Interoception and Personality: A Mind–Body Integrative Framework for Understanding Emotional and Social Functioning

This study presents a narrative integrative review examining the relationship between interoception and personality across neuroscientific, psychological, and Gestalt perspectives. Peer-reviewed literature (2000-2024) from PubMed, Google Scholar and Scopus was reviewed using search terms related to interoception, personality traits, embodied cognition, and Gestalt therapy, with inclusion criteria emphasizing empirical studies of psychophysiological correlates of personality (extraversion-introversion, neuroticism-stability) and theoretical work linking neuroscientific evidence to experiential frameworks. By synthesizing theoretical convergences and identifying empirical gaps, the review proposes a testable integrative framework in which personality traits—introversion, extraversion, and neuroticism—are reinterpreted as stable patterns of interoceptive self-regulation and embodied modes of relational contact with the environment.
The framework conceptualizes personality not as a fixed set of traits, but as a dynamic process of organismic self-regulation shaped by the integration of bodily and mental processes in social context. This perspective has implications for psychotherapy, education, and organizational settings, where interoceptive awareness training may enhance emotional regulation, empathy, and relational functioning. The proposed model offers an interdisciplinary contribution that bridges neuroscientific and phenomenological approaches, providing testable hypotheses for future empirical research on the embodied foundations of personality and social behavior.

interoception; personality; embodiment

1. Carvalho, G. B., & Damasio, A. (2021). Interoception and the origin of feelings: A new synthesis. BioEssays, 43(6), 2000261. [Google Scholar] [Crossref]

2. Pessoa, L. (2022). The entangled brain: How perception, cognition, and emotion are woven together. MIT Press. [Google Scholar] [Crossref]

3. Francesetti, G. (2024). The phenomenal field: The origin of the self and the world. Phenomena Journal - International Journal of Psychopathology, Neuroscience and Psychotherapy, 6(1), 1–5. https://doi.org/10.32069/PJ.2021.2.218 [Google Scholar] [Crossref]

4. Foglia, L., & Wilson, R. A. (2013). Embodied cognition. Wiley Interdisciplinary Reviews: Cognitive Science, 4(3), 319– 325. [Google Scholar] [Crossref]

5. Varela, F. J. (1996). Neurophenomenology: A methodological remedy for the hard problem. Journal of Consciousness Studies, 3(4), 330– 349. [Google Scholar] [Crossref]

6. Thompson, E. (2007). Mind in life: Biology, phenomenology, and the sciences of mind. Harvard University Press. [Google Scholar] [Crossref]

7. Perls, F. S., Hefferline, R. F., & Goodman, P. (1951). Gestalt therapy: Excitement and growth in the human personality. Dell Publishing [Google Scholar] [Crossref]

8. Francesetti, G. (2015). From individual symptoms to psychopathological fields: Towards a field perspective on clinical human suffering. British Gestalt Journal, 24(1), 5–19. [Google Scholar] [Crossref]

9. Robine, J.-M. (2006). Il rivelarsi del sé nel contatto: Studi di psicoterapia della Gestalt. FrancoAngeli. [Google Scholar] [Crossref]

10. Spagnuolo Lobb, M. (2011). The now-for-next in psychotherapy: Gestalt therapy evolution. Gestalt Books. [Google Scholar] [Crossref]

11. Seth, A. K., & Friston, K. J. (2016). Active interoceptive inference and the emotional brain. Current Opinion in Behavioral Sciences, 19, 13–18. [Google Scholar] [Crossref]

12. Allen, M., & Tsakiris, M. (2018). The hierarchical organisation of interoceptive inference. Neuroscience & Biobehavioral Reviews. [Google Scholar] [Crossref]

13. Critchley, H. D., & Garfinkel, S. N. (2017). Interoception and emotion. Current Opinion in Psychology, 17, 7-14. [Google Scholar] [Crossref]

14. Sherrington, C. S. (1906). Observations on the scratch-reflex in the spinal dog. The Journal of Physiology, 34(1–2), 1–50. [Google Scholar] [Crossref]

15. Khalsa, S. S., & Lapidus, R. C. (2016). Can interoception improve the pragmatic search for biomarkers in psychiatry? Frontiers in Psychiatry, 7, 121. [Google Scholar] [Crossref]

16. Craig, A. D. (2002). How do you feel? Interoception: The sense of the physiological condition of the body. Nature Reviews Neuroscience, 3(8), 655–666. [Google Scholar] [Crossref]

17. Critchley, H. D., & Harrison, N. A. (2013). Visceral influences on brain and behavior. Neuron, 77(4), 624–638. [Google Scholar] [Crossref]

18. Brewer, R., Murphy, J., & Bird, G. (2021). Atypical interoception as a common risk factor for psychopathology: A review. Neuroscience & Biobehavioral Reviews, 130, 470–508. [Google Scholar] [Crossref]

19. Garfinkel, S. N., & Critchley, H. D. (2013). Interoception, emotion and brain: New insights link internal physiology to social behaviour. Social Cognitive and Affective Neuroscience, 8(3), 231–234. [Google Scholar] [Crossref]

20. Porges, S. W. (1993). Body Perception Questionnaire. University of Maryland, Laboratory of Developmental Assessment. [Google Scholar] [Crossref]

21. Mehling, W. E., Price, C., Daubenmier, J., Acree, M., Bartmess, E., & Stewart, A. (2012). The multidimensional assessment of interoceptive awareness (MAIA). PLoS One, 7(11), e48230. [Google Scholar] [Crossref]

22. Seth, A. K., & Friston, K. J. (2016). Active interoceptive inference and the emotional brain. Philosophical Transactions of the Royal Society B: Biological Sciences, 371(1708), 20160007. [Google Scholar] [Crossref]

23. Allen, M., & Tsakiris, M. (2018). The hierarchical organisation of interoceptive inference. Neuroscience & Biobehavioral Reviews. [Google Scholar] [Crossref]

24. Critchley, H. D., & Garfinkel, S. N. (2017). Interoception and emotion. Current Opinion in Psychology, 17, 7-14. [Google Scholar] [Crossref]

25. Bechara, A., & Naqvi, N. (2004). Listening to your heart: Interoceptive awareness as a gateway to feeling. Nature Neuroscience, 7(2), 102–103. [Google Scholar] [Crossref]

26. Schandry, R. (1981). Heart beat perception and emotional experience. Psychophysiology, 18(4), 483–488. [Google Scholar] [Crossref]

27. Fumoso, M., Elia, M., Siliprandi, E., & Ferrara, F. (2012). Anxiety and interoceptive awareness: An experimental study. Psychology, 3(5), 422 – 426 . [Google Scholar] [Crossref]

28. Kever, A., Pollatos, O., Vermeulen, N., & Grynberg, D. (2015). Interoceptive sensitivity facilitates both antecedent- and response-focused emotion regulation strategies. Personality and Individual Differences, 87, 20–23. [Google Scholar] [Crossref]

29. Barrett, L. F., Quigley, K. S., Bliss-Moreau, E., & Aronson, K. R. (2004). Interoceptive sensitivity and self-reports of emotional experience. Journal of Personality and Social Psychology, 87(5), 684–697. [Google Scholar] [Crossref]

30. Herbert, B. M., Herbert, C., & Pollatos, O. (2011). On the relationship between interoceptive awareness and alexithymia: Is interoceptive awareness related to emotional awareness? Journal of Personality, 79(5), 1149–1175. [Google Scholar] [Crossref]

31. Pollatos, O., Herbert, B. M., Matthias, E., & Schandry, R. (2007). Heart rate response after emotional presentation is modulated by interoceptive awareness. International Journal of Psychophysiology, 63, 117–124. [Google Scholar] [Crossref]

32. Pollatos, O., Traut-Mattausch, E., Schroeder, H., & Schandry, R. (2007). Interoceptive awareness mediates the relationship between anxiety and the intensity of unpleasant feelings. Journal of Anxiety Disorders, 21, 931–943. [Google Scholar] [Crossref]

33. Vienna, S., Zhang, J., & Scherg, M. (2000). Effects of emotional visual stimulation on temporal characteristics of interoceptive brain waves. International Journal of Psychophysiology, 43(3), 243–254. [Google Scholar] [Crossref]

34. Pollatos, O., Füstös, J., & Critchley, H. D. (2012). On the generalised embodiment of pain: How interoceptive sensitivity modulates cutaneous pain perception. Pain, 153(8), 1680–1686. [Google Scholar] [Crossref]

35. Rainauli, A. (2025). Through the eyes of Gestalt therapy: The emergence of existential experience on the contact boundary. Phenomena Journal - International Journal of Psychopathology, Neuroscience and Psychotherapy, 7(1), 20–30. https://doi.org/10.32069/PJ.2021.2.225 [Google Scholar] [Crossref]

36. Harrison, N. A., Gray, M. A., Gianaros, P. J., & Critchley, H. D. (2010). The embodiment of emotional feelings in the brain. Journal of Neuroscience, 30(38), 12878–12884. [Google Scholar] [Crossref]

37. Ekman, P., Levenson, R. W., & Friesen, W. V. (1983). Autonomic nervous system activity distinguishes among emotions. Science, 221(4616), 1208–1210. [Google Scholar] [Crossref]

38. Ray, R. D., Wilhelm, F. H., & Gross, J. J. (2008). All in the mind’s eye? Anger rumination and reappraisal. Journal of Personality and Social Psychology, 94(1), 133–145. [Google Scholar] [Crossref]

39. Schwartz, G. E., Weinberger, D. A., & Singer, J. A. (1981). Cardiovascular differentiation of happiness, sadness, anger, and fear following imagery and exercise. Psychosomatic Medicine, 43(4), 343–364. [Google Scholar] [Crossref]

40. Terasawa, Y., Moriguchi, Y., Tochizawa, S., & Umeda, S. (2014). Interoceptive sensitivity predicts sensitivity to the emotions of others. Cognition and Emotion, 28(8), 1435–1448. [Google Scholar] [Crossref]

41. Georgiou, E., Mai, S., Fernandez, K. C., & Pollatos, O. (2018). I see neither your fear, nor your sadness: interoception in adolescents. Consciousness and Cognition, 60, 52–61. [Google Scholar] [Crossref]

42. Chick, C. F., Rounds, J. D., Hill, A. B., & Anderson, A. K. (2019). My body, your emotions: Viscerosomatic modulation of facial expression discrimination. Biological Psychology, 144, 107779. [Google Scholar] [Crossref]

43. Paulus, M. P., & Stein, M. B. (2010). Interoception in anxiety and depression. Brain Structure and Function, 214, 451–463. [Google Scholar] [Crossref]

44. Aaronson, S. T., Sears, P., Ruvuna, F., Bunker, M., Conway, C. R., Dougherty, D. D., et al. (2017). A 5-Year observational study of patients with treatment-resistant depression treated with vagus nerve stimulation or treatment as usual. American Journal of Psychiatry, 174(7), 640–648. [Google Scholar] [Crossref]

45. Eshkevari, E., Rieger, E., Musiat, P., & Treasure, J. (2014). An investigation of interoceptive sensitivity in eating disorders using a heartbeat detection task and a self-report measure. European Eating Disorders Review, 22, 383–388. [Google Scholar] [Crossref]

46. Orlando, G. (2020). Gestalt Therapy and Panic attacks: Base Relational Model, life cycle and clinic in GTK. Phenomena Journal - International Journal of Psychopathology, Neuroscience and Psychotherapy, 2(2), 82–91. https://doi.org/10.32069/pj.2020.2.39 [Google Scholar] [Crossref]

47. Craig, A. D. (2009). How do you feel: now? The anterior insula and human awareness. Nature Reviews Neuroscience, 10(1), 59–70. [Google Scholar] [Crossref]

48. Seth, A. K., & Friston, K. J. (2016). Active interoceptive inference and the emotional brain. Philosophical Transactions of the Royal Society B: Biological Sciences, 371(1708), 20160007. [Google Scholar] [Crossref]

49. Lommatzsch, A., Cirasino, D. ., De Fabrizio, M. ., Orlando, S. ., Terzi, C., & Antoncecchi, M. . (2024). The Working on the emotion of anger in panic disorder: a phenomenological-existential and Gestalt psychotherapy approach. Phenomena Journal - International Journal of Psychopathology, Neuroscience and Psychotherapy, 6(1), 6–11. https://doi.org/10.32069/PJ.2021.2.195 [Google Scholar] [Crossref]

50. Eysenck, H. (2017). The biological basis of personality. Routledge. [Google Scholar] [Crossref]

51. Eysenck, H. J., & Eysenck, S. B. G. (1985). Personality and individual differences: A natural science approach. Plenum Press. [Google Scholar] [Crossref]

52. Maltby, J., Day, L., & Macaskill, A. (2017). Personality, individual differences and intelligence. Pearson Education Limited. [Google Scholar] [Crossref]

53. Matthews, G., & Gilliland, K. (1999). The personality theories of H. J. Eysenck and J. A. Gray: A comparative review. Personality and Individual Differences, 26(5), 583–626. [Google Scholar] [Crossref]

54. Mitchell, R. L., & Kumari, V. (2016). Hans Eysenck's interface between the brain and personality: Modern evidence on the cognitive neuroscience of personality. Personality and Individual Differences, 103, 74-81. [Google Scholar] [Crossref]

55. Richards, M., & Eves, F. F. (1991). Personality, temperament and the cardiac defense response. Personality and Individual Differences, 12(10), 999-1007. [Google Scholar] [Crossref]

56. Harvey, F., & Hirschmann, R. (1980). The influence of extraversion and neuroticism on heart rate responses to aversive visual stimuli. Personality and Individual Differences, 1(1), 97–100. https://doi.org/10.1016/0191-8869(80)90011-2 [Google Scholar] [Crossref]

57. Wilson, G. D. (1990). Personality, time of day, and arousal. Personality and Individual Differences, 11(2), 153–168. [Google Scholar] [Crossref]

58. Norris, C. J., Larsen, J. T., & Cacioppo, J. T. (2007). Neuroticism is associated with larger and more prolonged electrodermal responses to emotionally evocative pictures. Psychophysiology, 44(5), 823–826. https://doi.org/10.1111/j.1469-8986.2007.00551. [Google Scholar] [Crossref]

59. Reynaud, E., El Khoury-Malhame, M., Rossier, J., Blin, O., & Khalfa, S. (2012). Neuroticism modifies psychophysiological responses to fearful films. PLoS One, 7(3), e32413. https://doi.org/10.1371/journal.pone.0032413. [Google Scholar] [Crossref]

60. Gray, J. A., & McNaughton, N. (2000). The neuropsychology of anxiety: An enquiry into the functions of the septo-hippocampal system (2nd ed.). Oxford University Press. [Google Scholar] [Crossref]

61. Corr, P. J. (2008). Reinforcement sensitivity theory (RST): Introduction. In P. J. Corr (Ed.), The reinforcement sensitivity theory of personality (pp. 1-43). Cambridge University Press. [Google Scholar] [Crossref]

62. Cloninger, C. R. (1987). A systematic method for clinical description and classification of personality variants. Archives of General Psychiatry, 44(6), 573-588. [Google Scholar] [Crossref]

63. Pang, J., Tang, X., Li, H., et al. (2019). Altered interoceptive processing in generalized anxiety disorder—A heartbeat-evoked potential research. Frontiers in Psychiatry, 10, 616. [Google Scholar] [Crossref]

64. Garfinkel, S. N., Seth, A. K., Barrett, L. F., Suzuki, K., & Critchley, H. D. (2014). Knowing your own heart: Distinguishing interoceptive accuracy from interoceptive awareness. Biological Psychology, 104, 65–74. [Google Scholar] [Crossref]

65. Zuckerman, M., Buchsbaum, M. S., & Murphy, D. L. (1980). Sensation seeking and its biological correlates. Psychological Bulletin, 88(1), 187. [Google Scholar] [Crossref]

66. Lyons M., Hughes S. (2015). Feeling me feeling you: Links between the dark triad and internal body awareness. Personality and Individual Differences, 86, 308–311. [Google Scholar] [Crossref]

67. Critchley, H. D., Wiens, S., Rotshtein, P., Öhman, A., & Dolan, R. J. (2004). Neural systems supporting interoceptive awareness. Nature neuroscience, 7(2), 189-195. [Google Scholar] [Crossref]

68. Dunn, B. D., Galton, H. C., Morgan, R., Evans, D., Oliver, C., Meyer, M., ... & Dalgleish, T. (2010). Listening to your heart: How interoception shapes emotion experience and intuitive decision making. Psychological science, 21(12), 1835-1844. [Google Scholar] [Crossref]

69. Ewing, D. L., Manassei, M., van Praag, C. G., Philippides, A. O., Critchley, H. D., & Garfinkel, S. N. (2017). Sleep and the heart: Interoceptive differences linked to poor experiential sleep quality in anxiety and depression. Biological psychology, 127, 163-172. [Google Scholar] [Crossref]

70. Ertan, D., Hingray, C., Burlacu, E., Sterlé, A., & El-Hage, W. (2021). Post-traumatic stress disorder following childbirth. BMC psychiatry, 21(1), 155. [Google Scholar] [Crossref]

71. Mallorquí-Bagué N., Garfinkel S. N., Engels M., Eccles J. A., Pailhez G., Bulbena A., Critchley H. D. (2014). Neuroimaging and psychophysiological investigation of the link between anxiety, enhanced affective reactivity and interoception in people with joint mobility. Frontiers in Psychology, 5, 1–8. 10.3389/fpsyg.2014.01162 [Google Scholar] [Crossref]

72. Zinbarg, R. E., Mineka, S., Bobova, L., Craske, M. G., Vrshek-Schallhorn, S., Griffith, J. W., ... & Anand, D. (2016). Testing a hierarchical model of neuroticism and its cognitive facets: Latent structure and prospective prediction of first onsets of anxiety and unipolar mood disorders during 3 years in late adolescence. Clinical Psychological Science, 4(5), 805-824. [Google Scholar] [Crossref]

73. Ferentzi, E., Drew, R., Tihanyi, B. T., & Köteles, F. (2018). Interoceptive accuracy and body awareness– Temporal and longitudinal associations in a non-clinical sample. Physiology & behavior, 184, 100-107. [Google Scholar] [Crossref]

74. Lyyra, P., & Parviainen, T. (2018). Behavioral inhibition underlies the link between interoceptive sensitivity and anxiety-related temperamental traits. Frontiers in psychology, 9, 1026. [Google Scholar] [Crossref]

75. Khalsa, S. S., Rudrauf, D., Feinstein, J. S., & Tranel, D. (2009). The pathways of interoceptive awareness. Nature Neuroscience, 12(12), 1494–1496. [Google Scholar] [Crossref]

76. Franzoi, S. L., Kessenich, J. J., & Sugrue, P. A. (1989). Gender differences in the experience of body awareness: An experiential sampling study. Sex Roles, 21(7–8), 499–515. https://doi.org/10.1007/BF00289100 [Google Scholar] [Crossref]

77. Grabauskaitė, A., Baranauskas, M., & Griškova-Bulanova, I. (2017). Interoception and gender: What aspects should we pay attention to?. Consciousness and cognition, 48, 129-137. [Google Scholar] [Crossref]

78. Salonia, G. (2013). La psicoterapia della Gestalt: Ermeneutica e clinica. FrancoAngeli. [Google Scholar] [Crossref]

79. Capparelli, T., Langella, C., Giannetti, C., Scognamiglio, R., & Messina, M. (2022). Phenomenology of Shame: a Review on Genesis and Developments. Phenomena Journal - International Journal of Psychopathology, Neuroscience and Psychotherapy, 4(1), 8–18. https://doi.org/10.32069/PJ.2021.2.124 [Google Scholar] [Crossref]

80. Geniola, N., Cini, A., Ballotti, S., Roti, S., Gabriele, G., & Verardo, A. (2025). Well-being and quality of life for the psychotherapist: a research proposal. Phenomena Journal - International Journal of Psychopathology, Neuroscience and Psychotherapy, 7(2), 77–81. https://doi.org/10.32069/PJ.2021.2.234 [Google Scholar] [Crossref]

81. Mehling, W. E., Wrubel, J., & Stewart, A. (2018). Body awareness training in education: Applications and outcomes. Mindfulness, 9(3), 847–858. https://doi.org/10.1007/s12671-017-0824-3 [Google Scholar] [Crossref]

82. Woldt, A. L., & Toman, S. M. (Eds.). (2010). Gestalt therapy: History, theory, and practice. SAGE Publications. [Google Scholar] [Crossref]

83. Greenberg, L. S. (2004). Emotion–focused therapy. Clinical Psychology & Psychotherapy: An International Journal of Theory & Practice, 11(1), 3-16. [Google Scholar] [Crossref]

84. Quattrini, P., & Cini, A. (2020). Theory, Practice and Technique: Self-supervision in Gestalt psychotherapy. Phenomena Journal - International Journal of Psychopathology, Neuroscience and Psychotherapy, 2(1), 78–88. https://doi.org/10.32069/pj.2020.1.55 [Google Scholar] [Crossref]

85. Thompson, E. (2007). Mind in life: Biology, phenomenology, and the sciences of mind. Harvard University Press. [Google Scholar] [Crossref]

86. Colombetti, G. (2014). The feeling body: Affective science meets the enactive mind. MIT Press. [Google Scholar] [Crossref]

87. Siegel, D. J. (2012). The developing mind: How relationships and the brain interact to shape who we are (2nd ed.). Guilford Press. [Google Scholar] [Crossref]

88. Di Sarno, A. D., Barone, M., De Masis, M., Di Gennaro, R., Fabbricino, I., Forino, A. A., & Luceri, J. F. (2025). Validity and effectiveness of Gestalt Play Therapy: a proposal for defining a shared research protocol. Phenomena Journal - International Journal of Psychopathology, Neuroscience and Psychotherapy, 7(3), 98–105. https://doi.org/10.32069/PJ.2021.2.241 [Google Scholar] [Crossref]

89. Costa, P. T., & McCrae, R. R. (1992). Revised NEO Personality Inventory (NEO PI-R) and NEO Five-Factor Inventory (NEO-FFI) professional manual. Psychological Assessment Resources. [Google Scholar] [Crossref]

90. John, O. P., Donahue, E. M., & Kentle, R. L. (1991). The big five inventory-versions 4a and 54. University of California, Berkeley, Institute of Personality and Social Research. [Google Scholar] [Crossref]

91. Pennebaker, J. W., & Roberts, T. A. (1992). Toward a his and hers theory of emotion: Gender differences in visceral perception. Journal of Social and Clinical Psychology, 11(3), 199-212. [Google Scholar] [Crossref]

92. Murphy, J., Geary, H., Millgate, E., Catmur, C., & Bird, G. (2018). Direct and indirect effects of age on interoceptive accuracy and awareness across the adult lifespan. Psychonomic Bulletin & Review, 25(3), 1193-1202. https://doi.org/10.3758/s13423-017-1339-z [Google Scholar] [Crossref]

93. Ma-Kellams, C. (2014). Cross-cultural differences in somatic awareness and interoceptive accuracy: A review of the literature and directions for future research. Frontiers in Psychology, 5, 1379. https://doi.org/10.3389/fpsyg.2014.01379 [Google Scholar] [Crossref]

94. Damasio, A. R. (1994). Descartes' error: Emotion, reason, and the human brain. Putnam. [Google Scholar] [Crossref]

95. Cini, A., Oliva, S., & Quattrini, G. P. (2019). Well - Being: a proposal research on Gestalt therapy efficacy. Phenomena Journal - International Journal of Psychopathology, Neuroscience and Psychotherapy, 1(1), 44–53. https://doi.org/10.32069/pj.2019.1.36 [Google Scholar] [Crossref]

96. Roti, S., Berti, F., Geniola, N., Zajotti, S., Calvaresi, G., Defraia, M., & Cini, A. (2023). A Gestalt journey: how the well-being changes during a Gestalt treatment. Phenomena Journal - International Journal of Psychopathology, Neuroscience and Psychotherapy, 5(2). https://doi.org/10.32069/PJ.2021.2.204 [Google Scholar] [Crossref]

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