Addendum: Cross-cultural differences in somatic awareness and interoceptive accuracy: a review of the literature and directions for future research
- Department of Psychology, University of La Verne, La Verne, CA, USA
by Ma-Kellams, C. (2014). Front. Psychol. 5:1379. doi: 10.3389/fpsyg.2014.01379
Reason for addendum:
In the original version of this paper, parts of the text inadvertently contained notes and overlooked important contributions from the literature, resulting in statements that were improperly worded or insufficiently cited. Below are the corrections, with apologies to the authors.
In the original text in Part 1: Cross-Cultural Differences describing the differences between somatic or interoceptive awareness versus accuracy (i.e., the text starting with “Somatic or interoceptive awareness centers on…” to the end of the paragraph), it should state that Chentsova-Dutton and Dzokoto (2014) were the ones who contended that awareness and accuracy are differentially driven by a distinct constellation of processes, citing evidence that awareness is driven by cultural schemas (e.g., Rimé et al., 1990) whereas accuracy is driven more by bodily cues (e.g., Jones et al., 1987); they also cite additional evidence (e.g., from Pennebaker and Hoover, 1984; Critchley et al., 2004; Fairclough and Goodwin, 2007) that the two forces do not always go hand-in-hand. It should also state that although previous studies have used performance on a heartbeat detection task (i.e., assessment of the difference between a participants' reported heartbeats and actual heartbeats) as a measure of interoceptive awareness (e.g., Pollatos et al., 2007; Herbert et al., 2012), there is now a general consensus among interception researchers that awareness and accuracy are not the same (Bornemann et al., 2015; Farb et al., 2015; Garfinkel et al., 2015), and that while awareness is about being cognitively mindful of one's bodily states, accuracy is about whether perception of one's bodily states aligns with reality; as such, people who are high on awareness are not necessarily also high on accuracy (for review, see Ceunen et al., 2013). However, variation still exists when it comes to the definition of interoceptive awareness, and what usage of that term refers to Mehling et al. (2012) and Garfinkel et al. (2015).
The original text from the same paragraph in Part 1 stated that traditional models of African medicine emphasized the holistic, harmonious integration of mind and body (Mbiti, 1970) but should state that this was a feature of traditional African religions, correct the year of the publication to 1969, and specify that according to Mbiti, traditional African religion takes a holistic approach to “occupy[ing] the whole person” (Mbiti, 1969, p. 3); as such “no line is drawn between the spiritual and physical” (Mbiti, 1969; p. 4).
In the original text, also in Part 1, that distinguished between two forms of bodily awareness (i.e., “Additionally, a further distinction can be made between proprioceptive versus interoceptive awareness…” and the following sentence), it should state that three distinctions can be made for sensory awareness more broadly (including, but not limited to, forms of bodily awareness): between: (1) exteroception or mechanoreception—i.e., of eyes, ears, skin; (2) prioprioception—i.e., of muscles, joints, and (3) interoception—i.e., of internal organs (for review, see Cacioppo et al., 2007; see also Chentsova-Dutton and Dzokoto, 2014 and Garfinkel and Critchley, 2013). Although bodily awareness more appropriately describes prioprioception and interoception (but not exteroception), it can still include mental processes that follow from perceiving and judging external features of the body (Daubenmier, 2005; Mehling et al., 2009; Daubenmier et al., 2016).
In the original text that described cultural groups who emphasized their body in language and illness (i.e., the paragraph texts that state “A growing number of recent studies has found that many cultural groups…” from Part 1 and “In the context of physical illness…” from Part 4: Interoception and Psychopathology), it should state that Chentsova-Dutton and Dzokoto (2014) observed these trends in non-European-American contexts (i.e., among the cited studies from Papua New Guinea, aboriginal Australia, West Africa, China, and Cambodia, and among African-Americans in the U.S.). It should also be noted that in addition to these cases, many cultural groups also emphasize the body in their use of language terms. To illustrate, the Ifaluk of Micronesia do not appear to have a specific word for “emotion” but rather, related words that refer more to physical, internal experiences—for example, “niferash” refers to “the most general terms used to describe internal functioning” (Lutz, 1988, p. 92). This phenomenon that has also been observed in other languages (for review, see Pavlenko, 2008). In terms of illness, numerous studies suggest that African–Americans are more likely to experience somatic symptoms in response to depression (Brown et al., 1996; Das et al., 2006). Outside the U.S., a large-scale international study across 14 countries in five continents found similar evidence for somatic symptoms as a common feature of depression (Simon et al., 1999). Similarly elevated reports of physical symptoms like pain have also been shown in physical health contexts (for example, ethnic minorities in this country report higher levels of unrelieved pain relative to European-Americans—for review, see Shavers et al., 2010).
The original text from Part 4 that stated that Cheung (1995) argued that explanations for somatization in other cultures were made post-hoc, but should be corrected to state that the Cheung finding and reference was put forth and cited by Ryder et al. (2008).
The author confirms being the sole contributor of this work and approved it for publication.
Conflict of Interest Statement
The author declares that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
Thanks to Yulia Chentsova-Dutton to bringing my attention to the mis-wording and missing citations, and to her and the authors for their graciousness in light of this oversight.
Bornemann, B., Herbert, B. M., Mehling, W. E., and Singer, T. (2015). Differential changes in self-reported aspects of interoceptive awareness through 3 months of contemplative training. Front. Psychol. 5:1504. doi: 10.3389/fpsyg.2014.01504
Brown, C., Schulberg, H. C., and Madonia, M. J. (1996). Clinical presentations of major depression by African Americans and whites in primary medical care practice. J. Affect. Disord. 41, 181–191. doi: 10.1016/S0165-0327(96)00085-7
Ceunen, E., Van Diest, I., and Vlaeyen, J. (2013). Accuracy and awareness of perception: related, yet distinct (commentary on Herbert et al., 2012). Biol. Psychol. 92, 423–427. doi: 10.1016/j.biopsycho.2012.09.012
Cheung, F. M. (1995). “Facts and myths about somatization among the Chinese,” in Chinese Societies and Mental Health, eds T.-Y. Lin, W. S. Tseng, and E. K. Yeh (Hong Kong: Oxford University Press), 156–180.
Das, A. K., Olfson, M., McCurtis, H. L., and Weissman, M. M. (2006). Depression in African Americans: breaking barriers to detection and treatment: community-based studies tend to ignore high-risk groups of African Americans. J. Fam. Pract. 55, 30–39. Available online at: http://www.jfponline.com
Daubenmier, J. J. (2005). The relationship of yoga, body awareness, and body responsiveness to self−objectification and disordered eating. Psychol. Women Q. 29, 207–219. doi: 10.1111/j.1471-6402.2005.00183.x
Daubenmier, J., Moran, P. J., Kristeller, J., Acree, M., Bacchetti, P., Kemeny, M. E., et al. (2016). Effects of a mindfulness−based weight loss intervention in adults with obesity: a randomized clinical trial. Obesity 24, 794–804. doi: 10.1002/oby.21396
Fairclough, S. H., and Goodwin, L. (2007). The effect of psychological stress and relaxation on interoceptive accuracy: implications for symptom perception. J. Psychosom. Res. 62, 289–295. doi: 10.1016/j.jpsychores.2006.10.017
Garfinkel, S. N., and Critchley, H. D. (2013). Interoception, emotion and brain: new insights link internal physiology to social behaviour. Commentary on: “Anterior insular cortex mediates bodily sensibility and social anxiety” by Terasawa et al.(2012). Soc. Cogn. Affect. Neurosci. 8, 231–234. doi: 10.1093/scan/nss140
Garfinkel, S. N., Seth, A. K., Barrett, A. B., Suzuki, K., and Critchley, H. D. (2015). Knowing your own heart: distinguishing interoceptive accuracy from interoceptive awareness. Biol. Psychol. 104, 65–74. doi: 10.1016/j.biopsycho.2014.11.004
Herbert, B. M., Herbert, C., Pollatos, O., Weimer, K., Enck, P., Sauer, H., et al. (2012). Effects of short-term food deprivation on interoceptive awareness, feelings and autonomic cardiac activity. Biol. Psychol. 89, 71–79. doi: 10.1016/j.biopsycho.2011.09.004
Jones, G. E., Jones, K. R., Rouse, C. H., Scott, D. M., and Caldwell, J. A. (1987). The effect of body position on the perception of cardiac sensations: an experiment and theoretical implications. Psychophysiology 24, 300–311. doi: 10.1111/j.1469-8986.1987.tb00300.x
Mehling, W. E., Gopisetty, V., Daubenmier, J., Price, C. J., Hecht, F. M., and Stewart, A. (2009). Body awareness: construct and self-report measures. PLoS ONE 4:e5614. doi: 10.1371/journal.pone.0005614
Mehling, W. E., Price, C., Daubenmier, J. J., Acree, M., Bartmess, E., and Stewart, A. (2012). The multidimensional assessment of interoceptive awareness (MAIA). PLoS ONE 7:e48230. doi: 10.1371/journal.pone.0048230
Pollatos, O., Herbert, B. M., Matthias, E., and Schandry, R. (2007). Heart rate response after emotional picture presentation is modulated by interoceptive awareness. Int. J. Psychophysiol. 63, 117–124. doi: 10.1016/j.ijpsycho.2006.09.003
Ryder, A. G., Yang, J., Zhu, X., Yao, S., Yi, J., Heine, S. J., et al. (2008). The cultural shaping of depression: somatic symptoms in China, psychological symptoms in North America? J. Abnorm. Psychol. 117, 300–313. doi: 10.1037/0021-843X.117.2.300
Keywords: culture, somatic awareness, interoception, somatization, meditation
Citation: Ma-Kellams C (2016) Addendum: Cross-cultural differences in somatic awareness and interoceptive accuracy: a review of the literature and directions for future research. Front. Psychol. 7:1240. doi: 10.3389/fpsyg.2016.01240
Received: 22 June 2016; Accepted: 04 August 2016;
Published: 17 August 2016.
Edited by:Wolf E. Mehling, University of California, San Francisco, USA
Reviewed by:Beate M. Herbert, Eberhard Karls University, Tübingen, Germany
Copyright © 2016 Ma-Kellams. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
*Correspondence: Christine Ma-Kellams, firstname.lastname@example.org