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7 - Disorders of the Experience of Self

Published online by Cambridge University Press:  12 January 2024

Patricia Casey
Affiliation:
University College Dublin
Brendan Kelly
Affiliation:
Trinity College, Dublin
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Summary

Recent decades have seen a revival of interest in the study of the self, self-awareness and various changes in self-awareness, especially in the context of mental illnesses, such as schizophrenia. This chapter outlines the psychopathology of various disturbances of awareness of self-activity, including depersonalisation, loss of emotional resonance, disturbances in the immediate awareness of self-unity, disturbances in the continuity of the self and disturbances of the boundaries of the self. It also explores theory of mind, consciousness and schizophrenia, which represent areas of growing research interest. The chapter concludes with suggested questions for eliciting specific symptoms in clinical practice, in addition to standard history-taking and mental state examination.

Type
Chapter
Information
Fish's Clinical Psychopathology
Signs and Symptoms in Psychiatry
, pp. 80 - 85
Publisher: Cambridge University Press
Print publication year: 2024

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References

Allé, M. C., Rubin, D. C., & Berntsen, D. (2023) Autobiographical Memory and the Self on the Psychosis Continuum: Investigating Their Relationship with Positive- and Negative-Like Symptoms. Memory, 31, 518–29.CrossRefGoogle ScholarPubMed
American Psychiatric Association (2013) Diagnostic and Statistical Manual of Mental Disorders (5th ed.) (DSM-5). Washington, DC: American Psychiatric Association.Google Scholar
Baron-Cohen, S., Tager-Flusberg, H., & Cohen, D. J. (1993) Understanding Other Minds: Perspectives from Autism. Oxford: Oxford University Press.Google Scholar
Bentall, R. P. (2003) Madness Explained: Psychosis and Human Nature. London: Allen Lane.Google Scholar
Bora, E., & Pantelis, C. (2013) Theory of Mind Impairments in First-Episode Psychosis, Individuals at Ultra-High Risk for Psychosis and in First-Degree Relatives of Schizophrenia: Systematic Review and Meta-Analysis. Schizophrenia Research, 144, 31–6.Google Scholar
Freeman, C. P. L. (1996) Neurotic Disorders. In Companion to Psychiatric Studies (5th ed.) (eds. Kendell, R. E. & Zealley), A. K.. Edinburgh: Churchill Livingstone, pp. 485524.Google Scholar
Frith, C. D. (1992) The Cognitive Neuropsychology of Schizophrenia. Hillsdale, NJ: Lawrence Erlbaum.Google Scholar
Frith, C. D., & Corcoran, R. (1996) Exploring ‘Theory of Mind’ in People with Schizophrenia. Psychological Medicine, 26, 521–30.Google Scholar
Harland, R., Morgan, C., & Hutchinson, G. (2004) Phenomenology, Science and the Anthropology of the Self: A New Model for the Aetiology of Psychosis. British Journal of Psychiatry, 185, 361–2.CrossRefGoogle Scholar
Jaspers, K. (1997) General Psychopathology (trans. Hoenig, J. & Hamilton), M. W.. Baltimore: Johns Hopkins University Press.Google Scholar
Kaplan, H. I., & Saddock, B. J. (1996) Concise Textbook of Clinical Psychiatry (7th ed.). Baltimore: Williams & Wilkins.Google Scholar
Langdon, R., Michie, P., Ward, P. B. et al. (1997) Defective Self and/or Other Mentalizing in Schizophrenia: A Cognitive Neuropsychological Approach. Cognitive Neuropsychiatry, 2, 167–93.Google Scholar
McCabe, R., Leudar, I., & Antaki, C. (2004) Do People with Schizophrenia Display Theory of Mind Deficits in Clinical Interactions? Psychological Medicine, 34, 401–12.Google Scholar
Oyebode, F. (2023) Sims’ Symptoms in the Mind: Textbook of Descriptive Psychopathology (7th ed.). Edinburgh: Elsevier.Google Scholar
Sass, L. A., & Parnas, J. (2003) Schizophrenia, Consciousness and the Self. Schizophrenia Bulletin, 29, 427–44.Google Scholar
Schiffman, J., Lam, C. W., Jiwatram, T. et al. (2004) Perspective-Taking Deficits in People with Schizophrenia Spectrum Disorders: A Prospective Investigation. Psychological Medicine, 34, 1581–6.Google Scholar
Sierra, M., & David, A. S. (2011) Depersonalization: A Selective Impairment of Self-Awareness. Consciousness and Cognition, 20, 99108.Google Scholar
Weinreb, S., Li, F., & Kurtz, M. M. (2022) A Meta-Analysis of Social Cognitive Deficits in Schizophrenia: Does World Region Matter? Schizophrenia Research, 243, 206–13.Google Scholar
World Health Organization (2019) ICD-11: International Classification of Diseases (11th ed.). Geneva: World Health Organization.Google Scholar
Zheng, S., Song, N., Wang, S. et al. (2022) Potential Targets for Noninvasive Brain Stimulation on Depersonalization-Derealization Disorder. Brain Sciences, 12, 1112.CrossRefGoogle ScholarPubMed

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