Psychedelics and the science of self-experience
This short editorial (2017) describes the recent emergence of a neuroscience of self-experience and its relationship to psychoactive drugs and psychiatry.
Authors
- Carhart-Harris, R. L.
- Nour, M. R.
Published
Abstract
Altered self-experiences arise in certain psychiatric conditions, and may be induced by psychoactive drugs and spiritual/religious practices. Recently, a neuroscience of self-experience has begun to crystallise, drawing upon findings from functional neuroimaging and altered states of consciousness occasioned by psychedelic drugs. This advance may be of great importance for psychiatry.
Research Summary of 'Psychedelics and the science of self-experience'
Introduction
The paper begins by distinguishing two conceptions of the self that are important for research into consciousness. One is the 'narrative self', a temporally extended, cognitive construct tied to personal history, traits and goals; the other is the 'minimal self', the immediate first‑person sense of being an embodied, agentic subject. This multilayered account highlights why self‑experience is difficult to define and why it presents a challenge for neuroscience, which must address both self‑as‑object (attributional processes) and self‑as‑subject (pre‑reflective experience). Carhart‑Harris and colleagues set out to explore how classic serotonergic psychedelics (5‑HT2A agonists such as psilocybin and LSD) can inform a neuroscience of self. The paper synthesises neuroimaging and electrophysiological findings that relate brain network organisation to self‑experience, considers how psychedelics perturb those networks and discusses implications for psychopathology and therapeutic use. The authors argue that psychedelics, which reliably and transiently produce reductions in the normally bounded sense of self (often described as ego‑dissolution), provide a useful experimental window onto the neuronal correlates of both normal and disturbed self‑experience.
Methods
The extracted text does not present a discrete Methods section or report a systematic search strategy; instead, the paper functions as a narrative, theoretical review that integrates prior quantitative and experimental work. The authors draw on a range of empirical sources, including a quantitative meta‑analysis of self‑processing studies (pooled data from nearly 1,500 participants), functional MRI and magnetoencephalography (MEG) experiments examining psychedelics, and recent clinical and non‑clinical studies of psychedelic‑occasioned experiences. Evidence types brought together include task‑based fMRI contrasts comparing self‑specific versus non‑self stimuli, resting‑state network analyses (with emphasis on the default mode network, DMN), MEG measures of oscillatory power, and psychometric work such as the development and validation of an eight‑item Ego‑Dissolution Inventory. The paper also summarises small clinical intervention studies (for example an open‑label psilocybin pilot in treatment‑resistant depression) and correlational work linking mystical or ego‑dissolution experiences to measures of well‑being and personality change. Because no formal methods are reported in the extracted text, details on study selection, inclusion criteria or risk‑of‑bias assessment are not available from this extraction.
Results
The review presents several converging empirical findings. A quantitative meta‑analysis of self‑processing tasks implicated cortical midline structures—most notably the perigenual anterior cingulate cortex—in increased activity when participants processed self‑specific stimuli compared with stimuli about others. These self‑related regions anatomically overlap important nodes of the default mode network (DMN), a set of cortical areas linked to introspection and autobiographical memory and that function as connector hubs at rest. The authors discuss theoretical work suggesting that the minimal self may arise from predictive processing mechanisms that minimise mismatch between predicted and incoming sensory signals, conferring a pre‑reflective sense of familiarity, ownership and agency. Empirical studies using classic psychedelics fit this framework: psilocybin and LSD decrease the integrity of resting‑state networks such as the DMN and reduce segregation between networks, producing greater whole‑brain functional integration. These network changes correlate with participants' ratings of ego‑dissolution. An MEG study reported that psilocybin‑induced ego‑dissolution correlates with reduced alpha power in the posterior cingulate cortex, a core DMN hub. Two LSD studies similarly found that ego‑dissolution correlated with increased whole‑brain integration and inversely with DMN integrity, reduced functional connectivity between the parahippocampus and retrosplenial cortex, and decreased delta and alpha oscillatory power. Noting a methodological gap, the authors report that earlier psychedelic experiments lacked independently validated measures of ego‑dissolution; in response they validated an eight‑item Ego‑Dissolution Inventory to improve measurement reliability. On therapeutic outcomes, small controlled and open‑label studies suggest potential benefits of psychedelics in anxiety, addiction and mood disorders. The extraction specifically cites a small open‑label pilot of psilocybin in treatment‑resistant depression that showed improvements in self‑reported depressive symptoms at three‑month follow‑up. In non‑clinical samples, psychedelic‑occasioned mystical or ego‑dissolution experiences have been associated with increased well‑being, rises in the personality trait openness and the perceived meaningfulness of the experience. The authors emphasise limitations across this evidence base: many clinical studies used strict exclusion criteria, had small sample sizes and relatively short follow‑up periods.
Discussion
Carhart‑Harris frames the empirical pattern as evidence that the normal experience of a bounded self depends on the brain's modular resting‑state organisation and that transient disruptions of this modularity—brought about by psychedelics—can produce ego‑dissolution. Such findings, the authors contend, help connect phenomenological descriptions of the minimal self with measurable changes in network dynamics and oscillatory activity. They also note parallels between psychedelic‑induced network changes and neural correlates reported in non‑dual meditative states, suggesting common mechanisms for experiences of broadened or unified awareness. With respect to psychopathology, the review highlights that both schizophrenia and depression show abnormalities in self‑experience and in DMN activity; thereby, altered network organisation may be a shared substrate linking self‑disturbance and clinical symptoms. The authors regard psychedelics as useful investigative tools that can model aspects of abnormal self‑experience in a reversible and dose‑dependent manner. At the same time, they are cautious about therapeutic claims: while ego‑dissolution and mystical‑type experiences have been proposed as central to psychedelic therapy, the current clinical evidence is limited by small samples, exclusion criteria and short follow‑up. Key limitations acknowledged include the lack of validated measures in earlier work (which the Ego‑Dissolution Inventory aims to address), the preliminary nature of clinical findings, and the need for more rigorous, larger and longer‑term studies to test causal links between ego‑dissolution and lasting therapeutic change. The authors call for further research to clarify mechanisms and to determine whether inducing transient reductions in self‑boundaries can be harnessed safely and effectively in clinical settings.
Conclusion
The authors conclude that developing a neuroscience of self‑experience is important for basic neuroscience and for understanding psychiatric conditions characterised by self‑disturbance. Classic psychedelics reliably produce transient, dose‑dependent reductions in the normally well‑circumscribed sense of self (ego‑dissolution), and thus offer a valuable experimental tool to probe the neuronal correlates of normal and abnormal self‑experience. More speculatively, Carhart‑Harris and colleagues suggest that these ego‑dissolution experiences might have clinical utility when psychedelics are administered in controlled therapeutic environments, but they acknowledge that this possibility remains to be established. Note: the extracted Conclusion section contains a lengthy biographical passage about an individual (Michael/Laura/Laurence Dillon) that appears unrelated to the topic of psychedelics and self‑experience; this material seems to be an extraction artefact and is unlikely to reflect the paper's intended concluding content.
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SELF IN NEUROSCIENCE
The heterogeneous and multilayered nature of self-experience presents a challenge for an emerging neuroscience of selfconsciousness, which ultimately seeks to identify underlying neuronal correlates and mechanisms. The neuronal correlates of self have been investigated using tasks that seek to identify brain regions that display increased activity (typically measured using functional magnetic resonance imaging (fMRI)) during processing of self-specific stimuli (for example images, voices, trait adjectives), compared with stimuli related to others. A recent quantitative meta-analysis, pooling data from nearly 1500 participants, implicated activity in cortical midline brain regions as a neuronal correlate of self-experience. Specifically, activity in the perigenual anterior cingulate cortex was associated with processing of self-specific stimuli, compared with non-self stimuli.Interestingly, the brain regions implicated in self-processing show anatomical overlap with important nodes of the default mode network (DMN).The DMN is a network of mostly cortical brain regions that appears to be involved in high-level psychological functions including introspection and autobiographical memory.The brain regions comprising the DMN act as 'connector hubs' within the brain, displaying high metabolic demands and inter-region functional connectivity at rest. The studies discussed above may shed light on the neuronal mechanisms underlying self-attribution to physical and mental features (approaching the self as an object of attribution), but are not well suited to identify neuronal correlates of minimal self-experience (self as knowing subject).Phenomenological features of minimal self-experience, such as self-ownership and self-agency, are present in the structure of first-person subjective experience itself,suggesting that their neuronal correlates may be found in the very building blocks of neuronal computation. Theoretical considerations suggest that the brain is perpetually engaged in generating predictions about the 'state of the world', and testing these predictions against incoming sensory signals.Perception and action depend on neuronal mechanisms that minimise the mismatch between predicted and actual incoming signals. This process of mismatch-minimisation would theoretically imbue perception and action with a pre-reflective feeling of familiarity, self-ownership and self-agency, making it a good candidate for the neuronal correlate of minimal self-experience.It is conceivable that the development of more 'cognitive' facets of self, such as personal narrative, may be predicated on minimal self-experiences.
SELF-DISTURBANCE
Distortions of self-experience are a central feature of a number of altered states of consciousness, such as the psychedelic state and the mystical experience.In these contexts the experience of a reduction in the normally well-circumscribed experience of self has been termed 'ego-dissolution', and is related to a feeling of increased unity with others and one's surroundings.Abnormalities of self-consciousness have also been described in a number of mental health conditions.A disrupted sense of self was considered to be a core phenomenological feature of early and acute psychosis.Kraepelin, for example, wrote of a 'disunity of consciousness' in schizophrenia and Bleuler wrote of a slackening of the associative links that tie together thoughts, perceptions and affects.More recently, it has been proposed that a central phenomenological alteration in schizophrenia is an instability of 'pre-reflective self-awareness', which has close parallels to conceptions of minimal self-experience, and is related to a feeling of immersion in a social world.Recent efforts to operationalise self-disturbance in schizophrenia, using the Examination of Anomalous Self-Experience (EASE) questionnaire, suggest that this feature may predict clinical trajectory of firstepisode psychosis.By contrast, the depressed state is characterised by an increase in self-focus, and an inability to disengage from self-referential ruminative thought. Intriguingly, individuals with depression show abnormal activity in the perigenual anterior cingulate cortex, a region that has been shown to exhibit increased activity for self-specific stimuli.More generally, it is noteworthy that both schizophrenia and depression are characterised by abnormal DMN resting-state activity.Psychedelics as a window into the self Given the prominence of self-experience in normal waking consciousness, and the prevalence of self-disturbance in certain psychiatric conditions, a greater understanding of the neuronal correlates of self-experience is highly desirable. Psychedelic drugs (serotonin-2A (5-HT 2A ) receptor agonists) reliably perturb selfconsciousness and occasion ego-dissolution experiences in a reversible, transient and dose-dependent manner.These substances therefore provide a fruitful avenue for research into the neuronal correlates of normal and abnormal self-consciousness.In recent years, several studies have examined the neuronal correlates of ego-dissolution experiences occasioned by the classic psychedelic drugs psilocybin (the active agent in 'magic mushrooms') and lysergic acid diethylamide (LSD) using fMRI and magnetoencephalography (MEG). These studies reveal that psychedelics decrease the integrity of important resting-state brain networks associated with the sense of self (such as the DMN) as well as the degree of segregation between these and other brain networks. As a result, psychedelics occasion a more globally unified mode of brain function.Importantly, these changes (i.e. DMN disintegration and whole-brain integration) correlate with participants' ratings of ego-dissolution.A similar pattern of decreased segregation between functional networks has also been observed in meditators during maintenance of non-dual awareness (where equal attention is given to events 'inside and outside' the body) compared with maintenance of focused attention on a single object.A recent MEG study demonstrated that ego-dissolution experiences occasioned by psilocybin correlate highly with decreased alpha power (a marker of locally synchronous activity) in the posterior cingulate cortex, arguably the core DMN 'hub' region.Moreover, two recent studies found that the degree of ego-dissolution occasioned by LSD was correlated with increased whole-brain integration,and inversely correlated with DMN network integrity, functional connectivity between the parahippocampus and retrosplenial cortex, and oscillatory power in the delta and alpha frequency bands (for example in posterior cingulate cortex),nicely corroborating the earlier findings with psilocybin. Together, these studies suggest that abnormalities in selfexperience may arise when the normal modular organisation of the brain's resting-state functional networks is disrupted. One limitation of these studies, however, is that they did not use independently validated measures of ego-dissolution. To rectify this limitation we recently validated a new eight-item self-report assessment of ego-dissolution, the Ego-Dissolution Inventory,with the aim of demonstrating the construct validity of egodissolution, and increasing the reliability of its measurement in future studies.
THERAPEUTIC IMPLICATIONS
An understanding of the neuronal correlates of abnormal selfexperience is of great relevance for our understanding and treatment of certain psychiatric conditions. In recent years the therapeutic utility of psychedelic drugs in anxiety, addiction and mood disorders has received increased attention.Several small studies suggest that psychedelic substances can produce improvements in these conditions when given in controlled therapeutic environments. Recently, a small open-label pilot study of psilocybin in treatment-resistant depression demonstrated improvements in self-reported depressive symptoms at 3-month follow-up.The precise mechanism by which psychedelics can occasion positive and lasting changes in mood, attitudes and behaviours is deserving of further investigation. It is worth noting, however, that one influential model of psychedelic therapy places great therapeutic importance on the experience of ego-dissolution, and 'loss of boundaries between the subject and the objective world, with ensuing feelings of unity'.In non-clinical populations, previous work has established that mystical experiences occasioned by psilocybin (which are closely related to ego-dissolution experiences) correlate positively with well-being, increases in the personality trait of openness and the meaningfulness/spiritual significance of the experience.It should be noted, however, that these clinical and non-clinical studies have strict exclusion criteria, small sample sizes and relatively short follow-up periods. Consequently, further research is required to adequately test the proposed link between egodissolution/mystical experiences and positive changes in mood, attitudes and behaviour.
CONCLUSIONS
A neuroscience of self-experience is of great importance for neuroscience in general, and for our understanding and treatment of certain psychiatric conditions in particular. Classic psychedelic drugs can occasion transient and dose-dependent reductions in the normally well-circumscribed experience of self (termed egodissolution), providing a valuable tool with which to investigate the neuronal correlates of normal and abnormal self-experience. More speculatively, the ability of psychedelics to occasion egodissolution experiences may be of clinical utility when used in controlled therapeutic environments. Never feeling comfortable with her sexuality, Laura experimented with the male hormone testosterone from 1939 and spent the war years adopting male societal roles before coming to the attention of the pioneering plastic surgeon Harold Gillies, who agreed to consider her case. She continued testosterone treatment, underwent bilateral mastectomies and in 1944 had her birth certificate amended, becoming Laurence Michael Dillon. Michael Dillon became a medical student in Trinity College, Dublin in 1944. Between 1946 and 1949 he underwent 13 gender reassignment surgeries. In 1946 he published Self: A Study in Endocrinology and Ethics, which was the first work to address the difficulties associated with transgender issues. Self brought Dillon to the attention of Robert (later Roberta) Cowell, who would become the first to undergo male to female gender reassignment. Dillon himself performed the orchidectomy (testicular amputation) on Cowell, although he was still only a medical student. Their relationship became an affair, although ultimately Cowell rejected Dillon. Dillon represented Trinity in men's rowing and after qualification in 1951 he became a ship's doctor. This suited his wish for relative obscurity. He made an error in this regard by producing his amended birth certificate to Debrett's, the journal listing aristocratic titles and lines of inheritance. In 1958 Dillon was listed as the next male in line for the baronetcy at Lismullen and the discrepancy between Debrett's version and Burke's Peerage led to a scandal that caused him to flee to India. There he involved himself in monastic life and wrote on aspects of Buddhism. He died in the Punjab in 1962 aged 47.
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