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Mirror-touch synesthesia is linked with empathy

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Watching another person being touched activates a similar neural circuit to actual touch and, for some people with 'mirror-touch' synesthesia, can produce a felt tactile sensation on their own body. In this study, we provide evidence for the existence of this type of synesthesia and show that it correlates with heightened empathic ability. This is consistent with the notion that we empathize with others through a process of simulation.
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Mirror-touch synesthesia is
linked with empathy
Michael J Banissy & Jamie Ward
Watching another person being touched activates a similar
neural circuit to actual touch and, for some people with ‘mirror-
touch’ synesthesia, can produce a felt tactile sensation on their
own body. In this study, we provide evidence for the existence
of this type of synesthesia and show that it correlates with
heightened empathic ability. This is consistent with the notion
that we empathize with others through a process of simulation.
Recent research indicates that peoples ability to empathize with others
relies on shared affective neural systems in which common brain areas
are activated during both experience and passive observation. More-
over, building on the discovery of mirror neurons in the monkey
brain
1
, functional imaging has suggested the existence of mirror
systems in humans not only for actions, but also for sensations and
emotions
2–6
. For example, watching another human being touched
(relative to an object being touched) activates the primary and
secondary somatosensory cortex along with premotor and superior
temporal regions. These systems may be crucial for empathy because
they enable the observer to simulate another’s experience by activating
the same brain areas that are active when the observer experiences the
sameemotionorstate
7
. Consistent with this, a recent study provides
evidence that increased activations in the auditory mirror system are
correlated with improved perspective-taking abilities
8
. Moreover, this
correlation not only included premotor areas, but also extended to
somatosensory cortices, indicating that individuals may start to mirror
the tactile consequences of heard actions
8
. Furthermore, there is a
growing body of evidence suggesting that individuals with autistic
spectrum disorder (ASD) have impaired activity in the action mirror
system
9,10
, which may lead to the deficits in imitation and empathy
observed in ASD
11
.
One recent study reported a single case of vision-touch or mirror-
touch synesthesia in which the observation of touch on other humans
results in tactile sensations on her own body. Functional magnetic
resonance imaging showed that these conscious tactile experiences are
associated with hyperactivity in the same mirror-touch network that is
evoked by observed touch in nonsynesthete controls in which no overt
tactile experience is elicited
3
. As such, mirror-touch synesthesia offers a
unique opportunity to explore the role that the tactile mirror system
has in empathy.
We developed a new behavioral protocol to provide evidence for the
authenticity of this form of synesthesia (see Supplementary Methods
online). If synesthetic touch uses the same neural circuit as actual touch
and is phenomenologically similar to actual touch, then participants
should have difficulty in discriminating between actual and synesthetic
touch. We designed two experiments, with participants being required
to report the location of actual touch (left, right, both, none) applied to
the facial cheeks in one, and the location of actual touch applied to the
back of the hands (left or right hand) in the other. During the task they
also observed another person being touched, but were asked to ignore
this. All participants gave informed written consent to the experiments.
For synesthetes, but not for controls, the observed touch elicited a
tactile sensation, whose location was either in the same spatial location
as the actual touch (congruent condition) or in a different spatial
location (incongruent condition). For example, in an incongruent trial
they might receive an actual touch on the left cheek (and are thus
required to give the response ‘left’), but a synesthetic touch on the right
cheek. Reporting in the incongruent condition was expected to be
slower and more error prone. In particular, we were interested in errors
in which the participant treated the synesthetic touch as if it were an
actual touch (that is, giving the response ‘both in the example above): a
mirror-touch error (Fig. 1).
For some synesthetes an observed touch on the left cheek triggered a
synesthetic sensation on their left cheek (anatomical correspondence),
but for others the synesthetic sensation was felt on the right cheek (as if
they had been looking in a mirror, a specular correspondence). As such,
congruency was determined according to each synesthete’s self report
(see Supplementary Methods and Supplementary Table 1).
On both the faces and hands experiment, synesthetes (n ¼ 10)
produced a higher percentage of mirror-touch errors than did controls
(n ¼ 20). This pattern of errors implies that synesthetic touch feels like
real touch. Synesthetes were significantly faster at identifying a site
© 2007 Nature Publishing Group http://www.nature.com/natureneuroscience
Incongruent trail
Visual
display
Participant
Correct response = left
Mirror-touch error = both or right
Correct response = right
Other error = left, both or none
Other error = none
“Left”
“Right”
Synesthetic
touch
Actual
touch
Actual
touch
Synesthetic
touch
Possible
responses
Congruent trail
Figure 1 Participants were required to report the site on which they were
actually touched (that is, left cheek, right cheek, both cheeks or no touch)
while ignoring observed touch (and the synesthetic touch induced by it).
Hands and faces were presented in two separate blocks. In the hands
experiment, the perspective from which touch was observed was manipulated
so that touch was shown from either one’s own or from another’s perspective.
Received 30 January; accepted 18 May; published online 17 June 2007; doi:10.1038/nn1926
Department of Psychology, University College London, 26 Bedford Way, London, WC1H OAP, UK. Correspondence should be addressed to M.J.B. (m.banissy@ucl.ac.uk).
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touched on their face or hands when actual touch was congruent with
their synesthesia compared with incongruent trials (Fig. 2). This
pattern was not found when participants observed touch to objects
(see Supplementary Results online).
The empathic ability of mirror-touch synesthetes (n ¼ 10) was
compared with those of nonsynesthetic control participants
(n ¼ 20) and of controls (n ¼ 25) who reported other types of
synesthesia (minimally, grapheme-color) but not mirror-touch
synesthesia. The empathy quotient (EQ) has three main subscales:
(i) cognitive empathy, (ii) emotional reactivity and (iii) social
skills
12,13
. Mirror-touch synesthetes showed significantly higher
scores on the emotional reactivity subscale of the EQ relative to
controls (Table 1), but not on the other subscales. It has been
suggested that the experiencing aspects of affective empathy may
particularly depend on shared interpersonal representations
14
.This
supports the notion that empathy is multifaceted and that the
tactile mirror system may modulate some, but not all, aspects of
this ability.
Given the neural mechanisms thought to be involved in mirror-
touch synesthesia, the differences in empathic ability reported here
appear consistent with the hypothesis that we understand and
empathize with others by a process of simulation
7
.
Note: Supplementary information is available on the Nature Neuroscience website.
ACKNOWLEDGMENTS
M.J.B. is supported by an Economic and Social Research Council studentship.
AUTHOR CONTRIBUTIONS
M.J.B. conducted the experiments. J.W. devised the concept. The authors
contributed equally in all other respects.
COMPETING INTERESTS STATEMENT
The authors declare no competing financial interests.
Published online at http://www.nature.com/natureneuroscience
Reprints and permissions information is available online at http://npg.nature.com/
reprintsandpermissions
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3. Blakemore, S.J. et al. Brain 128, 1571–1583 (2005).
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7. Gallese, V. & Goldman, A. Trends Cogn. Sci. 2, 493–501 (1998).
8. Gazzola, V., Aziz-Zadeh, L. & Keysers, C. Curr. Bio. 16, 1824–1829 (2006).
9. Dapretto, M. et al. Nat. Neurosci. 9, 28–30 (2005).
10. Oberman, L.M. et al. Brain Res. Cog. Brain Res. 24, 190–198 (2005).
11. Oberman, L.M. & Ramachandran, V.S. Psych. Bulletin 133, 310–327 (2007).
12. Baron-Cohen, S. et al. Phil. Trans. R. Soc. Lond. B 358, 361–374 (2003).
13. Lawrence, E.J. et al. Psychol. Med. 34, 911–924 (2004).
14. Lawrence, E.J. et al. Neuroimage 29, 1173–1184 (2006).
© 2007 Nature Publishing Group http://www.nature.com/natureneuroscience
Figure 2 Behavioral correlates of mirror-touch
synesthesia. (a,b) Faces experiment. Reaction-
time performance was compared using 2
(congruency) 2 (group) mixed ANOVA.
Participants performed faster overall on congruent
than on incongruent trials (F ¼ 10.69,
P ¼ 0.003). A significant interaction was
observed (F ¼ 10.37, P ¼ 0.003), and this was
a result of synesthetes performing slower on
incongruent trials (t ¼ –2.69, P ¼ 0.028). Mirror-
touch synesthetes had a higher percentage of
mirror-touch errors compared with controls
(t ¼ 2.54, P ¼ 0.032), but showed no differences
in other error types. (cf) Hands experiment. A 2
(congruency) 2 (group) 2 (perspective) mixed
ANOVA conducted on reaction times revealed a
significant congruency group interaction
(F ¼ 18.93, P o 0.001), which was a result of
synesthetes performing slower on incongruent
trials (t ¼ –3.08, P ¼ 0.022). Analysis of errors
revealed a significant main effect of error type
(F ¼ 9.91, P ¼ 0.004) and of group (F ¼ 12.42, P ¼ 0.002), with participants producing more mirror-touch errors than other errors and synesthetes being
more error prone overall. Notably, there was a significant group error type interaction (F ¼ 10.02, P ¼ 0.004) showing that synesthetes produced particularly
more mirror-touch errors than controls on trials shown from either perspective (own perspective: F ¼ 10.91, P ¼ 0.003, c and d; another’s perspective:
F ¼ 11.62, P ¼ 0.002, e and f). For details of other effects see Supplementary Results. Error bars are ± s.e.m.
850
a
b
c
d
e
f
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600
Reaction time (ms)
550
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Reaction time (ms)
100
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Reaction time (ms)
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Mirror touch
(n = 9)
Controls
(n = 20)
Congruent
Incongruent
Congruent
Incongruent
Mirror-touch error
Other error
Congruent
Incongruent
Mirror-touch error
Other error
Mirror-touch error
Other error
Mirror touch
(n = 10)
Controls
(n = 20)
Mirror touch
(n = 7)
Controls
(n = 18)
Mirror touch
(n = 9)
Controls
(n = 18)
Mirror touch
(n = 7)
Controls
(n = 18)
Mirror touch
(n = 9)
Controls
(n = 18)
Table 1 EQ scores
Group EQ score
Cognitive
empathy
Emotional
reactivity Social skills
Mirror-touch
(n ¼ 10)
51.30 ± 3.20 19.30 ± 1.27 17.20 ± 1.41 9.70 ± 1.04
Controls
(n ¼ 45)
46.20 ± 1.82 15.51 ± 0.86 13.56 ± 0.74 8.47 ± 0.42
Significance N.S. N.S. P ¼ 0.036 N.S.
Results from nonsynesthetic controls (n ¼ 20) and synesthetes lacking mirror touch
(n ¼ 25) did not differ and were combined. N.S. ¼ not significant. Data shown as
mean ± s.e.m.
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... Whereas the self-reported prevalence of mirror-touch synaesthesia is 10.8% (Banissy et al., 2009), behavioural measures indicate that the prevalence may be much lower at 1.6% (Banissy and Ward, 2007). As such, the current understanding of vicarious touch is largely derived from a very small portion of the population. ...
... Moreover, mirror-touch synaesthetes display more pronounced differentiation in their responses when observing touch applied to humans, including human-like objects, compared to non-synaesthetes (Holle et al., 2011;Ward et al., 2018). This suggests a potential link between vicarious touch experiences and heightened empathetic responses toward the recipient of the touch, supported by research showing increased social abilities in this group Banissy and Ward, 2007;Goller et al., 2013;Ioumpa et al., 2019;Maister et al., 2013;Martin et al., 2017;Santiesteban et al., 2015;Ward et al., 2018). While mirrortouch synaesthesia may involve distinct processes beyond shared affective or emotional states (Ward et al., 2018), categorical differences remain debated (Fitzgibbon et al., 2012;Rothen and Meier, 2013;Ward, 2019). ...
... Women also scored higher on emotional empathy, suggesting a potential modulating effect of empathy on vicarious touch experiences. This finding is consistent with some, but not all, prior research that has explored the connection between vicarious touch and emotional empathy (Banissy & Ward, 2007;Goller et al., 2013;Ward et al., 2018 but see Baron-Cohen et al., 2016). However, careful interpretation of these genderrelated findings is necessary. ...
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... We hypothesized that such impairments in cognitive empathy in BPD could reflect alterations in the activity of mirror-like mechanisms in the somatosensory domain (Keysers et al., 2010). In the VTSC task used in the present study, seeing a touch on human body parts is expected to activate the TaMS, and the spatial incongruency between the seen touch and the felt one should interfere with the ability of reporting the side of the real touch (Banissy & Ward, 2007;Bolognini et al., 2013Bolognini et al., , 2014. Here, we report evidence of a greater interference effect in pw-BPD compared to HCs, indexed by a poorer performance at the VTSC task in terms of accuracy, only when seeing touch on body parts but not on objects, suggesting that the effect was specific for TaMS activity. ...
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Watching the movie scene in which a tarantula crawls on James Bond's chest can make us literally shiver—as if the spider crawled on our own chest. What neural mechanisms are responsible for this “tactile empathy”? The observation of the actions of others activates the premotor cortex normally involved in the execution of the same actions. If a similar mechanism applies to the sight of touch, movies depicting touch should automatically activate the somatosensory cortex of the observer. Here we found using fMRI that the secondary but not the primary somatosensory cortex is activated both when the participants were touched and when they observed someone or something else getting touched by objects. The neural mechanisms enabling our own sensation of touch may therefore be a window also to our understanding of touch.
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resonance imaging (fMRI) was used to localize brain areas that were active during the observation of actions made by another individual. Object- and non-object-relat ed actions made with different effectors (mouth, hand and foot) were presented. Observation of both object- and non-object-relat ed actions determined a somatotopically organized activation of premotor cortex. The somatotopic pattern was similar to that of the classical motor cortex homunculus. During the observation of object-related actions, an activation, also somatotopically organized,
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A new class of visuomotor neuron has been recently discovered in the monkey's premotor cortex: mirror neurons. These neurons respond both when a particular action is performed by the recorded monkey and when the same action, performed by another individual, is observed. Mirror neurons appear to form a cortical system matching observation and execution of goal-related motor actions. Experimental evidence suggests that a similar matching system also exists in humans. What might be the functional role of this matching system? One possible function is to enable an organism to detect certain mental states of observed conspecifics. This function might be part of, or a precursor to, a more general mind-reading ability. Two different accounts of mind-reading have been suggested. According to `theory theory', mental states are represented as inferred posits of a naive theory. According to `simulation theory', other people's mental states are represented by adopting their perspective: by tracking or matching their states with resonant states of one's own. The activity of mirror neurons, and the fact that observers undergo motor facilitation in the same muscular groups as those utilized by target agents, are findings that accord well with simulation theory but would not be predicted by theory theory.
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We recorded electrical activity from 532 neurons in the rostral part of inferior area 6 (area F5) of two macaque monkeys. Previous data had shown that neurons of this area discharge during goal-directed hand and mouth movements. We describe here the properties of a newly discovered set of F5 neurons ("mirror neurons', n = 92) all of which became active both when the monkey performed a given action and when it observed a similar action performed by the experimenter. Mirror neurons, in order to be visually triggered, required an interaction between the agent of the action and the object of it. The sight of the agent alone or of the object alone (three-dimensional objects, food) were ineffective. Hand and the mouth were by far the most effective agents. The actions most represented among those activating mirror neurons were grasping, manipulating and placing. In most mirror neurons (92%) there was a clear relation between the visual action they responded to and the motor response they coded. In approximately 30% of mirror neurons the congruence was very strict and the effective observed and executed actions corresponded both in terms of general action (e.g. grasping) and in terms of the way in which that action was executed (e.g. precision grip). We conclude by proposing that mirror neurons form a system for matching observation and execution of motor actions. We discuss the possible role of this system in action recognition and, given the proposed homology between F5 and human Brocca's region, we posit that a matching system, similar to that of mirror neurons exists in humans and could be involved in recognition of actions as well as phonetic gestures.
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Functional magnetic resonance imaging (fMRI) was used to localize brain areas that were active during the observation of actions made by another individual. Object- and non-object-related actions made with different effectors (mouth, hand and foot) were presented. Observation of both object- and non-object-related actions determined a somatotopically organized activation of premotor cortex. The somatotopic pattern was similar to that of the classical motor cortex homunculus. During the observation of object-related actions, an activation, also somatotopically organized, was additionally found in the posterior parietal lobe. Thus, when individuals observe an action, an internal replica of that action is automatically generated in their premotor cortex. In the case of object-related actions, a further object-related analysis is performed in the parietal lobe, as if the subjects were indeed using those objects. These results bring the previous concept of an action observation/execution matching system (mirror system) into a broader perspective: this system is not restricted to the ventral premotor cortex, but involves several somatotopically organized motor circuits.
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What neural mechanism underlies the capacity to understand the emotions of others? Does this mechanism involve brain areas normally involved in experiencing the same emotion? We performed an fMRI study in which participants inhaled odorants producing a strong feeling of disgust. The same participants observed video clips showing the emotional facial expression of disgust. Observing such faces and feeling disgust activated the same sites in the anterior insula and to a lesser extent in the anterior cingulate cortex. Thus, as observing hand actions activates the observer's motor representation of that action, observing an emotion activates the neural representation of that emotion. This finding provides a unifying mechanism for understanding the behaviors of others.
Article
Watching the movie scene in which a tarantula crawls on James Bond's chest can make us literally shiver--as if the spider crawled on our own chest. What neural mechanisms are responsible for this "tactile empathy"? The observation of the actions of others activates the premotor cortex normally involved in the execution of the same actions. If a similar mechanism applies to the sight of touch, movies depicting touch should automatically activate the somatosensory cortex of the observer. Here we found using fMRI that the secondary but not the primary somatosensory cortex is activated both when the participants were touched and when they observed someone or something else getting touched by objects. The neural mechanisms enabling our own sensation of touch may therefore be a window also to our understanding of touch.