There is growing interest in “interoception” (i.e., detection and interpretation of internal body signals) as a relevant mechanism contributing to certain symptoms and features of autism spectrum disorder (ASD) and alexithymia. However, inconsistent measurement and operationalization of interoception has led to confusion and inconsistent findings in the literature. In this commentary, we present alternative interpretations of findings from existing studies to demonstrate that ASD and alexithymia are conditions associated with reduced adaptive forms of interoceptive attention (i.e., attention toward bodily signals) but heightened maladaptive forms of interoceptive attention related to anxiety‐induced somatization. Differentiating adaptive and maladaptive forms of interoceptive attention reveals a clearer pattern of findings in the research literature for further investigation of interoceptive processes that are involved in the neurobiology of ASD. However, interoception is a complex and multi‐faceted construct that requires continual refinement in conceptualization and operationalization. Interoception research may benefit from self‐report measures that clearly differentiate adaptive and maladaptive forms of bodily awareness.

中文翻译：

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适应性和适应不良的身体意识：区分自闭症和Alexithymymia的焦虑诱发的躯体化与感知间的敏感性和感知间的注意

作为导致自闭症谱系障碍（ASD）和运动障碍的某些症状和特征的相关机制，“互感”（即体内信号的检测和解释）越来越受到关注。然而，避孕方法的测量和操作不一致导致文献中的混乱和不一致的发现。在该评论中，我们目前的研究结果的替代解释从现有的研究以证明ASD和述情障碍与相关的病症减少的感受性注意自适应形式（即，注意力投向身体信号）而提高与焦虑症引起的躯体化有关的感知障碍的不良适应形式。区分自适应和适应不良形式的感知力注意，揭示了研究文献中更清晰的发现模式，可用于进一步研究与ASD神经生物学有关的感知过程。但是，互感是一个复杂且多方面的结构，需要在概念化和操作化方面不断完善。自我感知的措施可以明显地区分适应性和适应不良形式的身体意识，从而可以进行感知觉研究。