Disrupted self-referential processing and empathy-based interventions in mental disorders: neural mechanisms, cognitive biases, and therapeutic integration - Summary - MDSpire

Disrupted self-referential processing and empathy-based interventions in mental disorders: neural mechanisms, cognitive biases, and therapeutic integration

  • By

  • Siqintu

  • Qinglin Bao

  • Dezhi Yang

  • Zhiheng Dong

  • Chula

  • Husile

  • Muxiyanle

  • Zhiyong Bao

  • Limei He

  • Wulan

  • Temuqile

  • July 6, 2026

  • 0 min

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Objective:

To synthesize empirical evidence regarding the neural underpinnings of self-referential processing (SRP) and examine the interplay between SRP and empathic functioning.

Approach:
  • Review of Literature: The article reviews empirical studies on SRP and empathy in psychiatric disorders, focusing on neural mechanisms and cognitive distortions.
  • Therapeutic Interventions: It discusses therapeutic approaches targeting the interface between SRP and empathy, including metacognitive therapy, mindfulness-based interventions, and psychedelic-assisted psychotherapy.
Key Findings:
  • Disruptions in SRP are a transdiagnostic hallmark across psychiatric disorders.
  • Impairments in SRP can lead to distorted self-perception and emotional dysregulation.
  • There is a bidirectional relationship between SRP and empathy, where deficits in one can exacerbate issues in the other.
  • Therapeutic interventions targeting SRP and empathy show preliminary evidence of improving emotional regulation and social functioning.
Interpretation:

The review highlights the importance of understanding SRP and empathy in psychiatric conditions.

Limitations:
  • The evidence base for many interventions is still at an early stage.
  • The degree of empirical support varies across therapeutic modalities and diagnostic populations.
Conclusion:

Future research should focus on transdiagnostic treatment strategies targeting the SRP-empathy interface.

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