Enhancing Agency in Posttraumatic Stress Disorder Therapies Through Sensorimotor Technologies.

Autor:	Adrien V; Department of Infectious and Tropical Diseases, Avicenne Hospital, AP-HP, Université Sorbonne Paris Nord, Bobigny, France.; Institute of Psychiatry and Neuroscience of Paris, Inserm UMR-S 1266, Université Paris Cité, Paris, France.; Department of Psychopathology, Avicenne Hospital, AP-HP, Université Sorbonne Paris Nord, Bobigny, France., Bosc N; Department of Psychopathology, Avicenne Hospital, AP-HP, Université Sorbonne Paris Nord, Bobigny, France., Peccia Galletto C; Unités René Diatkine, Association de Santé Mentale du 13è arrondissement, Paris, France., Diot T; Department of Adult Psychiatry, Impact, Mondor Hospital, AP-HP, Université Paris-Est Créteil, Créteil, France., Claverie D; Institut de Recherche Biomédicale des Armées, Brétigny-sur-Orge, France., Reggente N; Institute for Advanced Consciousness Studies, Santa Monica, CA, United States., Trousselard M; Institut de Recherche Biomédicale des Armées, Brétigny-sur-Orge, France.; INSPIIRE, Inserm UMR 1319, Université de Lorraine, Nancy, France.; ADES, CNRS UMR 7268, Aix-Marseille Université, Marseille, France., Bui E; Department of Psychiatry, Caen Normandy University Hospital, Normandie Université, Caen, France.; Physiopathology and Imaging of Neurological Disorders, UNICAEN, Inserm UMR-S 1237, Normandie Université, Caen, France.; Department of Psychiatry, Massachusetts General Hospital, Boston, MA, United States., Baubet T; Department of Psychopathology, Avicenne Hospital, AP-HP, Université Sorbonne Paris Nord, Bobigny, France.; Unité Transversale de Psychogénèse et Psychopathologie, Université Sorbonne Paris Nord, Villetaneuse, France.; Centre National de Ressources et de Résilience, Lille, France., Schoeller F; Institute for Advanced Consciousness Studies, Santa Monica, CA, United States.; Media Lab, Massachusetts Institute of Technology, Cambridge, MA, United States.
Jazyk:	angličtina
Zdroj:	Journal of medical Internet research [J Med Internet Res] 2024 Jul 01; Vol. 26, pp. e58390. Date of Electronic Publication: 2024 Jul 01.
DOI:	10.2196/58390
Abstrakt:	Posttraumatic stress disorder (PTSD) is a significant public health concern, with only a third of patients recovering within a year of treatment. While PTSD often disrupts the sense of body ownership and sense of agency (SA), attention to the SA in trauma has been lacking. This perspective paper explores the loss of the SA in PTSD and its relevance in the development of symptoms. Trauma is viewed as a breakdown of the SA, related to a freeze response, with peritraumatic dissociation increasing the risk of PTSD. Drawing from embodied cognition, we propose an enactive perspective of PTSD, suggesting therapies that restore the SA through direct engagement with the body and environment. We discuss the potential of agency-based therapies and innovative technologies such as gesture sonification, which translates body movements into sounds to enhance the SA. Gesture sonification offers a screen-free, noninvasive approach that could complement existing trauma-focused therapies. We emphasize the need for interdisciplinary collaboration and clinical research to further explore these approaches in preventing and treating PTSD. (©Vladimir Adrien, Nicolas Bosc, Claire Peccia Galletto, Thomas Diot, Damien Claverie, Nicco Reggente, Marion Trousselard, Eric Bui, Thierry Baubet, Félix Schoeller. Originally published in the Journal of Medical Internet Research (https://www.jmir.org), 01.07.2024.)
Databáze:	MEDLINE
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