Epilepsy and Ecstatic Experiences: The Role of the Insula

Ecstatic epilepsy is a rare form of focal epilepsy in which the aura (beginning of the seizures) consists of a blissful state of mental clarity/feeling of certainty. Such a state has also been described as a “religious” or mystical experience. While this form of epilepsy has long been recognized as...

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Autores principales:	Fabienne Picard, Peter Bossaerts, Fabrice Bartolomei
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	ecstatic epilepsy ecstatic aura anterior insula mental clarity certainty predictive coding Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571
Acceso en línea:	https://doaj.org/article/3f919125388248ed85c30677ea314016
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spelling	oai:doaj.org-article:3f919125388248ed85c30677ea3140162021-11-25T16:56:15ZEpilepsy and Ecstatic Experiences: The Role of the Insula10.3390/brainsci111113842076-3425https://doaj.org/article/3f919125388248ed85c30677ea3140162021-10-01T00:00:00Zhttps://www.mdpi.com/2076-3425/11/11/1384https://doaj.org/toc/2076-3425Ecstatic epilepsy is a rare form of focal epilepsy in which the aura (beginning of the seizures) consists of a blissful state of mental clarity/feeling of certainty. Such a state has also been described as a “religious” or mystical experience. While this form of epilepsy has long been recognized as a temporal lobe epilepsy, we have accumulated evidence converging toward the location of the symptomatogenic zone in the dorsal anterior insula during the 10 last years. The neurocognitive hypothesis for the genesis of a mental clarity is the suppression of the interoceptive prediction errors and of the unexpected surprise associated with any incoming internal or external signal, usually processed by the dorsal anterior insula. This mimics a perfect prediction of the world and induces a feeling of certainty. The ecstatic epilepsy is thus an amazing model for the role of anterior insula in uncertainty and surprise.Fabienne PicardPeter BossaertsFabrice BartolomeiMDPI AGarticleecstatic epilepsyecstatic auraanterior insulamental claritycertaintypredictive codingNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571ENBrain Sciences, Vol 11, Iss 1384, p 1384 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	ecstatic epilepsy ecstatic aura anterior insula mental clarity certainty predictive coding Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571
spellingShingle	ecstatic epilepsy ecstatic aura anterior insula mental clarity certainty predictive coding Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Fabienne Picard Peter Bossaerts Fabrice Bartolomei Epilepsy and Ecstatic Experiences: The Role of the Insula
description	Ecstatic epilepsy is a rare form of focal epilepsy in which the aura (beginning of the seizures) consists of a blissful state of mental clarity/feeling of certainty. Such a state has also been described as a “religious” or mystical experience. While this form of epilepsy has long been recognized as a temporal lobe epilepsy, we have accumulated evidence converging toward the location of the symptomatogenic zone in the dorsal anterior insula during the 10 last years. The neurocognitive hypothesis for the genesis of a mental clarity is the suppression of the interoceptive prediction errors and of the unexpected surprise associated with any incoming internal or external signal, usually processed by the dorsal anterior insula. This mimics a perfect prediction of the world and induces a feeling of certainty. The ecstatic epilepsy is thus an amazing model for the role of anterior insula in uncertainty and surprise.
format	article
author	Fabienne Picard Peter Bossaerts Fabrice Bartolomei
author_facet	Fabienne Picard Peter Bossaerts Fabrice Bartolomei
author_sort	Fabienne Picard
title	Epilepsy and Ecstatic Experiences: The Role of the Insula
title_short	Epilepsy and Ecstatic Experiences: The Role of the Insula
title_full	Epilepsy and Ecstatic Experiences: The Role of the Insula
title_fullStr	Epilepsy and Ecstatic Experiences: The Role of the Insula
title_full_unstemmed	Epilepsy and Ecstatic Experiences: The Role of the Insula
title_sort	epilepsy and ecstatic experiences: the role of the insula
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/3f919125388248ed85c30677ea314016
work_keys_str_mv	AT fabiennepicard epilepsyandecstaticexperiencestheroleoftheinsula AT peterbossaerts epilepsyandecstaticexperiencestheroleoftheinsula AT fabricebartolomei epilepsyandecstaticexperiencestheroleoftheinsula
_version_	1718412833260044288

Epilepsy and Ecstatic Experiences: The Role of the Insula

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