Category: Protocols

Can Aesthetic Chills Make Us More Generous? A Dictator Game Study

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For one of our recent studies, we brought participants to the lab where they were presented with a series of auditory stimuli proven to cause chills in over 2/3 of the population while we recorded their neural and physiological data. Participants then completed tasks examining their post-intervention feelings, perspective-taking, and reactions to moral dilemmas, as well as ecologically valid tests of their non-strategic generosity (measured by costly sharing with real members of the LA community).

Prior to the study, all participants underwent an extensive battery of measures including:

These measures helped replicate prior findings in a single on-site study and assess both the independent effects of our intervention and the mediating effects of individual trait differences, which will help us better personalize future interventions and studies.

On the day of the study, participants were exposed to three chills-inducing stimuli that we have shown in over 7,000 diverse subjects across multiple countries to cause chills in approximately 75% of participants. Half of the participants additionally received a chills-augmenting intervention delivered by our patented frisson device strapped to their back, which delivers a cold stimulus along the spine timed to precise points where our previous studies showed chills were most likely to occur.

During the intervention, we recorded participants’ heart rate, skin conductance, and neural signals via scalp electrodes. While analysis of these signals is ongoing, our main hypothesis is that signal changes associated with psychedelic states of self-transcendence should be present in response to chills and should mediate the intervention’s transformative effects.

Post-intervention, participants reported their levels of self-transcendence and mood, were tested again on their maladaptive schemas, and engaged in two tasks designed to assess their actual helping decisions:

  1. Moral dilemmas task: Participants made difficult choices about moral situations where the welfare of the few was weighed against the welfare of many. Through process dissociation, we extracted two independent measures of moral decision-making: deontological inclination (the drive to avoid harm regardless of circumstances) and utilitarian inclination (the drive to maximize welfare for the maximum number of people).
  2. Dictator game: This task measured non-strategic generosity by having participants share money at their discretion with real community members, anonymously and without supervision. The task was designed so participants knew their decisions would affect real people using real money, but that no one involved with the experiment would review their decisions or know their choices.

We administered the dictator game two weeks before the on-site visit and again after the chills task to examine:

  • Whether the chills-augmenting intervention causes more chills
  • Whether chills augmentation leads to greater downstream self-transcendence and generosity
  • Whether getting chills causes increases in self-transcendence and generosity independently of augmentation
  • Whether getting chills mediates the intervention’s effect

While detailed analysis of these behavioral measures and their relationships is ongoing, we can report our primary findings:

  1. Those in the frisson-augmented condition showed greater aversion to harming others in moral dilemmas, and showed less maladaptive beliefs related to emotional deprivation. 
  2. Those who experienced chills behaved more generously toward high income avatars (toward whom participants are generally less generous), in other words, they were more generally egalitarian across conditions.
  3. The more chills participants experienced, the more connected they felt to others, and the more motivated they felt to help others and live in a virtuous way. 

Our task over the next several months is to qualify, situate, and disentangle the reasons for these main effects. We’ll determine who was more prone to respond to our intervention and what other downstream beliefs and states were changed that might explain increased generosity after these extraordinary experiences.

This will inform ongoing studies to better personalize interventions, as well as complex systems-based simulations to help us understand how democratizing such experiences could change society and culture.

Stay tuned!

*As described to our participants, we have calculated the amount of money shared with each LA community member, and they are being compensated as this post is being drafted.

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chills can help anhedonia

Chills Improve Reward Learning in Anhedonic Depression

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Aesthetic chills modulate reward learning in anhedonic depression

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Jain, A., Schoeller, F., Esfand, S., Duda, J., Null, K., Reggente, N., Pizzagalli, D. A., & Maes, P. (2024). Aesthetic chills modulate reward learning in Anhedonic depression. Journal of Affective Disorders, 370, 9–17. https://doi.org/10.1016/j.jad.2024.10.038

Jain, Abhinandan, et al. “Aesthetic chills modulate reward learning in Anhedonic depression.” Journal of Affective Disorders, vol. 370, Oct. 2024, pp. 9–17, doi:10.1016/j.jad.2024.10.038.

@article{Jain_Schoeller_Esfand_Duda_Null_Reggente_Pizzagalli_Maes_2024, title={Aesthetic chills modulate reward learning in Anhedonic depression}, volume={370}, url={https://doi.org/10.1016/j.jad.2024.10.038}, DOI={10.1016/j.jad.2024.10.038}, journal={Journal of Affective Disorders}, author={Jain, Abhinandan and Schoeller, Felix and Esfand, Shiba and Duda, Jessica and Null, Kaylee and Reggente, Nicco and Pizzagalli, Diego A and Maes, Pattie}, year={2024}, month=oct, pages={9–17} }

Working with Abhi Jain at MIT Media Lab and Diego Pizzagalli’s team at McLean Hospital, we recently investigated whether aesthetic chills could improve reward learning in individuals with anhedonic depression– an important follow-up on our work showing how chills can update depression schemas.

Anhedonia – the reduced ability to feel pleasure or motivation – affects up to 70% of depressed patients and predicts poor treatment outcomes. Current antidepressants (SSRIs) can sometimes worsen anhedonic symptoms, leaving that patient population in need for new treatment options.

Based on previous findings showing aesthetic chills engage the brain’s mesocortical reward circuit, we tested whether aesthetic chills could temporarily improve reward learning in anhedonic individuals. To measure reward learning, we used our collaborator Diego Pizzagalli’s probabilistic reward task (PRT). The PRT measures how well people modify their behavior based on rewards – participants have to identify subtle differences between stimuli (e.g., distinguishing between images with slightly different numbers of dogs vs cats), with one option being rewarded more frequently than the other. Healthy people quickly develop a bias toward the more rewarded option, while anhedonic individuals typically show no response.

In our study of 103 depressed participants, anhedonic individuals who experienced chills showed significantly improved reward learning (p = .004) compared to non-responders. This effect was specific to high anhedonia participants – we saw no significant changes in those with low anhedonia or controls.

this figure shows how aesthetic chills increase reward bias in individuals with depression and anhedonia


The study used validated stimuli from ChillsDB, developed in our earlier work.

Our team is now working with ketamine clinics to implement aesthetic chills induction alongside ketamine therapy for treatment-resistant depression. The rationale is compelling: ketamine rapidly enhances neuroplasticity and dopaminergic function, while aesthetic chills naturally engage reward circuitry in a targeted way depending on the content used (speech, poetry, stories, films). By combining these approaches, we hope to amplify therapeutic effects and potentially extend ketamine’s antidepressant benefits.

We’re particularly interested in how chills might enhance the psychedelic-like experiences many patients report during ketamine sessions. Early observations suggest that carefully selected aesthetic stimuli could help guide these experiences in therapeutically meaningful directions. If you’re a clinician working with ketamine or a researcher interested in this approach, we’re looking to expand our clinical partnerships. We’re particularly interested in sites that can implement rigorous protocols and already collect standardized data. If you’re interested in collaborating or learning more, please reach out: felix@advancedconsciousness.org. 

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Aesthetic Chills and Self-Transcendence: Another step toward the democratization of mystical experience

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Christov-Moore, L., Schoeller, F., Lynch, C., Sacchet, M., & Reggente, N. (2024). Self-transcendence accompanies aesthetic chills. PLOS Mental Health, 1(5), e0000125. https://doi.org/10.1371/journal.pmen.0000125

Christov-Moore, Leonardo, et al. “Self-transcendence accompanies aesthetic chills.” PLOS Mental Health, vol. 1, no. 5, Oct. 2024, p. e0000125. https://doi.org/10.1371/journal.pmen.0000125.

@article{Christov-Moore_Schoeller_Lynch_Sacchet_Reggente_2024, title={Self-transcendence accompanies aesthetic chills}, volume={1}, url={https://doi.org/10.1371/journal.pmen.0000125}, DOI={10.1371/journal.pmen.0000125}, number={5}, journal={PLOS Mental Health}, author={Christov-Moore, Leonardo and Schoeller, Felix and Lynch, Caitlin and Sacchet, Matthew and Reggente, Nicco}, year={2024}, month=oct, pages={e0000125}, language={en} }


Some of the smallest things are the most important. These small, important things and events can escape our notice and study for a long time. They are special precisely because they are small and, paradoxically, everywhere. An incredibly important and heretofore unknown component of the human circulatory system went unnoticed until just the last decade, despite thousands of years of studying human anatomy, because it was wispy, small, and everywhere. Such is the case with the aesthetic chills phenomenon, which few people even think to name or pay attention to, yet which all of us experience. In our search to democratize non-ordinary, mystical, transformative experiences, it may prove to be a key ally—a living biological demonstration of the fact that aesthetics began not in commerce, but in religion and our encounter with the transcendent.

Over the last year, our lab has found that aesthetic chills can not only be reliably evoked, but they also show many of the classical properties of transformative psychedelic experiences. They seem to alleviate depressive symptoms, maybe even reverse maladaptive, deep-seated beliefs, and seem deeply tied to our deepest beliefs and insights. In this study, we sought to examine whether the experience of aesthetic chills could, in fact, bear the characteristics of a tiny, self-transcendent, mystical experience.

To investigate this, we exposed 3,000 people from all over California to a series of songs, videos, and speeches that previous studies had found to consistently cause chills in a majority of people examined. We had them fill out questionnaires that examined their demographic qualities, personality traits, proneness to religious experiences and thinking, and even their political orientation. Then we showed them the video or song and had them fill out another series of questionnaires, assessing their mood, asking them whether they got chills and how intense they were, and importantly, asking if they experienced any of the classical three components of a crucial state known as self-transcendence.

A brief aside on what self-transcendence is: first coined in the 1980s within nursing literature, it was a trait used to describe a state or proclivity that seemed to correlate with and predict long-term health and well-being among people approaching old age. The state was characterized by:

1. Feelings of becoming one with everything, of ego dissolving

2. Feeling connected to one’s deeper self, to the world, and to other people

3. A sense of moral elevation, a motivation to live a nobler or more virtuous life, and a sense of compassion towards others

As it turns out, self-transcendence predicts well-being, resilience to adverse events, and prosocial, empathetic behavior in people of all ages, nationalities, creeds, and orientations. Importantly, having a self-transcendent event—whether it be a major life event, a psychedelic experience, an advanced meditative state, or immersion in nature—has been shown to cause greater well-being, greater resilience, and a greater inclination to help others.

What we found and replicated in independent samples in both California and Texas, as well as in yet another recent replication (in total, some 5,000 people), was an incredibly significant and robust relationship between the experience of chills, its intensity, and self-transcendence. Over and over again, with remarkable consistency, if a person experiences chills and to the extent to which they experience them, they will also report feeling that their ego is dissolved, that they are connected to the world and their deeper selves, and that they feel motivated to live in a kinder, nobler, more virtuous way.

In fact, adding chill-inducing music to a guided meditation increases people’s perception of its self-transcendent qualities and enhances the impact and sense of immersion people report from the meditation. What these findings reveal is that this small but ubiquitous human experience may be a microcosm of the transformative, mystical experiences often considered to be elusive or difficult to achieve for most of the population.

The more we can harness these little experiences and combine them, the more we may be able to bring these central meaning-making experiences—once thought to be the sole domain of psychedelics, religion, or advanced meditation—to that vast mass of people who, in our modern era, are perhaps too skeptical for religion and averse to the psychedelic experience. This could help improve their lives, improve their behavior towards others, and sustain a sense of meaning otherwise all too often taken up by consumerism or demagogues.

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Empathy from Dissimilarity In Neural Responses To Touch and Pain

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Lulla, R., Christov-Moore, L., Vaccaro, A., Reggente, N., Iacoboni, M., & Kaplan, J. (2024). Empathy from Dissimilarity: Multivariate Pattern Analysis of Neural Activity During Observation of Somatosensory Experience. Imaging Neuroscience. https://doi.org/10.1162/imag_a_00110

Lulla, Rishi, et al. “Empathy from Dissimilarity: Multivariate Pattern Analysis of Neural Activity During Observation of Somatosensory Experience.” Imaging Neuroscience, Jan. 2024, doi:10.1162/imag_a_00110.

@article{Lulla_Christov-Moore_Vaccaro_Reggente_Iacoboni_Kaplan_2024, title={Empathy from Dissimilarity: Multivariate Pattern Analysis of Neural Activity During Observation of Somatosensory Experience}, url={https://doi.org/10.1162/imag_a_00110}, DOI={10.1162/imag_a_00110}, journal={Imaging Neuroscience}, author={Lulla, Rishi and Christov-Moore, Leonardo and Vaccaro, A. and Reggente, Nicco and Iacoboni, Marco and Kaplan, Jonas}, year={2024}, month=jan }

Empathy: A Deeper Look

Empathy involves both understanding and sharing in the states of others. It’s been relatively established that empathy is related to our ability to simulate and internalize another’s experience as if it is happening to us, referred to as the ‘simulationist’ theory of empathy. However, how these simulations translate into empathic ability remains unclear. In an article titled ‘Empathy from Dissimilarity: Multivariate Pattern Analysis of Neural Activity during Observation of Others’ Somatosensory States’, researchers from the University of Southern California and the Institute for Advanced Consciousness Studies investigate the relationship between internal simulations and empathic traits. They question whether the importance of these simulations depends on not only the strength of the simulation but more so the distinguishability across simulated states.

Brain Patterns and Simulation

To evaluate this theory using patterns of neural activity, researchers recruited 70 healthy participants to undergo MRI imaging while observing videos intended to simulate certain sensory states. The videos consisted of a hand experiencing painful and tactile stimulation and a hand in isolation as control. They used advanced multivariate analysis techniques to delve into the granularity of neural activity, such as differences in neural patterns when simulating pain versus touch. This allowed them to probe whether the key to the simulationist theory lay within the relationship between differences in neural patterns of simulated states and empathic ability.

Dissimilarity as a Key Factor

This article evaluates empathy through the lens of ‘pattern dissimilarity’ rather than overall activation during observed experiences of others, analyzing areas of the brain in which pattern dissimilarity was predictive of empathic traits. This proved to be more useful than traditional methods of evaluating neural responses that rely on average activation levels rather than activity patterns. Researchers discovered that pattern dissimilarity was predictive of empathic traits in the same areas of the brain that would be engaged if the participant was experiencing the observed stimulation themselves. This sheds light on the intricacies of somatosensation, our bodily perception of the senses, that contribute to empathic ability.

Implications for Understanding Empathy

These findings show how pattern dissimilarity may provide deeper information than traditional analysis methods when researching cognitive functions such as empathy. Researchers suggest that the distinguishability of simulated internal states in somatosensory areas of the brain is predictive of an individual’s sympathetic reactions to the distress of others. Perhaps it’s not only the level of brain activity during internal simulation, but more so the uniqueness and distinguishability of that brain activity that leads us to feel for and understand others.

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neural correlates of chills as shown by a frozen brain

The neural correlates of chills: How bodily sensations shape emotional experiences

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Schoeller, F., Jain, A., Pizzagalli, D. A., & Reggente, N. (2024). The neurobiology of aesthetic chills: How bodily sensations shape emotional experiences. Cognitive, Affective, & Behavioral Neuroscience. https://doi.org/10.3758/s13415-024-01168-x

Schoeller, Félix, Abhinandan Jain, et al. “The neurobiology of aesthetic chills: How bodily sensations shape emotional experiences.” Cognitive, Affective, & Behavioral Neuroscience, Feb. 2024, doi:10.3758/s13415-024-01168-x.

@article{Schoeller_Jain_Pizzagalli_Reggente_2024, title={The neurobiology of aesthetic chills: How bodily sensations shape emotional experiences}, url={https://doi.org/10.3758/s13415-024-01168-x}, DOI={10.3758/s13415-024-01168-x}, journal={Cognitive, Affective, & Behavioral Neuroscience}, author={Schoeller, Félix and Jain, Abhinandan and Pizzagalli, Diego A. and Reggente, Nicco}, year={2024}, month=feb }

Neural Correlates of Chills: How the Brain Creates a Powerful Emotional Response

Aesthetic chills are a universal emotional response characterized by shivers and goosebumps in reaction to specific rewarding or threatening stimuli, such as music, films, or speech. What makes this phenomenon so intriguing is that it simultaneously involves subjective feelings and measurable physical sensations, providing a tangible link between the mind and body.

The Role of Brain Regions and Networks

Recent research has shed light on the specific brain regions and networks involved in the experience of aesthetic chills. Understanding the neural correlates of chills helps us delve into fascinating questions about the mind-body connection.

Our review highlights key questions that aesthetic chills can help us answer: How precisely do bodily sensations influence emotional experiences? What is the role of prediction and uncertainty in shaping our feelings? And how does the brain balance processing rewards versus threats?

neural correlates of chills are vast and span the cerebrum, cerebellum, and brainstem

The Mesocorticolimbic System: A Key Player in Chills

By synthesizing evidence from neuroimaging studies, we propose that aesthetic chills engage a distinct brain network involving the mesocorticolimbic system. This network includes regions like the ventral tegmental area (VTA), nucleus accumbens (NAcc), amygdala (AMG), and frontal areas such as the orbitofrontal cortex (OFC) and ventromedial prefrontal cortex (vmPFC). Crucially, the VTA releases dopamine, a neurotransmitter critical for reward processing and motivation, throughout these regions.

Chills, Reward, Learning, and the Brain’s Predictions

neural correlates of chills seem to depend on the learning rate

We suggest that aesthetic chills may correspond to peaks in consummatory pleasure, marking the transition from the “wanting” phase of reward to the “liking” and “learning” phases. This perspective aligns with the observation that chills often occur during the culmination of an aesthetic experience, such as the resolution of a narrative or musical tension.

neural correlates of chills seem associated with the anticipation and reward response.

Interoception and the Insula

The involvement of the insula, a region linked to interoception (the perception of internal bodily states), highlights the importance of peripheral signals in shaping the emotional quality of chills. This is further supported by findings that manipulating bodily sensations, such as enhancing the feeling of cold, can intensify the experience of chills and its downstream effects on cognition.

Individual Differences and the Experience of Chills

Interestingly, our susceptibility to aesthetic chills seems to be influenced by individual differences in personality traits like openness to experience and absorption, as well as biological factors such as gene variants affecting neurotransmitter function. This suggests that our propensity for chills is shaped by a complex interplay of psychological and neurobiological factors.

Dopamine, Prediction Errors, and Learning

We propose that the neurotransmitter dopamine plays a key role in aesthetic chills by encoding the precision of our brain’s predictions. When an aesthetic stimulus violates our expectations in a way that is ultimately rewarding, dopamine release signals the need to update our predictions, enhancing memory consolidation and learning. This process may underlie the heightened attention and memory effects observed during chills.

Mental Health Implications

Understanding the neurobiology of aesthetic chills has important implications for mental health. Dysfunctional precision encoding of prediction errors by dopamine is implicated in conditions like schizophrenia, depression, and addiction. Preliminary evidence suggests that experiencing aesthetic chills may help mitigate anhedonia (loss of pleasure) in depression by improving reward learning and shifting maladaptive self-beliefs. The therapeutic potential of chills lies in their ability to promote positive emotional states and cognitive flexibility.

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this predicting chills image shows a row of people and one with frost on their glasses

Predicting Chills – Characterizing Individual Differences in Peak Emotional Response

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Schoeller, F., Christov-Moore, L., Lynch, C., Diot, T., & Reggente, N. (2024). Predicting Individual Differences in Peak Emotional Response. PNAS Nexus, 3(3). https://doi.org/10.1093/pnasnexus/pgae066

Schoeller, Félix, Leonardo Christov-Moore, et al. “Predicting Individual Differences in Peak Emotional Response.” PNAS Nexus, vol. 3, no. 3, Feb. 2024, https://doi.org/10.1093/pnasnexus/pgae066.

@article{Schoeller_Christov-Moore_Lynch_Diot_Reggente_2024, title={Predicting Individual Differences in Peak Emotional Response}, volume={3}, url={https://doi.org/10.1093/pnasnexus/pgae066}, DOI={10.1093/pnasnexus/pgae066}, number={3}, journal={PNAS Nexus}, author={Schoeller, Félix and Christov-Moore, Leonardo and Lynch, Caitlin and Diot, Thomas and Reggente, Nicco}, year={2024}, month=feb }

Predicting Chills: Unraveling the Factors Behind a Powerful Emotional Response

Have you ever felt a shiver run down your spine when deeply moved by a piece of music or a scene in a film? Those “aesthetic chills” offer a fascinating glimpse into the interplay of our emotions and our individual experiences. In a recent study published in PNAS Nexus, we aimed to understand what makes some people more likely to feel these chills.

The Study Design

Our approach was multifaceted:

  • Stimuli Selection: We used innovative data mining techniques on social media platforms to curate a database of stimuli with a proven track record of inducing chills.
  • Diverse Participants: We exposed a diverse group of over 2,900 participants from Southern California to these stimuli. Data on their demographics, personality traits, and emotional responses were carefully collected.

Key Findings: Who’s Most Likely to Experience Chills

Our results were illuminating:

  • Demographics: Certain demographic factors, such as being middle-aged, highly educated, and male, were associated with a greater likelihood of experiencing chills.
  • Personality’s Impact: We also identified specific personality traits, like extraversion and conscientiousness, that were linked to more intense chills responses.
  • Microcultures and Resonance: Perhaps the most intriguing finding was the use of latent class analysis to uncover hidden “microcultures.” These subgroups, characterized by specific combinations of demographic and psychological attributes, were significantly more likely to experience chills. This points to the role of cultural resonance in shaping these emotional experiences.
predicting chills is hard - this image shows a bunch of people in a where's waldo style backdrop all looking at different pieces of content

Predictive Power: Can We Foresee Chills?

We pushed the analysis further by employing machine learning algorithms to see if we could predict the occurrence and intensity of chills based on a combination of personal characteristics. Our models achieved up to 73.5% accuracy in predicting whether someone would experience chills and accounted for 48% of the variance in chills intensity.

The Significance of Our Work

This study has far-reaching implications. By identifying the key factors that shape our susceptibility to aesthetic chills, we open doors to more targeted and personalized approaches to studying these experiences in a laboratory setting. Furthermore, understanding these “chills profiles” could pave the way for using music, art, or other stimuli in therapeutic contexts – perhaps helping reduce symptoms like anhedonia in depression.

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Individual Differences in Aesthetic Chills

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Schoeller, F., Moore, L., Lynch, C., & Reggente, N. (2023c). ChillsDB 2.0: Individual Differences in aesthetic chills among 2,900+ Southern California participants. Scientific Data, 10(1). https://doi.org/10.1038/s41597-023-02816-6

Schoeller, Felix, et al. “ChillsDB 2.0: Individual Differences in Aesthetic Chills Among 2,900+ Southern California Participants.” Scientific data 10.1 (2023): 922.

@article{schoeller2023chillsdb, title={ChillsDB 2.0: Individual Differences in Aesthetic Chills Among 2,900+ Southern California Participants}, author={Schoeller, Felix and Christov Moore, Leo and Lynch, Caite and Reggente, Nicco}, journal={Scientific data}, volume={10}, number={1}, pages={922}, year={2023}, publisher={Nature Publishing Group UK London} }

Understanding Individual Differences in Aesthetic Chills

At IACS, we have been deeply engaged in the scientific exploration of aesthetic chills – those spine-tingling, goosebump-inducing responses evoked by stimuli such as music, films, and stories at large. These responses are recognized as a universal indicator of peak human experiences that transcend cultural boundaries.

Tools for Investigating Aesthetic Chills

One of our main goals is to build an open-source technological infrastructure for researchers to study chills in the lab. Our first output was ChillsDB, a database of audiovisual stimuli designed and validated to reliably induce aesthetic chills in a laboratory setting. This tool represented a breakthrough for the field, enabling researchers to investigate the psychological and neurological foundations of this intense emotional response under controlled conditions.

individual differences in aesthetic chills - this image shows a person viewing different pieces of content to emphasize how different people get chills from different content.

ChillsDB 2.0: Focusing on Individuality

We are now excited to announce the release of ChillsDB 2.0, published in Nature: Scientific Data, which marks a significant expansion of our initial efforts. In this updated version, we have enriched our dataset with inputs from nearly 3,000 diverse participants from Southern California. This enhancement not only includes responses to a selection of stimuli from our original database and new additions but also encompasses comprehensive data on participants’ demographics, personality traits, and emotional states before and after exposure to each stimulus.

The Therapeutic Potential of Aesthetic Chills

ChillsDB 2.0 has already proven to be a foundational resource for examining the therapeutic possibilities of aesthetic chills in treating conditions like depression. By elucidating the mechanisms behind these peak emotional states, we aim to discover novel methods for enhancing mood and introducing new perspectives to both clinical and general populations.

The Path Forward

While significant efforts are still required to comprehensively understand the phenomenology and neurobiology of aesthetic chills and to harness these insights for improving well-being, this new database represents an important step forward.

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Aesthetic chills mitigate maladaptive cognition in depression-- an important finding showcasing the power of positive affect promotion.

Aesthetic chills mitigate maladaptive cognition in depression

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Schoeller, F., Jain, A., Adrien, V., Maes, P., & Reggente, N. (2024). Aesthetic chills mitigate maladaptive cognition in depression. BMC Psychiatry, 24(1). https://doi.org/10.1186/s12888-023-05476-3

“Aesthetic Chills Mitigate Maladaptive Cognition in Depression.” BMC Psychiatry, vol. 24, no. 1, Jan. 2024, https://doi.org/10.1186/s12888-023-05476-3.

@article{Schoeller_Jain_Adrien_Maes_Reggente_2024c, title={Aesthetic chills mitigate maladaptive cognition in depression}, volume={24}, url={https://doi.org/10.1186/s12888-023-05476-3}, DOI={10.1186/s12888-023-05476-3}, number={1}, journal={BMC Psychiatry}, author={Schoeller, Félix and Jain, Abhinandan and Adrien, Vladimir and Maes, Pattie and Reggente, Nicco}, year={2024}, month=jan }

Using peak positive affect (aesthetic chills) to help with depression

In our recent collaboration with Pattie Maes’s Fluid Interfaces group at MIT Media Lab and Dr. Vladimir Adrien from Assistance Publique Hôpitaux de Paris (APHP) in France, we investigated the potential for aesthetic chills to serve as an innovative intervention for major depressive disorder. This effort is a considerable advancement towards the notion of promoting positive affect in depression, which stands in contrast to standard care which is mostly focused on mitigating negative affect.

Instead of focusing on how to help individuals with depression not feel so bad, this work suggests the potential of helping those individuals by presenting them with content so they can feel good.

Aesthetic chills are characterized by sensations like shivers, goosebumps, and tingling that arise in response to emotional experiences with art, music, or nature. We hypothesized that by eliciting chills through validated multimedia stimuli, we could positively influence the core beliefs and self-schemas of individuals with depression. Across two studies with 96 participants diagnosed with major depressive disorder, we engaged participants in randomized sessions involving chill-inducing and neutral control stimuli across visual, auditory, and written modalities. Our results demonstrated that aesthetic chills induced a notable increase in self-acceptance among depressed participants. Chill-inducing stimuli appeared to facilitate positive emotional breakthroughs and shifts in self-perception that could address cognitive distortions related to depression. The data further suggest that aesthetic chills may engage reward-related neural pathways similarly to interventions like psychedelic-assisted therapy.

Individuals with major depressive disorder reported more emotional breakthroughs in their maladaptive cognition (e.g., lack of self-acceptance) when they reported getting chills compared to individuals who viewed the same content, but didn’t get chills. This also scaled as a function of the intensity of those chills.

While preliminary, these findings bring much-needed attention to the potential for aesthetic chills to positively influence core beliefs and schemas related to the self and one’s place in the world. For individuals with depression stemming from early adverse experiences, chill-inducing stimuli could foster emotional catharsis and lasting change to maladaptive self-narratives developed as coping mechanisms. Our research provides initial evidence that the biological processes involved in aesthetic chills can be harnessed for therapeutic ends. Chill-based interventions offer a promising avenue for large-scale study given the ease of dissemination through multimedia experiences.

Looking forward, further research should explore the neurophysiological mechanisms of aesthetic chills and biomarkers that may predict individual responses. Larger clinical trials are needed to investigate optimal protocols and delivery methods for chill-based therapy. We believe aesthetic chills represent an innovative non-pharmacological intervention that warrants greater attention from the psychiatry, psychology, and human-computer interaction communities.

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Interoceptive Technologies for Psychiatric Interventions: A Comprehensive Review

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Schoeller, F., Horowitz, A. H., Jain, A., Maes, P., Reggente, N., Christov-Moore, L., . . . Friston, K. J. (2024). Interoceptive technologies for psychiatric interventions: From diagnosis to clinical applications. Neuroscience & Biobehavioral Reviews, 156, 105478. https://doi.org/10.1016/j.neubiorev.2023.105478

Schoeller, Félix, Adam Haar Horowitz, et al. “Interoceptive Technologies for Psychiatric Interventions: From Diagnosis to Clinical Applications.” Neuroscience & Biobehavioral Reviews, vol. 156, Jan. 2024, p. 105478. https://doi.org/10.1016/j.neubiorev.2023.105478.

@article{Schoeller_Horowitz_Jain_Maes_Reggente_Christov-Moore_Pezzulo_Barca_Allen_Salomon_et al._2024, title={Interoceptive technologies for psychiatric interventions: From diagnosis to clinical applications}, volume={156}, url={https://doi.org/10.1016/j.neubiorev.2023.105478}, DOI={10.1016/j.neubiorev.2023.105478}, journal={Neuroscience & Biobehavioral Reviews}, author={Schoeller, Félix and Horowitz, Adam Haar and Jain, Abhinandan and Maes, Pattie and Reggente, Nicco and Christov-Moore, Leonardo and Pezzulo, Giovanni and Barca, Laura and Allen, Micah and Salomon, Roy and Miller, Mark and Di Lernia, Daniele and Riva, Giuseppe and Tsakiris, Manos and Chalah, Moussa A. and Klein, Arno and Zhang, Ben and Garcia, Teresa and Pollack, Ursula and Trousselard, Marion and Verdonk, Charles and Dumas, Guillaume and Adrien, Vladimir and Friston, Karl J.}, year={2024}, month=jan, pages={105478} }

What Is Interoception?

Interoception refers to our awareness of internal bodily signals like heartbeat, breathing, and digestion. While often overlooked, emerging research is revealing interoception as a fundamental process underlying emotion, cognition, and mental health. A new multidisciplinary review led by IACS senior research scientist Felix Schoeller and published in Neuroscience & Biobehavioral Reviews explores the profound significance of interoception and its potential applications in psychiatric diagnosis and treatment.

Directly manipulating interoceptive signals in experiments has proven challenging due to the highly invasive techniques currently used, like esophageal balloon distension. There is also a lack of standardized, validated measures of interoceptive function across research disciplines as “the lack of correlation across unimodal tests underscores the need for multimodal approaches that assess integration of interoceptive information across bodily systems.” Drawing from fields like psychology, physiology, psychiatry, engineering, and neuroscience, the article provides a detailed account of the neurobiology of interoception, describing it as a hierarchical predictive processing system in the brain, and emphasizing the key role of dysfunctional interoceptive processing in disorders like anxiety, depression, and eating disorders.

What are Interoceptive Technologies?

The review also explores in details existing paradigms for modulating interoception, like interoceptive conditioning. This involves pairing internal bodily sensations with aversive stimuli to reshape emotional and physiological responses through a form of classical conditioning. The authors discuss clinical applications of these approaches, such as interoceptive exposure therapy for anxiety disorders. They also propose a new classification system for interoceptive technologies, dividing them into three categories: artificial sensations that induce novel bodily perceptions, interoceptive illusions that manipulate the precision of predictions, and emotional augmentation systems that facilitate beneficial changes in beliefs or behaviors.

interoceptive technologies examples

Figure 1. Overview of interoceptive technologies: A) the breath-holding test as an artificial sensation, whereby some bodily signal is directly manipulated, B) false heart feedback as an interoceptive illusion, where contextual cues generate a perceptual drift (here the illusion that the heart beats faster at a faster-than-expected rate), C) the therapeutic alliance as entrainment, where the patient’s heart rate slows down as the therapist’s is increasing, leading both to tend towards some average value, D) augmented exposure therapy as emotional augmentation, similar to B but with additional exteroceptive cues having personal significance to the individual (e.g. eliciting the trauma-related memory) favoring an emotional explanation for the interoceptive drift.

Such technologies could have powerful implications. Artificially inducing bodily sensations could help diagnose psychiatric conditions by testing patients’ susceptibility to developing skewed predictions about their internal state. More advanced emotional augmentation systems could precisely modulate predictive processes to reshape maladaptive cognitions and behaviors. While acknowledging that much remains unknown, the review shows the vast potential for interoceptive interventions to improve diagnosis and treatment of mental health disorders. Developing standardized measures and new technologies to precisely manipulate interoceptive signaling may open transformative frontiers in biological psychiatry and psychology.

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woman doing a grocery task, showcasing the need for VR for cognition and memory

VR for Cognition and Memory

Manuscript, Proceedings, Protocol-002

This blog post is based on a recent book chapter “VR for Cognition and Memory” in Current Topics in Behavioral Neuroscience: Virtual Reality in Behavioral Neuroscience: New Insights and Methods. This work presents a review of research on VR’s ability to provide ecologically valid environments to study memory and cognition and discusses how features like interactivity, locomotion, and contextual control engage the brain’s memory systems more naturally than lab studies.

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Reggente N. (2023). VR for Cognition and Memory. Current topics in behavioral neurosciences, 10.1007/7854_2023_425. Advance online publication. https://doi.org/10.1007/7854_2023_425

Reggente N. VR for Cognition and Memory [published online ahead of print, 2023 Jul 14]. Curr Top Behav Neurosci. 2023;10.1007/7854_2023_425. doi:10.1007/7854_2023_425

Reggente, Nicco. “VR for Cognition and Memory.” Current topics in behavioral neurosciences, 10.1007/7854_2023_425. 14 Jul. 2023, doi:10.1007/7854_2023_425

Revolutionizing Cognition Research with Virtual Reality

For decades, scientists have worked tirelessly to elucidate the intricate neural machinery supporting human cognition. This endeavor is certainly not for the faint of heart, as formidable challenges present themselves at every turn.

“To study cognition holistically means investigating interconnections between its rich repertoire of functions, including attention, reasoning, language, and memory. Memory is a particularly crucial facet, as it supports and subserves all other aspects of cognition; no cognitive task can be accomplished without memory.”

A holistic understanding demands that we study cognition as it operates in its natural habitat – the real world. Otherwise, as the parable of the blind men and the elephant warns, we risk gross mischaracterizations. Researchers must therefore conduct experiments in “verisimilar contexts (i.e. contexts appearing as the RW)” to achieve ecological validity.

Virtual reality (VR) presents an unprecedented opportunity in this regard. By simulating the real world, we can now study memory and cognition with enhanced veridicality.

“The environmental customization afforded by VR makes it an ideal tool for studying cognition in an ecologically valid fashion. Through the lens of memory studies, this chapter showcases the ways in which VR has advanced a meaningful and applicable understanding of cognition.”

The article presents a thorough review of research that showcases how VR is revolutionizing the study of cognition and memory.

Bridging the Gap Between Lab and Real-World Cognition

Traditional lab experiments often possess limited generalizability, whereas VR can provide naturalistic environments and tasks that echo real-world demands, easily bolstering ecological validity. Previous work has made a compelling case for how VR enhances the ecological validity of fMRI memory research.

VR experiences engage recollection-based memory retrieval akin to real events, unlike lab stimuli which rely more on familiarity. Indeed, VR experiences appear to be retrieved via recollection-based processes similar to those that support autobiographical/recollection memory, whereas retrieval of conventional screen experiences seems more similar to familiarity. This makes VR apt for integrated cognition and memory research.

VR Permits for Information to be Situation in Space

Most importantly, VR permits realistic navigation around virtual environments (c.f.), affording users with a sense of space (the scaffolding of memory). Both philosophers and psychologists alike postulate that brains have evolved solely to support purposeful and predictable movement. Many posit that the ontogeny of episodic memory relates to the onset of locomotion during infancy that scales with Hippocampal development (which also provides a mechanism for infantile amnesia and age-related episodic memory loss). One source of evidence to support this proposition is in the life cycle of the bluebell tunicate. This filter feeder begins to digest a substantial chunk of its cerebral ganglion once identifying a suitable undersea perch to spend the rest of its existence. This phenomenon suggests that once it has served its purpose as a neural network supporting movement, the cerebral ganglion yields greater utility to the organism as nutrition.

From chemotaxis to cognitive maps, a representation of space is necessary for meaningful movement. A neural instantiation of a map that provides spatial bookmarks of an organism’s experiences, demarcating the locations of nutrition and enemies within an environment, is a fundamental component of brains. Indeed, there is a primacy of spatial content in the neural representation of events. Spatial information is often recalled earliest in the retrieval process, and the degree to which individuals report confidence in their autobiographical memories is predicted by their knowledge of the spatial layout of the setting in which the memory occurred. The Method of Loci (a.k.a. Memory Palace) mnemonic has long been appreciated for its ability to increase memory by imagining to-be-remembered information placed at familiar locations. Past work used a VR implantation of this technique to suggest that the principal component behind mnemonic efficacy is the explicit binding of the objects to a spatial location and revealed a tight relationship between spatial memory (SM) and free recall of encoded objects. These observations showcase that space and memory are inextricably linked at conceptual and neuronal levels – a notion that has become entrenched in popular culture; the phrase “out of space” is often used when indicating a computer’s memory is full.

a fantastical virtual environment that could be used to study the relationship between objects, positions, and memory.

If space is the inescapable wallpaper that serves as the backdrop for all experience, then it follows that as our spatial or environmental context changes, so should the neural activity underlying diverse cognitive processes. Given that VR can easily change environments, it provides an unparalleled landscape with which to study the intersection of space, memory, and cognition.

Additionally, VR enables human analogs of spatial memory research previously limited to animal models, like virtual radial arm mazes. This facilitates powerful translational research from rodents to humans.

Key Features of VR That Facilitate Cognition Research

Below are some features highlighted by the chapter that are exclusive to VR. Such features permit real-world scenarios with increased experimental control and significantly less costs.

  • VR provides absolute control over the environment. This permits isolation and systematic manipulation of spatial contexts, immersion, emotions, embodiment, etc.
  • Rapid teleportation between environments induces robust context-dependent learning, a fundamental principle in memory encoding.
  • Interactivity and locomotion increase embodiment and navigational involvement, enhancing hippocampal memory systems.
  • Implicit metrics like gaze, paths, and object interactions generate objective measures of memory and attention unbiased by subjective reporting.
  • Brain imaging during VR reveals in vivo neural correlates of cognition impossible with real-world navigation.
  • VR spatial mnemonics such as the Method of Loci can provide performance improvements over just imagination by standardizing and controlling the environments.

Applications of VR for Assessing and Enhancing Cognition

Conventional measures of memory typically focus on core content (i.e., the “what”) instead of the true binding that happens in actual episodes (i.e., “what,” where,” and “when”). They also often use verbal materials, which makes the test sensitive to performance in non-memory domains, permitting for compensatory strategies which could erroneously reveal normal “memory.” Subjective reports rarely scale with performance on traditional memory tests, warranting criticism that such measures wrongly estimate memory capacities for everyday situations. For example, patients reporting topographical memory deficits have preserved ability in tabletop tests of spatial or geographical knowledge. Additionally, cognitive complaints in amnesiacs typically show little correlation with verbal memory tests used in clinical settings.

VR tasks, however, have been more reliable in tracking self and caregiver reports of deficits that impact quality of life. The points below highlight other aspects of VR that can increase the ecological validity of both the detection and amelioration of memory deficits.

  • VR scenarios like virtual stores and routes enable sensitive, ecologically valid tools to identify mild cognitive impairment early.
  • VR spatial navigation paradigms can differentiate Alzheimer’s from milder impairment based on hippocampal recruitment patterns.
  • VR enables safe exposure therapy for memory deficits induced by trauma and realistic training for brain injury rehabilitation.
  • Spatial mnemonic techniques adapted to VR boost memory beyond baseline abilities in healthy individuals.
  • VR puzzles engage aging minds, increasing motivation. Long-term regimes may prevent decline. As one study found, “6 months of VR training powerfully increased long-term recall.”
  • VR training could augment real-world cognition and rehabilitate deficits, with proven memory transfer effects.

In conclusion, VR enables an unprecedented ability to understand real-world cognition, precisely diagnose impairments, and develop interventions that enhance memory and cognition. The immersive, interactive nature of VR environments engages our brains’ memory systems far more naturally than traditional lab studies.

The inherently engaging qualities of VR, coupled with its ability to implicitly quantify and enhance memory, make it a powerful tool in populations spanning from pediatrics to the elderly.

Indeed, VR may catalyze discoveries about the very mechanisms underlying human consciousness itself, which intimately relies on episodic memory. By augmenting these processes, VR could profoundly transform our experience and understanding of consciousness. The future of cognition research has never looked more exciting.

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