P300-mediated modulations in self-other processing under psychedelic psilocybin are related to connectedness and changed meaning: A window into the self-other overlap
In a placebo‑controlled, double‑blind crossover EEG study (n = 17), psilocybin abolished the P300‑timeframe distinction between self‑ and other‑related auditory feedback—driven by current source density changes in the supragenual anterior cingulate and right insula—and the magnitude of this effect correlated with subjective feelings of unity and changed meaning. These findings indicate 5‑HT‑mediated modulation of late self‑referential encoding underlies altered self–other overlap and may inform therapeutic models emphasising connectedness.
Authors
- Milan Scheidegger
Published
Abstract
AbstractThe concept of self and self‐referential processing has a growing explanatory value in psychiatry and neuroscience, referring to the cognitive organization and perceptual differentiation of self‐stimuli in health and disease. Conditions in which selfhood loses its natural coherence offer a unique opportunity for elucidating the mechanisms underlying self‐disturbances. We assessed the psychoactive effects of psilocybin (230 μg/kg p.o.), a preferential 5‐HT1A/2A agonist known to induce shifts in self‐perception. Our placebo‐controlled, double‐blind, within‐subject crossover experiment (n = 17) implemented a verbal self‐monitoring task involving vocalizations and participant identification of real‐time auditory source‐ (self/other) and pitch‐modulating feedback. Subjective experience and task performance were analyzed, with time‐point‐by‐time‐point assumption‐free multivariate randomization statistics applied to the spatiotemporal dynamics of event‐related potentials. Psilocybin‐modulated self‐experience, interacted with source to affect task accuracy, and altered the late phase of self‐stimuli encoding by abolishing the distinctiveness of self‐ and other‐related electric field configurations during the P300 timeframe. This last effect was driven by current source density changes within the supragenual anterior cingulate and right insular cortex. The extent of the P300 effect was associated with the intensity of psilocybin‐induced feelings of unity and changed meaning of percepts. Modulations of late encoding and their underlying neural generators in self‐referential processing networks via 5‐HT signaling may be key for understanding self‐disorders. This mechanism may reflect a neural instantiation of altered self–other and relational meaning processing in a stimulus‐locked time domain. The study elucidates the neuropharmacological foundation of subjectivity, with implications for therapy, underscoring the concept of connectedness.
Research Summary of 'P300-mediated modulations in self-other processing under psychedelic psilocybin are related to connectedness and changed meaning: A window into the self-other overlap'
Introduction
The paper frames ‘‘self’’ as the demarcated subject of experience and highlights neuroscientific evidence that the brain distinguishes self-related from other-related stimuli across sequential processing stages. Early sensory stages (roughly 100–200 ms) show differences in N1/N170 and P2/N2 amplitudes thought to reflect automatic sensory-feedback mechanisms that detect expected, overlearned self-input (for example, one's own voice). Later stages, particularly the P300 component (approximately 300–600 ms), have been linked to elaborative and categorical processing in frontoparietal circuits and typically show a processing bias favouring self-related stimuli. Disruptions of these stages have been implicated in psychiatric symptoms such as schizophrenia, bipolar disorder, and depression, but the neuropharmacology of self–other differentiation and its relationship to subjective experience remain underexplored. To address this gap, T. and colleagues administered a single oral dose of psilocybin (230 μg/kg) versus placebo in a double-blind, within-subject crossover design in healthy volunteers and used an auditory verbal self-monitoring task combined with high-density EEG to probe behavioural, experiential, and neural markers of self–other processing. The study tested whether psilocybin would blur the differentiation between self and other at behavioural and neural levels, with a particular focus on alterations in the N100 and P300 event-related potentials and associations between neural changes and subjective drug effects (dimensions of unity, disembodiment, and changed meaning of percepts).
Methods
Design and participants: The experiment employed a double-blind, placebo-controlled, within-subject crossover design with counterbalanced order. Seventeen healthy right-handed participants (9 males; mean age 25.1 ± 4.1 years; mean verbal IQ 104.9 ± 10.7) completed both sessions separated by at least two weeks. The extraction states that recruitment and inclusion/exclusion criteria and a study flow diagram are reported in Supplementary Material, but those details are not present in the provided text. Drug administration and psychometrics: Psilocybin was administered orally at 230 μg/kg body weight; placebo capsules contained lactose. Subjective drug effects were measured using the Altered States of Consciousness rating scale (5D-ASC). From that instrument the authors focused on three self-related dimensions—feeling of unity, disembodiment, and changed meaning of percepts—and one audio-visual synesthesia dimension, given the auditory task modality. Task and behavioural measures: The core behavioural assay was a verbal self-monitoring task initiated 75 minutes post-administration (around the peak plateau of psilocybin effects). On each trial participants vocalised the sound [a:] and received real-time auditory feedback that varied by source (their own voice, a prerecorded other voice matched by sex) and by pitch (unaltered or two semitones down). After each trial participants judged whether the heard voice was their own, someone else's, or they were unsure; they were instructed to respond ‘‘self’’ when they recognised their own voice even if pitch-shifted. Background pink noise was played to attenuate bone conduction; trials included 280 total (70 per condition). Reaction times and responses were recorded; late responses (>5 s) were marked as missing. The extraction does not provide full technical details of voice-processing algorithms beyond noting real-time pitch shifting and prerecorded replacement for the ‘‘other’’ condition. EEG acquisition and preprocessing: EEG was recorded with a 64-channel BioSemi ActiveTwo system, sampling at 2048 Hz. Preprocessing (BrainVision Analyzer 2.1) included down-sampling to 512 Hz, band-pass filtering 0.5–20 Hz, ocular artefact removal via independent component analysis, interpolation of noisy channels, epoching from −200 to +800 ms relative to vocalisation onset, rejection of sweeps exceeding ±80 μV or gradients >30 μV/ms, baseline correction (−200 to 0 ms), and average referencing. The reported mean ± SD of accepted epochs per condition are provided in the extraction (for example, placebo self 67.7 ± 2.0), but the text labels these with ‘‘ms’’ which appears inconsistent; the extraction does not clearly report units for these values. Behavioural analysis: Behavioural responses (correct, incorrect, unsure) were analysed using multinomial logistic regression to estimate response probabilities as a function of treatment (psilocybin/placebo), source (self/other), and pitch (unaltered/pitch-shifted). Two models were used: Model 1 included all trials; Model 2 excluded pitch-shifted trials to focus on the genuine self–other contrast. Missing responses were rare and were not modelled. EEG/statistical approach: The authors used an assumption-free, whole-scalp randomization framework implemented in the RAGU toolbox to assess spatiotemporal ERP differences without selection of channels or time windows a priori. Tests included the topographic consistency test (TCT), topographic analysis of variance (TANOVA) and topographic analysis of covariance (TANCOVA) with 5,000 permutations across the full 800 ms poststimulus window. Global duration statistics were applied to account for temporal autocorrelation and multiple comparisons, accepting effects that exceeded 95% of durations in randomized permutations. TANOVA assessed spatial distribution differences between factors (treatment, source) and constrained permutations to maintain sensitivity. Significant TANOVA effects were followed by post hoc t-maps and multidimensional scaling. TANCOVA tested linear covariation between ERP topography differences and continuous behavioural/subjective variables (ASC differences) using bootstrapping and randomization. Current source density (CSD) inverse analyses were applied to infer likely cortical generators for observed scalp topographies within identified time windows.
Results
Subjective effects: Psilocybin produced robust alterations on the 5D-ASC. A two-way analysis showed a significant drug-by-scale interaction (F10,160 = 16.71, p < .0001) and main effects of scale (F10,160 = 17.29, p < .0001) and treatment (F1,16 = 83.05, p < .0001). Post hoc Tukey tests indicated significant increases after psilocybin for most ASC subscales except anxiety (p = 0.999) and the spiritual experience subscale (p = .991); insightfulness increased at p = .024 and other subscales at p < .0001 according to the extracted text. Behavioural task performance: Response counts and proportions differed between placebo and psilocybin. Under placebo the task yielded 3,823 correct (80.43%), 628 incorrect (13.21%), and 302 unsure (6.35%) responses. Under psilocybin there were 3,442 correct (73.03%), 911 incorrect (19.33%), and 360 unsure (7.64%). Multinomial logistic regression results reported positive coefficients and significant p-values indicating increased probability of inaccurate responses under psilocybin. Specifically, reported coefficients for the treatment × source interaction were β = .373 (p = .004) and β = .676 (p = .003) for Models 1 and 2 respectively, supporting the hypothesis that psilocybin disproportionately reduced correct identification of self voices. Inclusion of pitch produced a significant main drug effect on false recognitions (β = .330, p = .004), but this effect became nonsignificant when pitch-shifted trials were excluded (β = .223, p = .084). A three-way interaction (treatment × source × pitch) was nonsignificant (β = .264, p = .085 for incorrect and unsure responses). EEG topographies and TANOVA: The TCT was used first to assess topographic consistency and led the authors to disregard some early timeframes that lacked consistent scalp configurations. The main TANOVA revealed a drug-by-source interaction in the P300 timeframe (noted in figures as roughly 452–520 ms). Post hoc t-maps showed a significant difference in scalp configuration between self and other under placebo (p = .017; tmax at Cpz = 4.580; tmin at TP7 = −5.728) but not under psilocybin (all other contrasts p > .270, uncorrected). Multidimensional scaling indicated that self and other processing were more distinct under placebo and much more similar under psilocybin, consistent with a loss of topographic distinctiveness in the P300 window. Current source density (inverse) results: Within the identified P300 window, inverse modelling implicated differential contributions from supragenual anterior cingulate cortex and right insular cortex to self–other distinctions that were diminished under psilocybin. The extraction also notes lower CSD in the right auditory cortex under psilocybin, suggesting reduced engagement there. Precise numerical source estimates and statistical details of the inverse solutions are not fully reported in the extracted text. Associations between neural changes and subjective experience: TANCOVA revealed linear covariation between the psilocybin-induced difference in self-related ERPs and ASC subscales in specific time windows: feeling of unity (447–472 ms), changed meaning of percepts (485–520 ms), and disembodiment (94–130 ms). These effects exceeded 20 ms in duration and were reported as significant at p < .05. The initial 5 ms of the unity effect occurred during a period of inconsistent topographies per the TCT and is noted as such. No reliable TANCOVA effects were found for other-related conditions, apart from a disembodiment effect (335–370 ms) that was discarded due to inconsistent topographies. Other observations: The authors report a general psilocybin effect in the N100 timeframe linked to disembodiment, but this early effect did not meet the global duration statistics criterion and was therefore treated cautiously.
Discussion
T. and colleagues interpret their findings as evidence that psilocybin reduces the neural distinctiveness between self- and other-related auditory stimuli during late, P300-stage processing. Behaviourally, psilocybin disproportionately impaired correct self-attribution in the speech-monitoring task, and neurally the scalp topographies that normally distinguish self from other in the P300 window under placebo were abolished under psilocybin. Multidimensional scaling and waveform inspection supported the view that psilocybin made self- and other-related neural events more similar. The authors link these P300 modulations to inversely modelled changes in supragenual anterior cingulate and right insular cortex engagement, and they note a reduction in right auditory cortical CSD, situating the effects within frontomedial and insular regions rich in 5-HT2A/1A receptor expression—the principal targets of psilocybin. The authors emphasise that the magnitude of the P300 alteration covaried with subjective reports of unity and changed meaning of percepts, suggesting a relationship between altered self–other neural encoding and experiential connectedness or reappraisal of perceptual meaning. They note this aligns with prior imaging work linking psychedelic drugs to altered meaning attribution and with literature showing attenuated P300 self–other differences in meditators and in paradigms that promote self–other overlap. The authors propose that altered meaning attribution and reduced self-focus may be mechanisms relevant to the therapeutic effects of psychedelics, for example by reducing maladaptive rumination or enhancing connectedness in depression. The discussion recognises limitations the authors acknowledge: possible confounding by attentional deficits or task disengagement under psilocybin (though they argue the treatment × condition interaction and the absence of a main drug effect on P300 topography mitigate this), potential carry-over effects inherent to crossover designs and the challenge of effective blinding for conspicuous psychoactive compounds, and domain specificity since the study focused on vocal/auditory self-monitoring. They also note uncertainty about generalisability to other tryptamine psychedelics. The authors recommend future studies examine other perceptual domains and further probe early (N100) mechanisms and sensory-motor corollary discharge processes that relate to bodily aspects of self-experience. Finally, the authors situate their results in broader relevance to social and clinical neuroscience: transient psilocybin-induced reductions in self–other differentiation may underlie phenomenology such as ego-dissolution and feelings of connectedness, phenomena reported to persist and to mediate therapeutic gains in clinical trials of psychedelic-assisted therapy. They suggest that perturbing self-referential processing via serotonergic mechanisms provides an experimentally tractable model for studying the neurobiology of subjectivity and may inform clinical applications targeting excessive self-focus and disconnection.
Conclusion
Using high-temporal-resolution EEG and data-driven whole-scalp analyses, the authors conclude that psilocybin abolishes the distinctiveness of self-related scalp configurations in the P300 timeframe, associated with altered activity in the supragenual anterior cingulate cortex and insula. These findings are presented as advancing mechanistic understanding of self–other processing and the neurobiological basis of subjectivity, and the authors propose that serotonergic psychedelic stimulation offers a valid experimental platform for perturbing and quantifying altered self-referential processing.
View full paper sections
| EXPERIMENTAL DESIGN
The study employed a double-blind, placebo-controlled, withinsubject design with a counterbalanced order of administration.
| PARTICIPANTS
Seventeen healthy right-handed individuals (9 males, mean age 25.1 ± 4.1 years, mean verbal IQ 104.9 ± 10.7) were included in the analysis (details on recruitment and exclusion/inclusion criteria as well as a study flow diagram are given in the Supplementary Material, pp. 2-3). Written consent was obtained from subjects before enrollment. The experiment was approved by the Cantonal Ethics Committee of Zurich, Switzerland.
| DRUG AND DOSING
Psilocybin (230 μg/kg body weight, mean body weight of subjects 71.5 ± 16.5 kg) and placebo (lactose) were administered in capsules of identical appearance on two experimental days separated by at least 2 weeks to minimize carry-over effects. The use of psilocybin was authorized by the Swiss Federal Office for Public Health, Department of Pharmacology and Narcotics, Bern, Switzerland.
| PSYCHOMETRICS
Drug effects were measured by the Altered States of Consciousness rating scale (5D-ASC), using 11 previously empirically extracted scales. The present analysis specifically utilized three self-related processing dimensions reflecting (a) alterations in self-experience, that is, feelings of unity, (b) lessened bodily reference, that is, disembodiment, and (c) altered attribution of meaning, that is, changed meaning of percepts, as well as one additional aspect related to audio-visual changes (i.e., audio-visual synesthesia; multisensory perceptual experiences), which was considered based on the task modality. The changed meaning dimension was included because the attribution of personal relevance to external stimuli may convey an important aspect of self-relatedness. In addition, our previous functional magnetic resonance imaging (fMRI) studies identified prominent acute changes in this domain caused by psychedelic drugs and related to self-related processing.
| TASK AND PROCEDURES
The experiment started 75 min post-administration, corresponding to the beginning of the plateau of peak subjective effects produced by orally administered psilocybin. Each trial was initiated with a visual cue "A," after which subjects pronounced the sound [a:] for about 1 s and received real-time audio feedback that varied between the participant's own unaltered voice, the participant's pitch-shifted voice, an unaltered "other" voice, and a pitch-shifted "other" voice. The pitch shifting was integrated into this self-monitoring task to introduce sufficient variation and to increase task difficulty. After each trial, subjects indicated via key press whether they heard their own voice, the voice of someone else, or whether they were unsure. Importantly, they were instructed to choose the "self" response whenever they recognized their own voice, even when it was pitch-shifted. The visual stimuli (i.e., the vocalization cue, rating board, and fixation cross) were presented in black text on a white screen. A centrally situated fixation cross was shown for 1.2 s between each trial. The inter-trial interval was variable and dependent on the response reaction time. A reaction was required within 5 s after the prompt, and responses after this time were considered missing data. An internal trigger pulse marking the onset of vocalization was generated on the rising edge of the incoming audio signal and activated the experimental conditions. For the "other" condition, the participant's voice was substituted with a previously recorded sample of a male or female utterance of the sound [a:] (for male or female participants, respectively). The pitchshifting of two semitones downwards was implemented in real time for the unaltered speech and added ahead of time for the prerecorded other voice using the same algorithm. In order to dampen the external auditory feedback and mask bone conduction effects, a pink (1/f ) background noise of 60 dB was constantly played over the earphones. The volume level was maintained at 87-93 dB. An external trigger pulse marking the onset of vocalization was sent through the parallel port to the EEG data collection system for analysis. A total of 280 trials, with 70 randomly ordered trials per condition, were conducted. More details on the study procedures and the technical equipment are given in the Supplementary Material (pp. 4-5).
| EEG RECORDING AND PREPROCESSING
EEG was recorded with the BioSemi Active Two acquisition system using 64 Ag/AgCl scalp electrodes (BioSemi, Amsterdam, The Netherlands). Additional electrodes were placed on the outer canthus of each eye and supraorbitally and infraorbitally with respect to the left eye in order to record horizontal and vertical electrooculography. The recording sampling rate was 2048 Hz. The preprocessing was performed using BrainVision Analyzer 2.1 (Brain Products, Munich, Germany). The signal was down-sampled after recording to 512 Hz and band-pass-filtered between 0.5 Hz (12 dB/octave slope) and 20 Hz (48 dB/octave slope). Eye movements were removed from the signal by extended infomax (independent component analysis) and channels with noise were interpolated by spherical splines. Data were segmented into epochs spanning 200 ms prestimulus to 800 ms poststimulus, and sweeps exceeding 80 ± μV and gradients exceeding 30 μV/ms were excluded from further analyses. The mean ± SD of accepted epochs per condition were as follows: for placebo, 67.7 ± 2.0 ms (self), 68.6 ± 1.3 ms (self pitch-shifted), 68.9 ± 1.3 ms (other), and 68.9 ± 1.4 ms (other pitch-shifted); for psilocybin, 65.6 ± 3.7 ms, 66.8 ± 3.5 ms, 67.4 ± 3.1 ms, and 66.8 ± 4.5 ms (respectively). Finally, the epochs were averaged and baseline corrected from -200 to 0 ms. Data were also inspected visually to confirm the accuracy of automated procedures. The average reference was used for analysis. Data were analyzed from 61 channels, forming a uniform spherical head model (without P10, P9, or Iz).
| ANALYSIS OF SUBJECTIVE DRUG EFFECTS AND BEHAVIORAL RESPONSES
A multinomial logistic regression was used to estimate the probability of correct, incorrect, and unsure responses in the behavioral task dependent on the drug treatment and experimental condition of source ("self"/"other") and pitch ("unaltered"/"pitch-shifted"). As the marginal count of missing responses was particularly low (0.17% and 0.99% of all responses for the placebo and psilocybin groups, respectively), these responses were not considered in the analysis. Two models were used to analyze the data: Model 1 was fitted with all the data, and Model 2 was fitted only with data based on unaltered voices (i.e., without pitch conditions), as our key interest was the genuine self-other contrast. The hypothesis assumed that the acute treatment with psilocybin, compared to placebo, would cause a decline in task accuracy manifested as an interaction with source, by blurring differentiation between the "self" and "other" stimuli. The significance level was set at p < .05.
| GENERAL ANALYSIS APPROACH TO EEG DATA
Quantitative statistical inferences about neural events and their generators under experimental conditions were conducted using randomization statistics for the whole-brain signal without assuming any a priori models, such as a particular set of channels or specific time window. The approach combined computational methods, as implemented in the MATLAB-based Randomization Graphical User Interface (RAGU) software-package, which is designed to analyze multichannel ERP data using randomization statistics. The analysis was conducted for the main conditions of interest, that is, treatment (psilocybin/placebo) and source (self/other; without pitch alterations, as we were specifically interested in the genuine source effects), as factors. For the randomization tests (topographic consistency test [TCT], TANOVA, and topographic analysis of covariance (TANCOVA)], 5,000 permutationswere performed over the whole 800-ms poststimulus window, with a significance threshold of p < .05. While evaluating time windows, to account for temporal autocorrelation and multiple comparisons, the global duration statistics, as part of the RAGU software, were applied, using 5,000 randomized permutations with an alpha level of p = .05 (i.e., accepting periods longer than 0.95 of all randomly obtained effect durations).
| ANALYSIS OF TOPOGRAPHIC CONFIGURATION
In the first step, a TCT based on global field power (GFP) was used to evaluate the stability of voltage configurations, providing support (or a lack of support) for consistent neuronal sources. The test compares the GFP of an ERP for each time point with the GFP distribution at the same time point by randomly shuffling the data for each individual voltage value. The GFP is a quantifier of field strength regardless of topographic modulations, calculated as the root of the mean of the squared potential differences across all sensors ðGFP = √. The derived Monte Carlo p-value reflects the level of probability with which the given configuration could have been generated by chance. Subsequently, data were subjected to a TANOVA. This is a nonparametric randomization procedure that calculates global dissimilarities between experimental factors in electric scalp fields in the ERP grand means for each sampling point and tests the probability of these dissimilarities occurring under the null-hypothesis. Since the difference in spatial distribution implies at least partially varying functional mechanisms, the test may allow for their disentanglement. The two-factorial design used a randomization procedure where each factor (treatment, source) was permuted separately. Because a fully free randomization may decrease the sensitivity for detecting an effect of a weaker factor, the permutations were constrained such that each factor competes only against the permutations of itself and not against those of the other factor. Significant TANOVA effects were followed by construction of post hoc t-maps and a multidimensional scaling method to further explore the spatial distribution of differences.
| LINK BETWEEN NEURAL DATA AND SUBJECTIVE DRUG EFFECTS
A TANCOVAwas conducted to test whether and in which time window and scalp configuration a behavioral continuous variable co-varied linearly, using bootstrapping and randomization statistics. The method considers ERPs to be superimposed on a topographic map whose contribution to the ERP is proportional to external variables. This analysis was used to determine whether there was a consistent set of sources being activated in proportion to the drug effects. The calculation was performed on the difference in L2-normalized ERPs between both "self" placebo and psilocybin and "other" placebo and psilocybin conditions as well as the difference in scores between placebo and psilocybin treatment, as measured by the ASC scale. 3 | RESULTS
| SUBJECTIVE EFFECTS OF PSILOCYBIN
First, we analyzed the subjective effects of placebo versus psilocybin treatment. Psilocybin-modulated 5D-ASC scores, as indicated by the significant interaction between drug and scale (F 10,160 = 16.71, p < .0001), as well as main effects of scale (F 10,160 = 17.29, p < .0001) and treatment (F 1,16 = 83.05, p < .0001). With the exception of anxiety (p = 0.999) and spiritual experience subscale scores (p = .991), post hoc Tukey's HSD tests revealed a significant increase for all other subscale scores after psilocybin administration compared to placebo (for insightfulness, p = .024; for all others, p < .0001) (Figure).
| SELF-MONITORING TASK PERFORMANCE
We also investigated the impact of treatment with psilocybin on behavioral responses in the task, testing the key hypothesis of the significance of a treatment by source interaction. The number of correct, incorrect, and unsure responses for the placebo group were 3,823 (80.43%), 628 (13.21%), and 302 (6.35%) versus 3,442 (73.03%), 911 (19.33%), and 360 (7.64%) for the psilocybin group, respectively. The results of the multinomial logistic regression are reported in Table, showing which predictors have a significant effect on the response. Conforming with our hypothesis, the positive coefficients and significant p-values for Models 1 and 2 (β = .373, p = .004; β = .676, p = .003) suggest the probability of responding inaccurately increases under psilocybin treatment. This interaction effect is plotted in Figure, indicating that drug had a bigger effect on correct and incorrect responses when the source voice was "self" than when the source was "other," as represented by the difference in line slopes. The drug itself increased the probability of false recognitions in the model including pitch (β = .330, p = .004), but this effect became nonsignificant when pitch was discarded from the analysis (β = .223, p = .084). Drug alone had no significant effect on unsure responses. Separately, an interaction of treatment, source, and pitch was tested by including a triple interaction term in the model, yielding nonsignificant results (β = .264 and p = .085, for incorrect and unsure responses).
| ANALYSIS OF SCALP TOPOGRAPHIES
Before performing TANOVA, we investigated the consistency of scalp electroencephalogram maps. The TCT (FigureSince there was no evidence that the experimental conditions elicited verifiable scalp configurations, effects within these timeframes were not considered for further analyses. The TANOVA results, corresponding topographic maps, and t-maps are depicted in FigureImportantly, a series of post hoc t-map contrasts (Figure) provided more insight into this effect by showing that the scalp configurations between "self" and "other" differed significantly for placebo (p = .017, t max at Cpz = 4.580, t min at TP7 = -5.728), but not for psilocybin or other contrasts (p > .270; uncorrected p across four comparisons).
| CURRENT SOURCE DENSITIES
In order to discover more about the actual neural generators underlying the interaction effect, we interrogated this question using whole scalp data in the inverse space within the identified time window
| LINK BETWEEN NEUROPHYSIOLOGY AND SUBJECTIVE EFFECTS OF PSILOCYBIN
Finally, we investigated the association between scalp signal and drug effects. The TANCOVA of the difference between "self" conditions revealed significant effects for the feeling of unity (447-472 ms), changed meaning of percepts (485-520 ms), and disembodiment (94-130 ms) (Figure). These significant associations (p < .05) occurred over intervals exceeding 20 ms, which we considered reliable and sufficiently accounting for temporal autocorrelation in this permutationbased analysis, as applied in previous studies applying this method. The initial 5 ms for the effect on the feeling of unity occurred in a period of inconsistent topographies based on the TCT. None of the "other" conditions were significant, apart from disembodiment in the time window between 335 and 370 ms, which was discarded because of inconsistent topographies.
| DISCUSSION
The present human study, using a placebo-controlled, within-subject design, examined the effects of a potent psychedelic, psilocybin, on self-other distinctions during a verbal self-monitoring task. First, we
| BEHAVIORAL RESPONSES
The analysis of the judgment-based behavioral ratings in the selfmonitoring task indicated an interaction effect between the action of psilocybin and the "self" and "other" categories on speech attribution accuracy. Specifically and critically, under the pharmacological stimulation, the probability of attributing the "self" voice to the "self" source dropped significantly more than the probability of Response probability visualized as treatment by source interaction effects in the self-monitoring task. Three formats of responses (correct, incorrect, unsure) are depicted on the plot as dependent on the source ("self," "other") and treatment. Model 1 (a) includes all data, and Model 2 (b) discards the pitch-shifted conditions recognizing the "other" voice as "other." This finding confirms the hypothesis being tested and guiding the present work, which posits an alteration in self-referential processing caused by the drug. Reports of psilocybin-induced aberrant self-experience, lessened ego-centricity, or even states of "selflessness," particularly under higher doses can be found in recent research literature. Impaired self-monitoring for speech production and recognition suggests affected mechanisms of cognitive control and motor-tosensory transformations, but it may also reflect a unique profile of psychedelic compounds altering self-related processes. Interestingly, a proneness to misattribute speech or externalization biases during self-monitoring tasks has been linked to delusions and hallucinations in disease, as is often induced (although more in the form of pseudo-hallucinations) by psychedelic drugs such as psilocybin.
| NEURAL RESPONSES: TOPOGRAPHICAL CONFIGURATIONS
In agreement with the behavioral responses from the self-monitoring task, there was also a significant drug by source interaction for the neural data during the P300 processing stage. Post hoc t-maps revealed a significant self-other difference in topographical configurations under placebo, while no such differences occurred under psilocybin (Figure). Analogously, multidimensional scaling, which enables the visualization of similarities among datasets as Euclidean distances in low-dimensional space, showed that self-and other-related processing under psilocybin was associated with much more similar underlying neural events compared to placebo (Figure). Additionally, visual inspection of waveforms for canonical P300 electrodes indicated overlaps in the significant time window (Figure), suggesting a blurred differentiation between percepts of both self and other. This finding indicates that psilocybin alters self-other differentiation primarily by dissolving the neuronal differences between self and other during late (P300) processing stages. Using TANCOVA, significant effects were observed for changed meaning of percepts and feeling of unity during the P300 timeframe (Figure); the former reflects a proneness to attribute changed meaning to perceptual events, while the latter suggests undifferentiated cognition between self and non-self/other. We detected changes that coincided and covaried with the magnitude of subjective drug-induced effects within the same timeframe, which further strengthens the evidence for psilocybin altering ordinary self-experience. This comports with previous fMRI results showing the psychedelic substance LSD altered self-and other-initiated social interactions and was associated with changes in meaning attribution. Based on these and other findings, we believe that meaning attribution is intrinsically tied to self-processes through self-relatedness, reward effects, and the valuation systems of organisms. More broadly, altered meaning processing may be a key mechanism stimulating the putative therapeutic action of psychedelic compounds. Here, we specifically identified P300 as the time window associated with psilocybin-induced subjective effects on the self, also supporting the established role of P300 in self-referential processing. F I G U R E 4 Detailed exploration of the topographic analysis of variance (TANOVA) interaction effects (452-520 ms). (a) The interaction found by the TANOVA was input into a multidimensional scaling (MDS) analysis by submitting all mean maps to a spatial principal component analysis (PCA). The spatial distribution of the eigenvector is represented by topographies along the x-and y-axes. The MDS indicated that the drug by source interaction is primarily associated with a high difference between self and other for the placebo treatment, which is much smaller than that for the psilocybin treatment. (b) Post hoc t-maps of interaction contrasts. Note that only the t-map for self > other for the placebo treatment is significant (with maximal positivity in Cpz), while no significant difference was evident for self > other for the psilocybin treatment nor the other contrasts. Previous studies suggest that once represented in the orbitomedial prefrontal cortex, self-referential stimuli are processed in the supragenual anterior cingulate, which subserves monitoring functions. Higher activity in this region was found for selfreferential compared to non-self-referential stimuli, irrespective of sensory modality or task. to its engagement in interoception, multisensory integration, and selfprocessing. The additional lower CSD in the right auditory cortex for psilocybin also suggests its reduced engagement. In general, the spatial pattern of our finding coincides with the distribution of 5-HT 2A and 5-HT 1A receptors (the main psilocybin binding sites), which are highly present in the fronto-medial neocortex and insular cortex neurons of the superficial and middle laminae. Thus, psilocybin appears to alter self-other differentiation by modulating spatiotemporal activity in those structures typically involved in self-referential processing.
| COMPARISONS WITH OTHER STUDIES ON ALTERED SELF-OTHER PROCESSING
Our results may be juxtaposed with previous studies on perceived self-other boundaries, investigating the effects of the neuropeptide an effect that was associated with reduced medial prefrontal cortex activity. Further experiments emphasized its capacity to re-balance the self-other distinction by decreasing self-and increasing other-related processing. A smaller P300-amplitude difference in response to self-and other-stimuli was also found in meditators and negatively correlated with length of practice. Meditation-related neuroplasticity may lead to a de-emphasis of the individual self in favor of more interdependent aspects of self-other identity. Self-other connectedness was suggested as a general mechanism of prosocial meditation effects. Shared neural representations of self and other involving mirror neurons and action-perception models are a proposed basis for prosocial human behavior, such as altruism or empathy. For example, overlapping self-other brain areas were found for empathetic experiencesand in extreme altruists. The action of psychedelics in humans may produce these rare instances when a sense of shared awareness can transcend self-other differences. The feeling of connectedness or unity occurring under psilocybin may be interpreted as a shift in the meaning of "other" anchored in P300 neuronal processing. The transient functional modulation of brain dynamics may result in further cognitive and emotional reappraisals. Accordingly, psilocybin can induce a positive emotional processing bias by modulating the P300 amplitudeand promote positive attitudes and behaviors toward self and othersthat are observable even months after psilocybin intake. Our data furthermore showed a general psilocybin effect in the N100 timeframe (which, however, did not meet the global duration statistics criterion) and its link with disembodiment. This suggests that an early sensory and more bodily anchored sense of self is also altered by psilocybin during states of perceived loosening of corporeal boundaries. A distinction between the minimal (core) self, an immediate subject of experience rooted in a bodily subject of action, as opposed to the mental self, which engages more elaborative representational aspects, has been delineated in recent conceptual and experimental frameworks. Indeed, the N100 component has been associated with a basic form of self-awareness, and self-recognition was found to require at least two components: self-awareness of one's body and one's action (van den. A rich literature underlines the role of N100 in explaining the prereflective self-awareness of action and source distinction in the context of the forward model of motor control. This framework aims to both explain the origination of the basic sense of self while clarifying disturbances in self-experience. The present whole-scalp topographic analysis did not specifically target the mechanism of corollary discharge, which reflects a local sensory-motor interplay. Still, our study may motivate future investigations of these bodily aspects of psychedelic effects, in consideration of this and other neurophysiological mechanisms. Additionally, a single process early in the neural processing stream (e.g., N100) may further modulate later stages through co-dependent temporal properties of the signal. The disembodiment aspect may also further modulate perception through a lessened corporeal reference and desynchronization of predictive coding.
| CROSS-DOMAIN RELEVANCE
The present findings are particularly relevant for social and cognitive neuroscience, biological psychiatry, and clinical applications. The psilocybin-induced effect known as "ego-dissolution" has been considered from various perspectives: phenomenology, descriptive psychopathology, as a core feature of spiritual experience, in psychodynamic terms as distortion of ego boundaries, and in brain imaging studies. Our study extends these results by offering a spatiotemporal brain mechanism underlying this peculiar form of human cognition. Further, the study adds to the scientific understanding of "self," "other," and the self-other overlap, an effect that may modulate social cognition. Notably, patients in a recent clinical trial of psilocybin for therapyresistant depression reported a sense of connectedness that endured posttreatment. A feeling of disconnection characterizes many psychiatric conditions, particularly depression, while connectedness was identified as a mediator of psychological well-beingand recovery in mental health. The effect may reflect a mechanism of action and become an instrument of interpersonal understanding in psychedelic-assisted therapy, as an extension of the recent interest in psychedelics in clinical settings. The concept of the self has become popular for its explanatory clinical value and as a research topic in psychiatry. Maladaptive modes of self-cognition may be encountered in autism, in major depression, and as the core phenotypic marker in schizophrenia. Treatment of these conditions may profit from a better understanding of the mechanisms underlying self-processing. Therapeutic applications of psilocybin may utilize its effects on excessive self-focus, ruminative brooding, sense of disconnection, and cognitive rigidity.
| LIMITATIONS
Like most research in the area of cognitive neuroscience, this work has some limitations. We cannot fully rule out the possibility that the observed effects of psilocybin on "self"/"other" processing are driven by drug-induced attentional deficits or task disengagement. While psilocybin can indeed modulate certain aspects of attention, our data reveal its differential effects on the processing of "self" and "other" as a statistically significant treatment × condition interaction. No main effect of drug on topography was found in the P300 timeframe. The differential effect of psilocybin is further supported by post hoc t-maps and CSD results. Additionally, in the analysis of the behavioral task data, we also identified a significant treatment × condition interaction paralleling the EEG findings, while the drug effect was nominally nonsignificant without pitch conditions, with no concomitant increase in unsure responses. While the verbalauditory domain seems particularly unstable and affected in psychiatric conditions associated with alterations in self-experience, future studies should also consider other perceptual domains (e.g., visual or explicitly motor). While psilocybin may alter vocalizations, the visual evaluation of voice spectra did not suggest this possibility. It also remains unknown whether similar conclusions apply to other psychedelic-like tryptamines. Further constraints relate to design in the context of psychoactive compounds. These include possible carry-over effects from the crossover design and the time gap between the two sessions, as well as the efficacy of double-blind procedures for testing substances with conspicuous effects. However, an inert placebo offered the cleanest control condition in this experiment.
| CONCLUSIONS
Self is a pervasive experience of being consistent across time, subject of one's own actions, and distinct from others. Using a data-driven approach, with the advantage of the high temporal resolution of EEG, we demonstrated psilocybin abolishes distinctiveness of self-related scalp configurations via P300-related mechanisms in association with altered activity in the supragenual cingulate cortex and insula. This study advances the current mechanistic understanding of self-other processing and the biological foundations of subjectivity. Pharmacological stimulation with the serotonergic psychedelic psilocybin offers an experimentally valid platform for perturbing and quantifying altered self-referential processing.
Study Details
- Study Typeindividual
- Populationhumans
- Characteristicsplacebo controlleddouble blindcrossoverrandomizedbrain measures
- Journal
- Compound
- Author