Background William James’ 1884 paper “What is an emotion?” has generated much recent interest in affective science regarding somatic contributions to emotion. Studies of interoception (“sensing the physiological condition of the body”) suggest that sensing specific parts of the body contribute to the production of emotion, namely when sensing the viscera (i.e. ‘visceroception’ of the heart, gut or lungs). Improved visceroception has, for instance, been linked to increased emotional intensity, suggesting a role for interoception in emotion regulation that may pertain specifically to visceral bodily locations. Thus, in addition to asking James’ question, “What is an emotion?”, we ask, “Where is an emotion?”. Further, there is an evidence base pointing to the connections between emotion regulation and suicide, and between interoception and suicide. The trial investigates whether targeted interoception/visceroception improves emotion regulation, the ultimate aim of which is to inform suicide prevention efforts.
Methods The trial utilises a pre-test/post-test control group design, with two experimental groups undergoing visceroceptive interventions (gut or heart focus) and a control group. The interventions will run for 8 weeks. A spatial cueing task will measure reaction times to bodily changes pertaining to gut or heart focus. A stop/signal task will measure emotional inhibition, which is hypothesised to obscure awareness of active bodily locations. Visceroceptive ability will be tracked using a heartbeat estimation task, a water load test, and by self-report questionnaire. The sample consists of healthcare professionals and healthcare students (i.e. groups that represent a relatively high suicide risk among professional and student groups).
Discussion To our knowledge, this will be the first project to address whether emotional feeling presents as a localised bodily phenomenon and whether trained awareness of emotional localisation can improve emotion regulation. It will also be the first to investigate relationships between interoception and emotional inhibition (i.e. whether a sustained interoceptive practice leads to the disinhibition of bodily emotional sensations, which can positively contribute to emotion regulation). These empirical findings on emotion regulation will be used to inform a desk-based enquiry into the role of embodied emotion in suicide prevention, which may make a significant contribution to a growing evidence base on interoception and suicide.

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On 06 Jun, 2020
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On 18 Feb, 2020
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Posted 24 Jul, 2019
On 05 Dec, 2019
Received 04 Dec, 2019
On 19 Nov, 2019
Received 22 Oct, 2019
On 18 Oct, 2019
On 08 Oct, 2019
Invitations sent on 07 Oct, 2019
On 06 Sep, 2019
On 19 Jul, 2019
On 19 Jul, 2019
On 06 Jun, 2020
Received 01 Jun, 2020
Received 19 May, 2020
Received 19 May, 2020
On 14 May, 2020
On 11 May, 2020
Invitations sent on 23 Apr, 2020
On 23 Apr, 2020
On 22 Apr, 2020
On 21 Apr, 2020
On 08 Apr, 2020
Received 27 Mar, 2020
On 22 Mar, 2020
Received 24 Feb, 2020
Invitations sent on 18 Feb, 2020
On 18 Feb, 2020
On 17 Feb, 2020
On 16 Feb, 2020
Posted 24 Jul, 2019
On 05 Dec, 2019
Received 04 Dec, 2019
On 19 Nov, 2019
Received 22 Oct, 2019
On 18 Oct, 2019
On 08 Oct, 2019
Invitations sent on 07 Oct, 2019
On 06 Sep, 2019
On 19 Jul, 2019
On 19 Jul, 2019
Background William James’ 1884 paper “What is an emotion?” has generated much recent interest in affective science regarding somatic contributions to emotion. Studies of interoception (“sensing the physiological condition of the body”) suggest that sensing specific parts of the body contribute to the production of emotion, namely when sensing the viscera (i.e. ‘visceroception’ of the heart, gut or lungs). Improved visceroception has, for instance, been linked to increased emotional intensity, suggesting a role for interoception in emotion regulation that may pertain specifically to visceral bodily locations. Thus, in addition to asking James’ question, “What is an emotion?”, we ask, “Where is an emotion?”. Further, there is an evidence base pointing to the connections between emotion regulation and suicide, and between interoception and suicide. The trial investigates whether targeted interoception/visceroception improves emotion regulation, the ultimate aim of which is to inform suicide prevention efforts.
Methods The trial utilises a pre-test/post-test control group design, with two experimental groups undergoing visceroceptive interventions (gut or heart focus) and a control group. The interventions will run for 8 weeks. A spatial cueing task will measure reaction times to bodily changes pertaining to gut or heart focus. A stop/signal task will measure emotional inhibition, which is hypothesised to obscure awareness of active bodily locations. Visceroceptive ability will be tracked using a heartbeat estimation task, a water load test, and by self-report questionnaire. The sample consists of healthcare professionals and healthcare students (i.e. groups that represent a relatively high suicide risk among professional and student groups).
Discussion To our knowledge, this will be the first project to address whether emotional feeling presents as a localised bodily phenomenon and whether trained awareness of emotional localisation can improve emotion regulation. It will also be the first to investigate relationships between interoception and emotional inhibition (i.e. whether a sustained interoceptive practice leads to the disinhibition of bodily emotional sensations, which can positively contribute to emotion regulation). These empirical findings on emotion regulation will be used to inform a desk-based enquiry into the role of embodied emotion in suicide prevention, which may make a significant contribution to a growing evidence base on interoception and suicide.

Figure 1
This is a list of supplementary files associated with this preprint. Click to download.
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