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Aphantasia Logo
Back to all research
Aphantasia Logo

Building awareness and understanding of aphantasia through research, education, and community support.

About

  • What is Aphantasia?
  • What is Hyperphantasia?
  • Take Assessment
  • Getting Started
  • Newsletter
  • About Us
  • Contact

Community

  • Premium Membership
  • Find support
  • Discussions
  • Events
  • Visualize

For Professionals

  • Overview
  • Free Introduction
  • Counselor Training
  • Educator Training
  • List Your Practice
  • Pricing & Bundles

Resources

  • Articles & Stories
  • Videos & Interviews
  • Aphantasia Course
  • FAQs

Research

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  • Participate in Studies
  • Recruitment Services

© 2026 Aphantasia Network. All rights reserved.

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Ask AI About This Paper
Ask AI About This Paper

Imagery in affective and neurodevelopmental conditions: an insula-based interoceptive framework

DOI: 10.1016/j.treopn.2026.06.003
Tags:
Measurement & Assessment
Kvamme, T. L., Nagai, Y., & Silvanto, J. (2026). Imagery in affective and neurodevelopmental conditions: an insula-based interoceptive framework. Trends Open. doi:10.1016/j.treopn.2026.06.003

Abstract

Mental imagery is closely linked to emotional experience, mental health, and neurodevelopmental variation. Yet why imagery should be so pervasively associated with both affective and neurodevelopmental conditions simultaneously remains an open question. We propose that interoception provides a key mechanistic link. In this view, mental imagery relies on the same interoceptive and insular functions (including emotional processing, salience detection, and the sense of agency over self-generated content) that are characteristically altered across affective and neurodevelopmental disorders. Interoceptive dysfunction may thus constitute a common thread between imagery disturbances across diagnostic boundaries, positioning imagery as a clinically accessible window into interoceptive function and suggesting novel therapeutic targets.

Authors

  • Timo L. Kvamme5
  • Yoko Nagai5
  • Juha Silvanto14

Imagery in affective and neurodevelopmental conditions: an insula-based interoceptive framework

DOI: 10.1016/j.treopn.2026.06.003
Tags:
Measurement & Assessment
Kvamme, T. L., Nagai, Y., & Silvanto, J. (2026). Imagery in affective and neurodevelopmental conditions: an insula-based interoceptive framework. Trends Open. doi:10.1016/j.treopn.2026.06.003

Abstract

Mental imagery is closely linked to emotional experience, mental health, and neurodevelopmental variation. Yet why imagery should be so pervasively associated with both affective and neurodevelopmental conditions simultaneously remains an open question. We propose that interoception provides a key mechanistic link. In this view, mental imagery relies on the same interoceptive and insular functions (including emotional processing, salience detection, and the sense of agency over self-generated content) that are characteristically altered across affective and neurodevelopmental disorders. Interoceptive dysfunction may thus constitute a common thread between imagery disturbances across diagnostic boundaries, positioning imagery as a clinically accessible window into interoceptive function and suggesting novel therapeutic targets.

Authors

  • Timo L. Kvamme5
  • Yoko Nagai5
  • Juha Silvanto14
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What This Study Is About

Researchers explored why mental imagery—the ability to picture things in your mind—is so often affected by mental health and neurodevelopmental conditions. They propose that imagery is not just a "visual" process but is deeply rooted in interoception, which is the brain's way of sensing internal body signals like your heartbeat and breathing.

How They Studied It

This was an "opinion" paper where experts reviewed existing evidence to build a new theory. They looked at data from people with aphantasia (the inability to visualize), as well as those with depression, anxiety, autism, and ADHD. They specifically focused on the anterior insular cortex, a brain region that acts as a bridge between bodily sensations and conscious thoughts.

What They Found

The researchers found that mental imagery and emotions likely share the same "engine" in the brain. Because this engine relies on body signals, any disruption to how the brain processes those signals can change how we imagine things. For example, they noted that "psychogenic aphantasia"—a sudden loss of imagery caused by stress or trauma rather than a brain injury—often happens alongside changes in the body's automatic stress responses. They also found that imagery is "fragile" across many conditions: people with depression often struggle to imagine positive future events, while those with anxiety may experience intrusive, overly vivid "threat" images.

What This Might Mean

This suggests that aphantasia and other imagery differences might be a "window" into how a person's brain processes internal body signals. If this theory is correct, it means that therapies for mental health might be more effective if they focus on calming or regulating body sensations (like heart rate) at the same time as working on mental thoughts. However, more research is needed to prove if body signal changes actually cause imagery changes or if they just happen at the same time.

One Interesting Detail

In cases of acquired aphantasia (losing the ability to visualize later in life), about 62% of cases are "psychogenic," meaning they were triggered by psychological factors like severe stress, depression, or burnout rather than physical accidents.
This summary was generated by AI and may contain errors. Always refer to the original paper for accuracy.
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