Spirited Conversations - Engaging and Elevating Pediatric OT

23. Understanding Interoception and its Role in Sensory Processing


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In this episode we discuss the relationship between interoceptive processing, conscious and subconscious as well as how that relates to the polyvagal theory. We explore how interoception changes in the different states of the nervous system, such as ventral vagal, sympathetic, and dorsal vagal states. We also discuss the role of interoception in emotions and feelings, and how it can impact social interactions. Our conversation begins our discussion around the importance of understanding interoceptive processing in clinical practice and hopefully offers insights into how we can support individuals with different interoceptive needs.


Check out DFX's learning journeys to build your clinical reasoning skills with Tracy: https://dfxlearningjourneys.thinkific.com/

 

Curious about Regulation 101, follow our link or email us for more information:

https://seedot.thinkific.com/courses/regulation-101

 

Timestamps

00:00:00 - Introduction to the episode and announcement of available training

00:03:23 - Discussion on the relationship between interoception and polyvagal theory

00:06:19 - Importance of understanding the receptors in interoceptive processing

00:08:13 - Interception extends beyond visceral organs to include other receptors

00:09:19 - Interception involves both physical sensations and emotional feelings

00:12:01 - Context of sensation and social touch

00:14:27 - Receptors becoming bristly when not open to receive touch

00:21:13 - Neuroceptive function of comfort and safety

00:23:26 - Tuning into social cues and internal/external focus

00:26:42 - Relationship between state and receptor activation

00:28:20 - Stretch receptors and their role in processing interoceptive information

00:30:07 - Electrical and chemical changes in interoceptive processing

00:31:44 - The role of mismatch and posterior insula in emotion

00:33:59 - Shift from subconscious to awareness-based processing

00:38:44 - Impact of interoception on mobilization

00:41:53 - Tracy discusses the interaction between polyvagal system and interoception

00:43:08 - Tracy explains how states impact interoceptive cues and choices

00:48:42 - Discussion on the role of attention in interoceptive awareness

00:49:52 - The anterior insula's role in drawing attention to interoceptive signals

00:50:59 - Individual differences in valence tipping and interoceptive awareness

00:54:40 - Treatment considerations for interoceptive cues and shame triggers


Key Takeaways:

  • Interoception involves the processing of internal bodily sensations and emotions.
  • Interoceptive processing is influenced by the state of the nervous system, such as the ventral vagal state, sympathetic state, and dorsal vagal state.
  • The quality and function of interoceptive receptors can change depending on the state of the nervous system.
  • Interoceptive cues can signal safety or threat, leading to different physiological and emotional responses.
  • Attentional processes play a role in interoceptive processing, with the ability to shift attention between internal and external cues.


Our Favourite Quote from this episode:

"The valence-based function of interoception tells us if something is good or bad, and if we want more or less of it." – Tracy M Stackhouse.

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Spirited Conversations - Engaging and Elevating Pediatric OTBy Tracy Stackhouse, Cory Dundon, Michelle Maunder

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