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The Paradox of Listening to Our Bodies - The New Yorker   

My husband worries a lot about his heart. “I feel something right here,” he’ll say, pointing to a spot on his chest. I have a hard time knowing how to respond to these reports; unless I’m doing cardio, I’m never aware of my heartbeat, and even then I can’t really feel it. After my husband’s cardiologist told him that there was nothing wrong with his heart, I figured that his fascination with it was just melodrama, or hypochondria.

Then I read a study by Sarah Garfinkel, a neuroscientist at University College London. Garfinkel monitored the heartbeats of twenty people who’d been diagnosed with autism, and also asked them to count the beats themselves. In a second study with sixty autistic individuals, she played a rhythmic, beeping tone and asked her subjects to say whether it was in synch with their pulses. At first, many people who’d declared themselves “good” at detecting their own heartbeats failed these tasks. But, as the tests went on, they improved. Some of the participants had reported having anxiety, and about a third of them said that, as they became better at detecting their heartbeats accurately, they also felt less anxious. My husband isn’t autistic, but he does experience anxiety, and Garfinkel’s study made me wonder whether he might be like some of her study participants. Maybe he was wrongly convinced that he was good at feeling his heartbeat, but also able to improve that sense—a change that could ease his worries.

Scientists call our ability to feel what’s happening inside our bodies interoception. A portmanteau of “interior” and “reception,” it differs from perception, which comes from our five senses, and proprioception, which tells us how we are oriented in space. Interoception is an inner sense having to do with our bodily processes. It can be divided into three rough categories. The first comprises feelings that break through into consciousness based on need; this is how we know when we need to pee or sleep or hydrate, and how we grasp that our hearts are racing after a good jump scare. The second encompasses the unconscious ways in which our brains and bodies communicate; our brains detect high glucose levels in our livers, for example, then release hormones that trigger our metabolisms, and we are unaware of the process. A vast number of these silent interoceptive processes are going on within us all the time.

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