from the perception of spontaneous sensations

Spontaneous sensations (SPS) are bodily sensations that can be perceived even in the absence of any external trigger and are related to self-referential and self-awareness processes. In this study, we investigated whether music, and in particular its emotional arousal dimension, could act as an external stimulus with the ability to modulate SPS. Thirty-two volunteers engaged in an SPS task (focusing on their hands) after having been exposed to high-arousing and low-arousing music. Results showed that after listening to low-arousing, relaxing music (compared to high-arousing, exciting music), participants perceived SPS more intensely, reported more numerous deep interoceptive sensations, and were more confident in specifying the location of these SPS, while their spatial characteristics decreased. These results suggest that relaxing music promoted increased perception by focusing attention on small areas of the hand. By showing for the first time that music can be used as an effective stimulus for modulating SPS, these findings suggest that, by promoting self-awareness processes, the relaxing nature of music can significantly increase the representation of the self.

Disrupted interoception by auditory distractor: Difficulty inferring the internal bodily states?

Perception of internal bodily sensations or interoception has recently been studied under a predictive coding framework. In this framework, the brain utilizes both top-down prediction and bottom-up prediction error signals to determine the content of the perception through inferences regarding the cause of the ongoing sensation. Particularly, interoception and other exteroceptive sensory modalities are considered to share an integrated, intertwined process of inference. Thus, it is possible that exteroceptive stimuli interfere with the inference of interoception. Hence, we investigated whether auditory stimuli disrupted interoceptive inference that resulted in diminished awareness of interoception. Thirty healthy volunteers performed the heartbeat counting task with and without distractor sounds. The psychophysiological traits that would reflect the individual differences in prior prediction signals of interoception were measured as the high-frequency component of the heart rate variability (HF-HRV) at rest and trait interoceptive sensibility. The results showed that the auditory distractor diminished objective interoceptive accuracy, subjective confidence in interoception, and the intensity of the heartbeat, suggesting disrupted interoceptive inference under external stimuli. Importantly, individual differences in the distractor effect were modulated by both the HF-HRV and tendency to worry about bodily states. These findings support and extend the predictive coding account of interoception by suggesting that interoceptive inference could be disrupted by external stimuli and that such disruption may be modulated by a difference in prior predictions and its precision regarding interoception.

Exploring the Cognitive Model of Social Anxiety in Autistic Young People—The Central Role of Bodily Symptoms

We explored the role of negative performance beliefs and self-focused attention considered central to psychological models of social anxiety but not studied in autism. Firstly, we compared self- and observer ratings of performance on a social task for 71 young autistic people, 41 high and 30 low in social anxiety, finding a significant main effect of social anxiety but not rater. Subsequently, 76 autistic young people, 46 high and 30 low social anxiety completed measures of interoceptive sensibility and focus of attention following a social task. Only heightened interoceptive sensibility fully mediated the relationship between self-ratings of social performance and social anxiety. These findings suggest awareness of bodily sensations are critical to anxiety in social situations with implications for treatment.

From Suspicion to Recognition—Being a Bystander to a Relative Affected by Acute Coronary Syndrome

Within cardiac research, an overwhelming number of studies have explored factors related to pre-hospital delay. However, there is a knowledge gap in studies that explore the bystander’s experiences or significance when an individual is affected by acute coronary syndrome (ACS). We conducted an interview study with 17 individuals affected by ACS and the bystander(s) involved and performed a qualitative thematic analysis. In the pre-hospital phase, the bystander moved from suspicion of illness to recognition of illness while trying to convince the individual affected by ACS (p-ACS) to respond to bodily sensations. This led to conflicts and dilemmas which affected the bystander both before and after the p-ACS was hospitalized. Bystanders may influence pre-hospital delay in both positive and negative direction depending on their own knowledge, convictions, and the nature of their interaction with the p-ACSs. The bystander’s influence during the pre-hospital delay is more extensive than previously recognized.

Mindfulness-Based Intervention on the Recovery of Mental Fatigue: A Systematic Review

Review question / Objective: Can mindfulness-based intervention recover mental fatigue? Condition being studied: Mental fatigue: mental fatigue is a psychobiological state caused by a prolonged period of demanding cognitive activity, and it has implicated many aspects of daily life. It results in an acute feeling of tiredness and a decreased cognitive ability. Mindfulness: Mindfulness is rooted in Buddhism, and it is defined as the awareness that emerges from paying attention to objects on purpose and without judging the unfolding of experience. In a successful mindfulness mediation, meditators experience current feelings, thoughts, and bodily sensations clearly and plainly without judging or evaluating them and acting on the sensation.

Embodied Mindfulness Questionnaire: Scale Development and Validation

Recently developed mindfulness scales have integrated aspects of the body in measuring mindfulness unlike other established scales. However, these scales focused solely on body awareness and did not embrace all aspects of mindfulness and the body. Specifically, they did not integrate embodiment in mindfulness. The proposed Embodied Mindfulness Questionnaire (EMQ) aims to operationalize the proposed notion of “embodied mindfulness” by grounding it into five dimensions, each representing a set of skills that can be cultivated through training and practice: (a) Detachment from Automatic Thinking, (b) Attention and Awareness of Feelings and Bodily Sensations, (c) Connection with the Body, (d) Awareness of the Mind-Body Connection, and (e) Acceptance of Feelings and Bodily Sensations. The EMQ items were developed through consultations with a panel of eight graduate students and a group of 10 experts in the field. Results from a series of three studies supported the proposed five subscales of EMQ and suggested that these subscales are independent and supported by convergent and discriminant evidence. In addition, results suggested that scores of EMQ subscales are different in terms of sensitivity to mindfulness training or meditation practice and experience. Limitations, as well as theoretical and practical implications of the EMQ subscales, are thoroughly discussed.

Negotiating Gender in Everyday Life: Toward a Conceptual Model of Gender Dysphoria in Adolescents

A growing number of adolescents are seeking medical care to alleviate gender dysphoria (GD). This qualitative study explored the subjective experiences of GD among help-seeking transgender and gender nonconforming (TGNC) youth in order to develop a more nuanced conceptualization of the phenomenon. Fifteen life-mode interviews were conducted with newly referred youth between the ages of 13 and 19. All participants were assigned female at birth. The data were analyzed using thematic analysis. The participants targeted five major themes that characterize GD: (1) Bodily sensations were constant reminders of GD throughout the day, (2) emotional memories from the past of being different and outside triggered GD, (3) the process of coming out was a transformative experience that changed how the participants understood themselves, (4) GD both increased and decreased in relation to others, (5) everyday life required careful negotiation to feel whole without developing new forms of GD. Based on the results, we suggest a more conceptually nuanced model of GD, one which accounts for how bodily sensations and emotional memories from the past were sources that elicited GD. The sources were mediated through the process of coming out and relating to others, and this resulted in the negotiation of GD today. The conceptual model suggested in the present study could ideally shed light on preexisting knowledge on TGNC youth struggling with GD. In addition, an improved understanding of GD could ideally help clinicians when addressing individual treatment needs.

Corporeality: a haptic space

<div>The hegemony of vision and the suppression of other sensory realms has led to an architecture distanced from the human body. Undoubtedly, vision has the ability to receive the greatest amount of information from our surroundings; hence, it has been considered as primary to our perception. However, its interconnection with other bodily sensations is essential to perceive the totality of space; this connection also compensates for the limitations of sight. The purpose of this critique is not to demonize visuality; it is to consider the rhizomatic and interconnected nature of haptic perception of space. Approaching corporeality results in haptic spaces that enhance or suppress our bodily experience of spatial qualities while sharpening our visual experience. A haptic space will introduce more possibilities for bodily actions by focusing on spatiality, unifying the architecture of the foreground with the background. The concept of spatiality merges space and movement of the body, and therefore it can support or suppress the actions. These actions are subjectively performed based on perceived spatial opportunities through haptic perception. The thesis is intended to explore possibilities embedded within haptic space to create a richer architectural experience. It will explore the spatial interconnections between haptic perception, somatosensory system, vision and consequently bodily movements.</div>

Hypochondriac Beliefs and Behavior in Patients with Somatoform Disorders: Relationship to Somatic Complaints and Subjective Well-Being

Background: studies of the psychological mechanisms of perpetuation and quality of life in patients with somatoform disorders are important for identifying targets for psychological interventions and defi ning risk groups. Aim: to reveal specifi c hypochondriac beliefs and behavior in patients with somatoform disorders related to severity of somatic complaints and subjective well-being. Patients and methods: 100 patients with somatoform disorders were assessed by using Screening for Somatoform Symptoms, Toronto Alexithymia Scale, Cognitions About Body And Health Questionnaire, Scale for the Assessment of Illness Behaviour, and Quality of Life Enjoyment and Satisfaction Questionnaire-18. Results: level of somatoform symptoms is higher in patients with a tendency to catastrophize bodily sensations, autonomic disfunction, mental scanning for bodily symptoms, and disturbances in daily activities due to illness. Regardless of somatoform symptoms’ severity, subjective well-being is lower in patients with belief in bodily weakness and somatosensory amplifi cation, autonomic sensations, expression of symptoms, and changes in daily activities due to illness. Conclusions: the results are discussed in the context of possible psychological and behavioral factors in the perpetuation of somatoform disorders. Patients of older age are at risk of perpetuation of somatoform disorders due to a greater tendency to catastrophize bodily sensations and higher belief in bodily weakness.