Prominent theories highlight the importance of bodily perception for self-consciousness, but it is currently not known whether bodily perception is based on interoceptive or exteroceptive signals or on integrated signals from these anatomically distinct systems. In the research reported here, we combined both types of signals by surreptitiously providing participants with visual exteroceptive information about their heartbeat: A real-time video image of a periodically illuminated silhouette outlined participants’ (projected, “virtual”) bodies and flashed in synchrony with their heartbeats. We investigated whether these “cardio-visual” signals could modulate bodily self-consciousness and tactile perception. We report two main findings. First, synchronous cardio-visual signals increased self-identification with and self-location toward the virtual body, and second, they altered the perception of tactile stimuli applied to participants’ backs so that touch was mislocalized toward the virtual body. We argue that the integration of signals from the inside and the outside of the human body is a fundamental neurobiological process underlying self-consciousness.

The spatial unity between self and body can be disrupted by employing conflicting visual-somatosensory bodily input, thereby bringing neurological observations on bodily self-consciousness under scientific scrutiny. Here we designed a novel paradigm linking the study of bodily self-consciousness to the spatial representation of visuo-tactile stimuli by measuring crossmodal congruency effects (CCEs) for the full body. We measured full body CCEs by attaching four vibrator-light pairs to the trunks (backs) of subjects who viewed their bodies from behind via a camera and a head mounted display (HMD). Subjects made speeded elevation (up/down) judgments of the tactile stimuli while ignoring light stimuli. To modulate self-identification for the seen body subjects were stroked on their backs with a stick and the felt stroking was either synchronous or asynchronous with the stroking that could be seen via the HMD. We found that (1) tactile stimuli were mislocalized towards the seen body (2) CCEs were modulated systematically during visual-somatosensory conflict when subjects viewed their body but not when they viewed a body-sized object, i.e. CCEs were larger during synchronous than during asynchronous stroking of the body and (3) these changes in the mapping of tactile stimuli were induced in the same experimental condition in which predictable changes in bodily self-consciousness occurred. These data reveal that systematic alterations in the mapping of tactile stimuli occur in a full body illusion and thus establish CCE magnitude as an online performance proxy for subjective changes in global bodily self-consciousness.

There is some evidence that disordered self-processing in autism spectrum disorders is linked to the social impairments characteristic of the condition. To investigate whether bodily self-consciousness is altered in autism spectrum disorders as a result of multisensory processing differences, we tested responses to the full body illusion and measured peripersonal space in 22 adults with autism spectrum disorders and 29 neurotypical adults. In the full body illusion set-up, participants wore a head-mounted display showing a view of their ‘virtual body’ being stroked synchronously or asynchronously with respect to felt stroking on their back. After stroking, we measured the drift in perceived self-location and self-identification with the virtual body. To assess the peripersonal space boundary we employed an audiotactile reaction time task. The results showed that participants with autism spectrum disorders are markedly less susceptible to the full body illusion, not demonstrating the illusory self-identification and self-location drift. Strength of self-identification was negatively correlated with severity of autistic traits and contributed positively to empathy scores. The results also demonstrated a significantly smaller peripersonal space, with a sharper (steeper) boundary, in autism spectrum disorders participants. These results suggest that bodily self-consciousness is altered in participants with autism spectrum disorders due to differences in multisensory integration, and this may be linked to deficits in social functioning.

Prominent theories highlight the importance of bodily perception for self-consciousness, but it is currently not known whether this is based on interoceptive or exteroceptive signals or on integrated signals from these anatomically distinct systems, nor where in the brain such integration might occur. To investigate this, we measured brain activity during the recently described ‘cardio-visual full body illusion’ which combines interoceptive and exteroceptive signals, by providing participants with visual exteroceptive information about their heartbeat in the form of a periodically illuminated silhouette outlining a video image of the participant’s body and flashing in synchrony with their heartbeat. We found, as also reported previously, that synchronous cardio-visual signals increased self-identification with the virtual body. Here we further investigated whether experimental changes in self-consciousness during this illusion are accompanied by activity changes in somatosensory cortex by recording somatosensory evoked potentials (SEPs). We show that a late somatosensory evoked potential component (P45) reflects the illusory self-identification with a virtual body. These data demonstrate that interoceptive and exteroceptive signals can be combined to modulate activity in parietal somatosensory cortex.