Search Results (14)

Objective: To synthesize current evidence on the relationships between adolescent idiopathic scoliosis (AIS), stress-related mechanisms, neuroanatomical asymmetry, and mental disorders, and to propose an integrative conceptual framework describing their interaction. Materials and Methods: A comprehensive literature review was conducted using the PubMed, Web of Science, and Scopus databases. Search terms targeted the etiology and pathogenesis of adolescent idiopathic scoliosis, hemispheric lateralization, stress responses, body schema disturbances, and associated mental disorders. The review was reported in accordance with PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) recommendations. A structured qualitative synthesis of 225 relevant publications was performed. Results: The analyzed studies revealed several complementary conceptual approaches to AIS pathogenesis. Emerging evidence suggests that atypical hemispheric lateralization, potentially associated with right-hemisphere (RH) dysfunction, may contribute to susceptibility to AIS. Such patterns of lateralization have been linked to specific stress-related coping strategies, including harm avoidance, as well as to disturbances of body schema and an increased prevalence of certain mental disorders. Gender-related differences in stress responses and in the development and progression of AIS were consistently reported across studies. Collectively, these findings support the hypothesis that neuropsychological and stress-related mechanisms, including phenomena described as the “distorting mirror effect”, may contribute to the persistence and progression of spinal deformity in vulnerable individuals. Conclusions: AIS appears to be a multifactorial condition in which atypical neuroanatomical asymmetry, stress-related processes, and altered body representation interact. This integrative perspective generates hypotheses suggesting that prevention and treatment strategies for AIS could benefit from incorporating approaches aimed at modulating stress responses and enhancing brain neuroplasticity. Further interdisciplinary studies integrating clinical, neuroimaging, and neurobiological methods are warranted to clarify underlying mechanisms. Full article

Phishing emails continue to evade conventional detection systems due to their increasingly sophisticated, multi-faceted social engineering tactics. To address the limitations of single-modality or rule-based approaches, we propose SAHF-PD, a novel phishing detection framework that integrates multi-modal feature extraction with semantic-aware hierarchical fusion, based on large language models (LLMs). Our method leverages modality-specialized large models, each guided by domain-specific prompts and constrained to a standardized output schema, to extract structured feature representations from four complementary sources associated with each phishing email: email body text; open-source intelligence (OSINT) derived from the key embedded URL; screenshot of the landing page; and the corresponding HTML/JavaScript source code. This design mitigates the unstructured and stochastic nature of raw generative outputs, yielding consistent, interpretable, and machine-readable features. These features are then integrated through our Semantic-Aware Hierarchical Fusion (SAHF) mechanism, which organizes them into core, auxiliary, and weakly associated layers according to their semantic relevance to phishing intent. This layered architecture enables dynamic weighting and redundancy reduction based on semantic relevance, which in turn highlights the most discriminative signals across modalities and enhances model interpretability. We also introduce PhishMMF, a publicly released multimodal feature dataset for phishing detection, comprising 11,672 human-verified samples with meticulously extracted structured features from all four modalities. Experiments with eight diverse classifiers demonstrate that the SAHF-PD framework enables exceptional performance. For instance, XGBoost equipped with SAHF attains an AUC of 0.99927 and an F1-score of 0.98728, outperforming the same model using the original feature representation. Moreover, SAHF compresses the original 228-dimensional feature space into a compact 56-dimensional representation (a 75.4% reduction), reducing the average training time across all eight classifiers by 43.7% while maintaining comparable detection accuracy. Ablation studies confirm the unique contribution of each modality. Our work establishes a transparent, efficient, and high-performance foundation for next-generation anti-phishing systems. Full article

To determine an optimal plan for complex tasks, one often deals with dynamic and hierarchical relationships between several entities. Traditionally, such problems are tackled with optimal control, which relies on the optimization of cost functions; instead, a recent biologically motivated proposal casts planning and control as an inference process. Active inference assumes that action and perception are two complementary aspects of life whereby the role of the former is to fulfill the predictions inferred by the latter. Here, we present an active inference approach that exploits discrete and continuous processing, based on three features: the representation of potential body configurations in relation to the objects of interest; the use of hierarchical relationships that enable the agent to easily interpret and flexibly expand its body schema for tool use; the definition of potential trajectories related to the agent’s intentions, used to infer and plan with dynamic elements at different temporal scales. We evaluate this deep hybrid model on a habitual task: reaching a moving object after having picked a moving tool. We show that the model can tackle the presented task under different conditions. This study extends past work on planning as inference and advances an alternative direction to optimal control. Full article

Background/Objectives: Body representations (BRs) are essential for guiding movements, maintaining spatial awareness, and achieving effective interactions with the environment. Several studies suggest that BRs are frequently impaired following unilateral brain damage, emphasising the need for tailored rehabilitation interventions; however, there is a lack of studies evaluating the effectiveness of training specifically designed to improve different kinds of functional BRs after stroke. Therefore, the present study aimed to present and implement a specific rehabilitation training program for BR alterations and evaluate its effectiveness in a sample of adults with unilateral brain damage. Methods: Nine adults with unilateral brain damage and seven age- and education-matched healthy controls were recruited. Both groups underwent a neuropsychological assessment to evaluate BR (action- and nonaction-oriented). Additionally, functional autonomy and motor functioning were assessed in the patient group. Following an initial assessment (T0), the patients participated in a BR-specific rehabilitation intervention. At the end of the rehabilitation program (T1), both groups were re-evaluated with the same tasks used at T0. Results: At T0, the patient group performed worse on BR tasks than the controls. At T1, a significant improvement in the nonaction-oriented BR and functional autonomy was observed in the patient group. Conclusions: This preliminary study suggests the effectiveness of a targeted rehabilitation intervention for BR in promoting enhanced body boundary awareness and greater accuracy in the perception of body part positions, possibly leading to increased functional autonomy. These findings highlight the importance of incorporating BR training in rehabilitation programs for adults with acquired brain damage, alongside motor rehabilitation. Full article

Body image disturbance (BID) involves negative attitudes towards shape and weight and is associated with lower levels of interoceptive sensibility (IS) (the subjective perceptions of internal bodily states). This association is considered a risk factor for developing eating disorders (EDs) and is linked to altered sensorimotor representations of the body (i.e., body schema). BIDs manifest across genders and are currently understudied in men. This study investigated gender-related differences in BID and its relationship to the body schema and IS. Data were collected from 86 men and 86 women. BID was assessed using questionnaires measuring self-objectification, state, and trait body dissatisfaction. IS was measured via the MAIA-2. The body schema was indexed via an embodied mental rotation task. Results showed that women reported higher BID than men across all scales. Gender differences in sub-components of interoceptive sensibility were found. Overall, both gender and interoceptive sensibility predicted BID. However, interoceptive sensibility exhibited its own unique association with BID beyond the influence of gender. BID, IS and gender were not significant predictors of performance in the body schema task. Therefore, while gender predicts differences in BID and interoceptive sensibility, there was no evidence of gender-related differences in body schema. Full article

Given the widespread debate on the definition of the terms “Body Schema” and “Body Image”, this article presents a broad overview of the studies that have investigated the nature of these types of body representations, especially focusing on the innovative information about these two representations that could be useful for the rehabilitation of patients with different neurological disorders with motor deficits (especially those affecting the upper limbs). In particular, we analyzed (i) the different definitions and explicative models proposed, (ii) the empirical settings used to test them and (iii) the clinical and rehabilitative implications derived from the application of interventions on specific case reports. The growing number of neurological diseases with motor impairment in the general population has required the development of new rehabilitation techniques and a new phenomenological paradigm placing body schema as fundamental and intrinsic parts for action in space. In this narrative review, the focus was placed on evidence from the application of innovative rehabilitation techniques and case reports involving the upper limbs, as body parts particularly involved in finalistic voluntary actions in everyday life, discussing body representations and their functional role. Full article

A specific interpretation of embodiment assigns a central role to the body representations (BR) in cognition. In the social cognition domain, BR could be pivotal in representing others’ actions and states. However, empirical evidence on the relationship between different BR and social cognition, in terms of Theory of Mind (ToM), in the same sample of participants is missing. Here, this relationship was explored considering individual differences in the action-oriented BR (aBR), nonaction-oriented BR (NaBR), and subjective predisposition toward internal bodily sensations (interoceptive sensibility, ISe). Eighty-two healthy adults were given behavioral measures probing aBR, NaBR, ISe, and affective/cognitive ToM. The results suggest that NaBR, which mainly relies on exteroceptive signals, predicts individual differences in cognitive ToM, possibly because it can allow differentiating between the self and others. Instead, the negative association between affective ToM and ISe suggests that an alteration of the internal body state representation (i.e., over-reporting interoceptive sensations) can affect emotional processing in social contexts. The finding that distinct aspects of the body processing from within (ISe) and from the outside (NaBR) differently contribute to ToM provides empirical support to the BR role in social cognition and can be relevant for developing interventions in clinical settings. Full article

The metaverse is a new technology thought to provide a deeper, persistent, immersive 3D experience combining multiple different virtual approaches in a full continuum of physical–digital interaction spaces. Different from virtual reality (VR) and augmented reality (AR), the metaverse has a service-oriented solid model with an emphasis on social and content dimensions. It has widely been demonstrated that motor or cognitive deficits can be more effectively treated using VR/AR tools, but there are several issues that limit the real potential of immersive technologies applied to neurological patients. In this scoping review, we propose future research directions for applying technologies extracted from the metaverse in clinical neurorehabilitation. The multisensorial properties of the metaverse will boost the embodied cognition experience, thus influencing the internal body representations as well as learning strategies. Moreover, the immersive social environment shared with other patients will contribute to recovering social and psychoemotional abilities. In addition to the many potential pros, we will also discuss the cons, providing readers with the available information to better understand the complexity and limitations of the metaverse, which could be considered the future of neurorehabilitation. Full article

Mental representations in various bodily formats (e.g., somatosensory, interoceptive, motoric) have been suggested to play a pivotal role in social cognition. However, data on children and adolescents are lacking. This study aims to investigate whether individual differences in the sensing of the internal body state, in terms of interoceptive accuracy (IAcc) and sensibility (IS), and in the action-oriented (i.e., body schema) and non-action-oriented (i.e., visuo-spatial body map) body representations (BR) influence a core component of social cognition, namely empathy, during early adolescence. A total of 30 healthy teens (mean age 13.2 years) completed an empathy questionnaire, a heartbeat tracking task probing IAcc, an IS questionnaire including visceral and somatosensorial factors, and a computerized battery consisting of action-oriented and non-action-oriented BR tasks. The correlational analysis showed that as IAcc increased, empathy levels decreased, while as IS increased, empathy levels increased, especially when the visceral factor was taken into account. No association was found between action/non-action-oriented BR and empathy. These preliminary results suggest that teens with a higher sensibility towards visceral body changes also show a higher tendency to feel and understand another's emotional state. In contrast, teens with higher IAcc for cardiac signals show a lower empathy level, possibly due to a more stable body self-representation that prevents the self–other overlap necessary in some forms of empathy. As a corollary finding, the opposed relationship between these interoceptive dimensions and empathy confirms that IS and IA are two distinct constructs that can impact cognitive and affective abilities differently. Full article

The triple anniversary in 2020 of Thomas Becket’s birth, death and translation has been an occasion to review and revisit many of the artefacts associated with the saint and his cult in England and across Europe. Many of these are items directly associated with his veneration in churches or in private devotions, but one object which served in neither capacity is an instrument case currently in the collection of the Worshipful Company of Barbers in London. This unusual object has been studied for its fine silver work, and possible royal associations, but little academic attention has so far been paid to the some of the iconography, particularly that of the scene of the murder of Thomas Becket depicted on the back of the box, the side to be worn against the body. In this article, we show how seemingly unusual elements in the iconography draw on particularly Flemish representations of Becket’s murder that, to date, have received little attention in Anglophone scholarship. From this, we discuss this scene and its significance in understanding the role the iconography may have been intended to serve, and the interplay between the decorative schema and what the surgeon thought about his own role with regard to the use of the case and its tools. Full article

Background: Interoceptive information plays a pivotal role in building higher-order cognitive body representations (BR) that neuropsychological and neuroimaging evidence classifies as action-oriented (i.e., body schema) or non-action-oriented (i.e., visuo-spatial body map). This study aimed to explore the development of BR, considering the association with the interoceptive sensibility throughout the lifespan. Methods: Two hundred thirty-nine healthy participants divided into five age groups (7 to 8 years; 9 to 10 years; 18 to 40 years; 41 to 60 years; over 60 years) completed a self-report measure of interoceptive sensibility (the Self-Awareness Questionnaire; SAQ) and were given tasks assessing the two BR (action-oriented: hand laterality task; non-action-oriented: frontal body evocation task). Results: Both children (7–8 and 9–10 years) and older adults (over 60 years) performed worse than young (18–40 years) and middle-aged adults (41–60 years) in action- and non-action-oriented BR tasks. Moderation analyses showed that the SAQ score significantly moderated the relationship between age and action-oriented BR. Conclusions: The current results are consistent with inverted U-shaped developmental curves for action- and non-action-oriented BR. As an innovative aspect, the ability to mentally represent one’s own body parts in diverse states could be negatively affected by higher interoceptive sensibility levels in childhood and late adulthood. Full article

We constantly process top-down and bottom-up inputs concerning our own body that interact to form body representations (BR). Even if some evidence showed BR deficits in children with cerebral palsy, a systematic study that evaluates different kinds of BR in these children, taking into account the possible presence of a general deficit affecting non-body mental representations, is currently lacking. Here we aimed at investigating BR (i.e., Body Semantics, Body Structural Representation and Body Schema) in children with cerebral palsy (CP) taking into account performance in tasks involving body stimuli and performance in tasks involving non-body stimuli. Thirty-three CP (age range: 5–12 years) were compared with a group of 103 typically-developing children (TDC), matched for age and sex. 63.64% of children with CP showed a very poor performance in body representation processing. Present data also show alterations in different body representations in CP in specific developmental stages. In particular, CP and TDC performances did not differ between 5 to 7 years old, whereas CP between 8 and 12 years old showed deficits in the Body Structural Representation and Body Schema but not in Body Semantics. These findings revealed the importance of taking into account the overall development of cognitive domains when investigating specific stimuli processing in children who do not present a typical development and were discussed in terms of their clinical implications. Full article

What triggered the emergence of uniquely human behaviors (language, religion, music) some 100,000 years ago? A non-circular, speculative theory based on the mother-infant relationship is presented. Infant “cuteness” evokes the infant schema and motivates nurturing; the analogous mother schema (MS) is a multimodal representation of the carer from the fetal/infant perspective, motivating fearless trust. Prenatal MS organizes auditory, proprioceptive, and biochemical stimuli (voice, heartbeat, footsteps, digestion, body movements, biochemicals) that depend on maternal physical/emotional state. In human evolution, bipedalism and encephalization led to earlier births and more fragile infants. Cognitively more advanced infants survived by better communicating with and motivating (manipulating) mothers and carers. The ability to link arbitrary sound patterns to complex meanings improved (proto-language). Later in life, MS and associated emotions were triggered in ritual settings by repetitive sounds and movements (early song, chant, rhythm, dance), subdued light, dull auditory timbre, psychoactive substances, unusual tastes/smells and postures, and/or a feeling of enclosure. Operant conditioning can explain why such actions were repeated. Reflective consciousness emerged as infant-mother dyads playfully explored intentionality (theory of mind, agent detection) and carers predicted and prevented fatal infant accidents (mental time travel). The theory is consistent with cross-cultural commonalities in altered states (out-of-body, possessing, floating, fusing), spiritual beings (large, moving, powerful, emotional, wise, loving), and reports of strong musical experiences and divine encounters. Evidence is circumstantial and cumulative; falsification is problematic. Full article

The adoption of advanced integration technologies that enable private and public organizations to seamlessly execute their business transactions electronically is still relatively low, especially among governmental bodies and Small and Medium-sized Enterprises (SMEs). Current solutions often lack a common understanding of the underlying business document semantics and most existing approaches are not able to cope with the huge variety of business document formats, stemming from highly diverse requirements of the different stakeholders. Developed and applied in the course of the EU-funded research project GENESIS, this paper presents a comprehensive core component-based business document modelling approach that builds upon existing standards such as the OASIS Universal Business Language (UBL) and the UN/CEFACT Core Component Technical Specification (CCTS). These standards are extended by introducing the concept of generic business document templates out of which specific documents can be derived according to the actual user’s needs. Key principle to achieve this flexibility is the integration of business context information that allows for modelling standard-based but at the same time customized business documents. The resulting modelling framework ranges from (tool-supported) graphical data models to the technical representation of the business documents as XML schema documents designed in compliance with the UN/CEFACT XML schema Naming and Design Rules (NDR). Full article