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Parnas J, Henriksen MG. Disordered self in the schizophrenia spectrum: a clinical and research perspective. Harv Rev Psychiatry. 2014;22(5):251-65doi: 10.1097/HRP.0000000000000040.
Parnas, J., & Henriksen, M. G. (2014). Disordered self in the schizophrenia spectrum: a clinical and research perspective. Harvard review of psychiatry, 22(5), 251-65. https://doi.org/10.1097/HRP.0000000000000040
Parnas, Josef, and Henriksen, Mads Gram. "Disordered self in the schizophrenia spectrum: a clinical and research perspective." Harvard review of psychiatry vol. 22,5 (2014): 251-65. doi: https://doi.org/10.1097/HRP.0000000000000040
Parnas J, Henriksen MG. Disordered self in the schizophrenia spectrum: a clinical and research perspective. Harv Rev Psychiatry. 2014 Sep-Oct;22(5):251-65. doi: 10.1097/HRP.0000000000000040. PMID: 25126763; PMCID: PMC4219858.
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Harv Rev Psychiatry. 2014 Sep-Oct;22(5):251-65. doi: 10.1097/HRP.0000000000000040.

Disordered self in the schizophrenia spectrum: a clinical and research perspective.

Harvard review of psychiatry

Josef Parnas, Mads Gram Henriksen

Affiliations

  1. From the Psychiatric Center Hvidovre and the Center for Subjectivity Research, University of Copenhagen, Copenhagen, Denmark.

PMID: 25126763 PMCID: PMC4219858 DOI: 10.1097/HRP.0000000000000040

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 years-mainly in the phenomenologically or psychodynamically oriented literature-this 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.

References

  1. Arch Gen Psychiatry. 1993 Sep;50(9):707-14 - PubMed
  2. Psychopathology. 2013;46(4):249-65 - PubMed
  3. Schizophr Res. 2005 Nov 1;79(1):117-25 - PubMed
  4. J Psychiatr Res. 1992 Oct;26(4):329-44 - PubMed
  5. Eur Arch Psychiatry Clin Neurosci. 2013 Jun;263(4):353-64 - PubMed
  6. Schizophr Bull. 2014 Sep;40(5):992-1000 - PubMed
  7. J Nerv Ment Dis. 2012 Jul;200(7):632-6 - PubMed
  8. World Psychiatry. 2010 Feb;9(1):21-8 - PubMed
  9. Schizophr Bull. 2000;26(1):217-32 - PubMed
  10. Schizophr Bull. 2014 May;40(3):479-82 - PubMed
  11. PLoS One. 2013 Oct 01;8(10):e75758 - PubMed
  12. Am J Med Genet B Neuropsychiatr Genet. 2004 Jul 1;128B(1):30-6 - PubMed
  13. Early Interv Psychiatry. 2013 Aug;7(3):306-10 - PubMed
  14. Proc Annu Meet Am Psychopathol Assoc. 1975;(63):147-65 - PubMed
  15. Schizophr Bull. 1987;13(3):485-95 - PubMed
  16. Compr Psychiatry. 2000 May-Jun;41(3):184-90 - PubMed
  17. Arch Gen Psychiatry. 1982 Jun;39(6):658-64 - PubMed
  18. World Psychiatry. 2012 Jun;11(2):67-9 - PubMed
  19. Early Interv Psychiatry. 2016 Feb;10(1):45-53 - PubMed
  20. World Psychiatry. 2002 Oct;1(3):131-6 - PubMed
  21. Psychopathology. 2005 Sep-Oct;38(5):236-58 - PubMed
  22. Compr Psychiatry. 1991 Jan-Feb;32(1):7-21 - PubMed
  23. Psychopathology. 2007;40(5):345-8 - PubMed
  24. Psychopathology. 2011;44(6):386-90 - PubMed
  25. Acta Psychiatr Scand. 2003 Aug;108(2):126-33 - PubMed
  26. Conscious Cogn. 2013 Jun;22(2):430-41 - PubMed
  27. Schizophr Bull. 2014 May;40(3):542-7 - PubMed
  28. Schizophr Bull. 2014 Nov;40(6):1300-7 - PubMed
  29. Annu Rev Clin Psychol. 2010;6:155-79 - PubMed
  30. Schizophr Bull. 2014 Sep;40(5):1072-82 - PubMed
  31. Psychopathology. 2005 Sep-Oct;38(5):259-67 - PubMed
  32. Schizophr Bull. 2011 Sep;37(5):1017-26 - PubMed
  33. Annu Rev Clin Psychol. 2012;8:109-30 - PubMed
  34. Schizophr Bull. 2003;29(3):427-44 - PubMed
  35. Schizophr Bull. 2011 Nov;37(6):1121-30 - PubMed
  36. Acta Psychiatr Scand. 2005 Jul;112(1):64-71 - PubMed
  37. Schizophr Bull. 2014 Jan;40(1):161-8 - PubMed
  38. World Psychiatry. 2011 Oct;10(3):200-4 - PubMed
  39. Schizophr Bull. 2010 Mar;36(2):331-40 - PubMed
  40. Schizophr Bull. 2011 Mar;37(2):344-51 - PubMed
  41. Br J Psychiatry. 1989 Nov;155:623-7 - PubMed
  42. Compr Psychiatry. 2010 Jul-Aug;51(4):363-6 - PubMed
  43. Compr Psychiatry. 2014 Apr;55(3):475-82 - PubMed
  44. Schweiz Arch Neurol Psychiatr (1985). 1995;146(5):200-6 - PubMed
  45. Psychol Med. 2013 Jul;43(7):1365-76 - PubMed
  46. Schizophr Bull. 2008 Mar;34(2):381-92 - PubMed
  47. J Abnorm Psychol. 1995 Feb;104(1):173-83 - PubMed
  48. Schizophr Bull. 2012 Nov;38(6):1277-87 - PubMed
  49. Dtsch Med Wochenschr. 1968 Jan 12;93(2):67-71 - PubMed
  50. Cerebrum. 2011 Mar;2011:6 - PubMed
  51. Schizophr Res. 2012 Mar;135(1-3):79-83 - PubMed
  52. Psychopathology. 2010;43(6):357-68 - PubMed
  53. Schizophr Bull. 2012 Jun;38(4):657-60 - PubMed
  54. J Nerv Ment Dis. 2012 Jul;200(7):577-83 - PubMed
  55. Compr Psychiatry. 2012 Jul;53(5):456-60 - PubMed

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