Neuroscience

Consumer neuroscience

Ventromedial prefrontal cortex

Construct (python library)

Prefrontal cortex

Psychotherapist

Biology

Mental health

Psychiatry

Default mode network

Cognition

Paleontology

Cognitive psychology

Self-reference effect

Psychology

Psychological intervention

Programming language

Context (archaeology)

Computer science

Nature reviews. Neuroscience

Increasing evidence suggests that mental health and physical health are linked by neural systems that jointly regulate somatic physiology and high-level cognition. Key systems include the ventromedial prefrontal cortex and the related default-mode network. These systems help to construct models of the ‘self-in-context’, compressing information across time and sensory modalities into conceptions of the underlying causes of experience. Self-in-context models endow events with personal meaning and allow predictive control over behaviour and peripheral physiology, including autonomic, neuroendocrine and immune function. They guide learning from experience and the formation of narratives about the self and one’s world. Disorders of mental and physical health, especially those with high co-occurrence and convergent alterations in the functionality of the ventromedial prefrontal cortex and the default-mode network, could benefit from interventions focused on understanding and shaping mindsets and beliefs about the self, illness and treatment. In this Perspective, Koban, Gianaros, Kober and Wager describe neural systems that construct models of the ‘self-in-context’. Such models endow events with personal meaning and enable predictive control over behaviour and peripheral physiology — with implications for health and disease.

The self in context: brain systems linking mental and physical health