The depersonalized brain: New evidence supporting a distinction between depersonalization and derealization from discrete patterns of autonomic suppression observed in a non-clinical sample

Conscious Cogn. 2018 Aug:63:29-46. doi: 10.1016/j.concog.2018.06.008. Epub 2018 Jun 18.

Abstract

Depersonalization and Derealization are characterised by feelings of detachment from one's bodily self/surroundings and a general emotional numbness. We explored predisposition to trait-based experiences of depersonalization/derealization-type experiences and autonomic arousal toward simulated body-threats, which were delivered to the participant's own body (i.e. Self) and when observed being delivered to another individual (i.e. Other). Ninety participants took part in an "Implied Body-Threat Illusion" task (Dewe, Watson, & Braithwaite, 2016) and autonomic arousal was recorded via standardised skin conductance responses and finger temperature. Autonomic suppression in response to threats delivered to the Self correlated with increases in trait-based depersonalization-type experiences. In contrast, autonomic suppression for threats delivered to Others correlated with trait-based derealization-like experiences. Body-temperature and anticipatory arousal did not correlate reliably with predisposition to depersonalization- or derealization-type experiences. The theoretical implications of these findings are discussed in terms of a fronto-limbic autonomic suppression mechanism.

Keywords: Anomalous body experience; Depersonalization; Derealization; Dissociation; Multisensory integration; Self-consciousness; Skin conductance responses (SCRs).

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Arousal
  • Body Temperature / physiology
  • Brain / physiopathology*
  • Consciousness / physiology*
  • Depersonalization / physiopathology*
  • Fear / physiology
  • Fear / psychology
  • Female
  • Fingers
  • Galvanic Skin Response / physiology*
  • Humans
  • Male
  • Middle Aged
  • Psychiatric Status Rating Scales
  • Young Adult