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Increased plasticity of the bodily self in eating disorders

Published online by Cambridge University Press:  05 October 2011

E. Eshkevari*
Department of Psychology, The Australian National University, Canberra, ACT, Australia King's College London, Section of Eating Disorders, Institute of Psychiatry, London, UK
E. Rieger
Department of Psychology, The Australian National University, Canberra, ACT, Australia
M. R. Longo
Department of Psychological Sciences, Birkbeck, University of London, UK
P. Haggard
Institute of Cognitive Neuroscience, University College London, UK
J. Treasure
King's College London, Section of Eating Disorders, Institute of Psychiatry, London, UK
*Address for correspondence: E. Eshkevari, B.Psych. (Hons), Department of Psychology, The Australian National University, Canberra, ACT, 0200, Australia. (Email:



The rubber hand illusion (RHI) has been widely used to investigate the bodily self in healthy individuals. The aim of the present study was to extend the use of the RHI to examine the bodily self in eating disorders (EDs).


The RHI and self-report measures of ED psychopathology [the Eating Disorder Inventory – 3 (EDI-3) subscales of Drive for Thinness, Bulimia, Body Dissatisfaction, Interoceptive Deficits, and Emotional Dysregulation; the 21-item Depression, Anxiety and Stress Scale (DASS-21); and the Self-Objectification Questionnaire (SOQ)] were administered to 78 individuals with an ED and 61 healthy controls.


Individuals with an ED experienced the RHI significantly more strongly than healthy controls on both perceptual (i.e. proprioceptive drift) and subjective (i.e. self-report questionnaire) measures. Furthermore, both the subjective experience of the RHI and associated proprioceptive biases were correlated with ED psychopathology. Approximately 23% of the variance for embodiment of the fake hand was accounted for by ED psychopathology, with interoceptive deficits and self-objectification significant predictors of embodiment.


These results indicate that the bodily self is more plastic in people with an ED. These findings may shed light on both aetiological and maintenance factors involved in EDs, particularly visual processing of the body, interoceptive deficits, and self-objectification.

Original Articles
Copyright © Cambridge University Press 2011

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APA (2000). Diagnostic and Statistical Manual of Mental Disorders, 4th edn, text revision (DSM-IV-TR). American Psychiatric Association: Washington, DC.Google Scholar
Botvinick, M (2004). Probing the neural basis of body ownership. Science 305, 782783.CrossRefGoogle ScholarPubMed
Botvinick, M, Cohen, J (1998). Rubber hands ‘feel’ touch that eyes see. Nature 391, 756.CrossRefGoogle ScholarPubMed
Bruch, H (1962). Perceptual and conceptual disturbances in anorexia nervosa. Psychosomatic Medicine 24, 187194.CrossRefGoogle ScholarPubMed
Ehrsson, HH, Spence, C, Passingham, RE (2004). That's my hand! Activity in premotor cortex reflects feeling of ownership of a limb. Science 305, 875877.CrossRefGoogle ScholarPubMed
Farne, A, Pavani, F, Meneghello, F, Ladavas, E (2000). Left tactile extinction following visual stimulation of a rubber hand. Brain 123, 23502360.CrossRefGoogle ScholarPubMed
Field, A (2009). Discovering Statistics Using SPSS, 3rd edn. Sage Publications: London.Google Scholar
First, MB, Spitzer, RL, Gibbon, M, Williams, JBW (2002). Structured Clinical Interview for DSM-IV-TR Axis-I Disorders, Research Version, Patient Edition. (SCID-I/P). Biometrics Research, New York State Psychiatric Institute: New York.Google Scholar
Fredrickson, BL, Roberts, TA (1997). Objectification theory: toward understanding women's lived experiences and mental health risks. Psychology of Women Quarterly 21, 173206.CrossRefGoogle Scholar
Garner, DM (2004). Eating Disorder Inventory-3 (EDI-3). Psychological Assessment Resources Inc.: Lutz, FL.Google Scholar
Grunwald, M, Ettrich, C, Busse, F, Assmann, B, Dahne, A, Gertz, HJ (2002). Angle paradigm: a new method to measure right parietal dysfunctions in anorexia nervosa. Archives of Clinical Neuropsychology 17, 485496.CrossRefGoogle ScholarPubMed
Grunwald, M, Ettrich, C, Krause, W, Assmann, B, Dahne, A, Weiss, T, Gertz, HJ (2001). Haptic perception in anorexia nervosa before and after weight gain. Journal of Clinical and Experimental Neuropsychology 23, 520529.CrossRefGoogle ScholarPubMed
Longo, MR, Schüür, F, Kammers, MPM, Tsakiris, M, Haggard, P (2008). What is embodiment? A psychometric approach. Cognition 107, 978998.CrossRefGoogle ScholarPubMed
Longo, MR, Schuur, F, Kammers, MPM, Tsakiris, M, Haggard, P (2009). Self awareness and the body image. Acta Psychologica 132, 166172.CrossRefGoogle ScholarPubMed
Lovibond, SH, Lovibond, PF (1995). Manual for the Depression Anxiety Stress Scales. Psychology Foundation: Sydney.Google Scholar
Mussap, AJ, Salton, N (2006). A ‘rubber-hand’ illusion reveals a relationship between perceptual body image and unhealthy body change. Journal of Health Psychology 11, 627639.CrossRefGoogle ScholarPubMed
Noll, SM, Fredrickson, BL (1998). A mediational model linking self-objectification, body shame, and disordered eating. Psychology of Women Quarterly 22, 623636.CrossRefGoogle Scholar
Oldfield, RC (1971). The assessment and analysis of handedness: the Edinburgh inventory. Neuropsychologia 9, 97–113.CrossRefGoogle ScholarPubMed
Pavani, F, Spence, C, Driver, J (2000). Visual capture of touch: out-of-the-body experiences with rubber gloves. Psychological Science 11, 353359.CrossRefGoogle ScholarPubMed
Pollatos, O, Kurz, A-L, Albrecht, J, Schreder, T, Kleemann, AM, Schopf, V, Kopietz, R, Wiesmann, M, Schandry, R (2008). Reduced perception of bodily signals in anorexia nervosa. Eating Behaviors 9, 381388.CrossRefGoogle ScholarPubMed
Tsakiris, M, Haggard, P (2005). The rubber hand illusion revisited: visuotactile integration and self-attribution. Journal of Experimental Psychology: Human Perception and Performance 31, 8091.Google ScholarPubMed
Tsakiris, M, Hesse, MD, Boy, C, Haggard, P, Fink, GR (2007). Neural signatures of body ownership: a sensory network for bodily self-consciousness. Cerebral Cortex 17, 22352244.CrossRefGoogle Scholar
Tsakiris, M, Tajadura-Jimenez, A, Costantini, M (2011). Just a heartbeat away from one's body: interoceptive sensitivity predicts malleability of body-representations. Proceedings of the Royal Society B: Biological Sciences.CrossRefGoogle ScholarPubMed
Uher, R, Murphy, T, Friederich, H-C, Dalgleish, T, Brammer, MJ, Giampietro, V, Phillips, ML, Andrew, CM, Ng, VW, Williams, SCR, Campbell, IC, Treasure, J (2005). Functional neuroanatomy of body shape perception in healthy and eating-disordered women. Biological Psychiatry 58, 990997.CrossRefGoogle ScholarPubMed
Wagner, A, Ruf, M, Braus, DF, Schmidt, MH (2003). Neuronal activity changes and body image distortion in anorexia nervosa. Neuroreport 14, 21932197.CrossRefGoogle ScholarPubMed