223 research outputs found
Clinical manifestations of self-disorders and the Gestalt of schizophrenia
Anomalies of self-experience (self-disorders) constitute crucial phenotypes of the schizophrenia spectrum. The following qualitative study demonstrates a variety of these core experiential anomalies. From a sample of 36 first-admitted patients, all of whom underwent a comprehensive psychiatric evaluation, including the EASE scale (Examination of Anomalous Self-Experience), 2 schizophrenia patients were selected for detailed psychopathological presentation and discussion. The vignettes provide prototypical examples of what has been termed self-disorders in schizophrenia, ie, pervasive and enduring (mainly) trait phenomena which constitute essential aspects of the spectrum
Mysticism and schizophrenia:A phenomenological exploration of the structure of consciousness in the schizophrenia spectrum disorders
AbstractMysticism and schizophrenia are different categories of human existence and experience. Nonetheless, they exhibit important phenomenological affinities, which, however, remain largely unaddressed. In this study, we explore structural analogies between key features of mysticism and major clinical-phenomenological aspects of the schizophrenia spectrum disordersâi.e. attitudes, the nature of experience, and the âotherâ, mystical or psychotic reality. Not only do these features gravitate around the issue of the basic dimensions of consciousness, they crucially seem to implicate and presuppose a specific alteration of the very structure of consciousness. This finding has bearings for the understanding of consciousness and its psychopathological distortions
The origins of Odense: new aspects of early urbanisation in southern Scandinavia
The article presents an updated study of the centuries prior to Odenseâs traditional âbirth certificateâ of AD 988, resulting in a new model for the urbanisation of Odense. The conclusion reached is that there was activity of a permanent and possibly urban character in Odense from the end of the late eighth century until the late tenth century. The townâs development can be followed through three phases. Phases 1 and 2 cover the periods AD 700â900 and AD 900â100, respectively, while phase 3 covers the period AD 1000-1101. During phases 1 and 2, the proto-town develops through bottomup processes, such as network, crafts and possibly trade. After AD 1000, Odense develops into a town proper, under royal influence. The model from Odense provides the background for a fresh view of urbanisation in southern Scandinavia in general. A three-phase model is proposed. Phase 0 constitutes the emporia of the eighthâninth century, which perhaps primarily is satellites in a trading network controlled from the south. Phase 1 takes the form of locally initiated and based incipient urbanisation extending from the end of the eighth century until the tenth century. Phase 2 comprises the royally established towns from around AD 1000 onwards
Experiences without for-me-ness? Reconsidering alleged counter examples from psychopathology and psychedelics
Disordered Self in the Schizophrenia Spectrum:A Clinical and Research Perspective
LEARNING OBJECTIVES: After participating in this activity, learners should be better able to: 1. Assess anomalous self-experience as a core feature of schizophrenia spectrum disorders. 2. Evaluate current and historical research regarding disorders of self-experience in schizophrenia. ABSTRACT: This article explores the phenomenological and empirical rediscovery of anomalous self-experience as a core feature of the schizophrenia spectrum disorders and presents the current status of research in this field. Historically, a disordered self was considered to be a constitutive phenotype of schizophrenia. Although the notion of a disordered self has continued to appear occasionally over the yearsâmainly in the phenomenologically or psychodynamically oriented literatureâthis notion was usually considered as a theoretical construct rather than as referring to concretely lived anomalous experiences. Empirical research on the disorders of self-experience in schizophrenia can be traced back to the US-Denmark psychopathological collaboration in the well-known adoption and high-risk studies, which aimed at identifying trait or phenotypic vulnerability features. This research was later followed by clinical work with first-admission schizophrenia patients. We offer clinical descriptions of anomalous self-experience and outline the phenomenological structures of subjectivity that are needed for grasping the nature of these anomalous experiential phenomena. What appears to underlie these experiences is an instability of the first-person perspective that threatens the basic experience of being a self-coinciding, embodied, demarcated, and persisting subject of awareness. We summarize a series of empirical studies targeting self-experience in schizophrenia performed prior to and after the construction of a phenomenologically oriented psychometric instrument for assessing anomalies of self-experience, the Examination of Anomalous Self-Experience (EASE). These empirical studies support the classic clinical intuition that anomalous self-experiences form a central phenotype of schizophrenia. Implications for diagnosis and research are briefly discussed
Self-disorders and schizophrenia:A phenomenological reappraisal of poor insight and non-compliance
Poor insight into illness is considered the primary cause of treatment noncompliance in schizophrenia. In this article, we critically discuss the predominant conceptual accounts of poor insight, which consider it as an ineffective self-reflection, caused either by psychological defenses or impaired metacognition. We argue that these accounts are at odds with the phenomenology of schizophrenia, and we propose a novel account of poor insight. We suggest that the reason why schizophrenia patients have no or only partial insight and consequently do not comply with treatment is rooted in the nature of their anomalous self-experiences (ie, self- disorders) and the related articulation of their psychotic symptoms. We argue that self-disorders destabilize the patientsâ experiential framework, thereby weakening their basic sense of reality (natural attitude) and enabling another sense of reality (solipsistic attitude) to emerge and coexist. This coexistence of attitudes, which Bleuler termed âdouble bookkeeping,â is, in our view, central to understanding what poor insight in schizophrenia really is. We suggest that our phenomenologically informed account of poor insight may have important implications for early intervention, psychoeducation, and psychotherapy for schizophrenia
Embodiment and affectivity in Moebius Syndrome and Schizophrenia: A phenomenological analysis
In this comparative study, we examine experiential disruptions of embodiment and affectivity in Moebius Syndrome and schizophrenia. We suggest that using phenomenological resources to explore these experiences may help us better understand what itâs like to live with these conditions, and that such an understanding may have significant therapeutic value. Additionally, we suggest that this sort of phenomenologically-informed comparative analysis can shed light on the importance of embodiment and affectivity for the constitution of a sense of self and interpersonal relatedness in normal conditions
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