A Psychophysical Window onto the Subjective Experience of Compulsion

In this perspective, we follow the idea that an integration of cognitive models with sensorimotor theories of compulsion is required to understand the subjective experience of compulsive action. We argue that cognitive biases in obsessive–compulsive disorder may obscure an altered momentary, pre-ref...

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Main Authors: Stefan Schmidt, Gerd Wagner, Martin Walter, Max-Philipp Stenner
Format: Article
Language:English
Published: MDPI AG 2021-02-01
Series:Brain Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-3425/11/2/182
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author Stefan Schmidt
Gerd Wagner
Martin Walter
Max-Philipp Stenner
author_facet Stefan Schmidt
Gerd Wagner
Martin Walter
Max-Philipp Stenner
author_sort Stefan Schmidt
collection DOAJ
description In this perspective, we follow the idea that an integration of cognitive models with sensorimotor theories of compulsion is required to understand the subjective experience of compulsive action. We argue that cognitive biases in obsessive–compulsive disorder may obscure an altered momentary, pre-reflective experience of sensorimotor control, whose detection thus requires an implicit experimental operationalization. We propose that a classic psychophysical test exists that provides this implicit operationalization, i.e., the intentional binding paradigm. We show how intentional binding can pit two ideas against each other that are fundamental to current sensorimotor theories of compulsion, i.e., the idea of excessive conscious monitoring of action, and the idea that patients with obsessive–compulsive disorder compensate for diminished conscious access to “internal states”, including states of the body, by relying on more readily observable proxies. Following these ideas, we develop concrete, testable hypotheses on how intentional binding changes under the assumption of different sensorimotor theories of compulsion. Furthermore, we demonstrate how intentional binding provides a touchstone for predictive coding accounts of obsessive–compulsive disorder. A thorough empirical test of the hypotheses developed in this perspective could help explain the puzzling, disabling phenomenon of compulsion, with implications for the normal subjective experience of human action.
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spelling doaj.art-d6f56139d998446687051d8f7973822d2023-12-03T12:08:41ZengMDPI AGBrain Sciences2076-34252021-02-0111218210.3390/brainsci11020182A Psychophysical Window onto the Subjective Experience of CompulsionStefan Schmidt0Gerd Wagner1Martin Walter2Max-Philipp Stenner3Department of Psychiatry and Psychotherapy, Jena University Hospital, 07743 Jena, GermanyDepartment of Psychiatry and Psychotherapy, Jena University Hospital, 07743 Jena, GermanyDepartment of Psychiatry and Psychotherapy, Jena University Hospital, 07743 Jena, GermanyDepartment of Behavioral Neurology, Leibniz Institute for Neurobiology, 39118 Magdeburg, GermanyIn this perspective, we follow the idea that an integration of cognitive models with sensorimotor theories of compulsion is required to understand the subjective experience of compulsive action. We argue that cognitive biases in obsessive–compulsive disorder may obscure an altered momentary, pre-reflective experience of sensorimotor control, whose detection thus requires an implicit experimental operationalization. We propose that a classic psychophysical test exists that provides this implicit operationalization, i.e., the intentional binding paradigm. We show how intentional binding can pit two ideas against each other that are fundamental to current sensorimotor theories of compulsion, i.e., the idea of excessive conscious monitoring of action, and the idea that patients with obsessive–compulsive disorder compensate for diminished conscious access to “internal states”, including states of the body, by relying on more readily observable proxies. Following these ideas, we develop concrete, testable hypotheses on how intentional binding changes under the assumption of different sensorimotor theories of compulsion. Furthermore, we demonstrate how intentional binding provides a touchstone for predictive coding accounts of obsessive–compulsive disorder. A thorough empirical test of the hypotheses developed in this perspective could help explain the puzzling, disabling phenomenon of compulsion, with implications for the normal subjective experience of human action.https://www.mdpi.com/2076-3425/11/2/182obsessive–compulsive disordersense of agencyintentional bindingcue integration
spellingShingle Stefan Schmidt
Gerd Wagner
Martin Walter
Max-Philipp Stenner
A Psychophysical Window onto the Subjective Experience of Compulsion
Brain Sciences
obsessive–compulsive disorder
sense of agency
intentional binding
cue integration
title A Psychophysical Window onto the Subjective Experience of Compulsion
title_full A Psychophysical Window onto the Subjective Experience of Compulsion
title_fullStr A Psychophysical Window onto the Subjective Experience of Compulsion
title_full_unstemmed A Psychophysical Window onto the Subjective Experience of Compulsion
title_short A Psychophysical Window onto the Subjective Experience of Compulsion
title_sort psychophysical window onto the subjective experience of compulsion
topic obsessive–compulsive disorder
sense of agency
intentional binding
cue integration
url https://www.mdpi.com/2076-3425/11/2/182
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