Somatic Meditation and the Embodied Mind: A Neuropsychological Review

This review examines the neuropsychological basis of somatic meditation, exploring its relationship with embodied cognition theories and its therapeutic potential. Somatic meditation, which cultivates focused attention on internal bodily sensations (interoception), is increasingly recognized for addressing the embodied aspects of stress, trauma, and chronic pain. Drawing on insights linking psychological states to physiological experiences, such as trauma stored somatically, we review evidence demonstrating somatic meditation's efficacy. Clinical studies indicate significant reductions in chronic pain, depression, and anxiety, potentially mediated by altered neural pain processing (e.g., involving opioidergic systems and modulation of the orbitofrontal cortex and anterior cingulate cortex) and enhanced emotional regulation. Neuroscientific findings highlight key mechanisms: increased interoceptive awareness associated with insular cortex plasticity and connectivity; improved autonomic regulation via enhanced vagal tone (indexed by heart rate variability); refined sensorimotor integration potentially involving cortical alpha rhythm modulation; and changes in default mode network (DMN) activity and connectivity, favoring present-moment awareness over rumination. Evidence from neuroeconomics suggests these practices can foster more rational decision-making by reducing emotional bias, possibly through both decreased affective reactivity and enhanced cognitive control. We discuss the facilitating role of guided meditation formats and propose future research directions. These include using neuroimaging and psychophysiological measures to compare novice and experienced practitioners, investigating the interplay of interoceptive accuracy and emotional regulation, exploring differential effects of specific somatic techniques, and examining long-term neural plasticity, thereby further elucidating how attending to the body can reshape the mind and brain for improved health and well-being.