Skip to main content Accessibility help
×
Hostname: page-component-78c5997874-m6dg7 Total loading time: 0 Render date: 2024-11-06T04:59:36.084Z Has data issue: false hasContentIssue false

17 - Schizophrenia as disturbance of the self-construct

from Part III - Disturbances of the self: the case of schizophrenia

Published online by Cambridge University Press:  18 December 2009

Kai Vogeley
Affiliation:
Department of Psychiatry, University of Bonn, Germany and Institute of Medicine, Research Centre Juelich
Tilo Kircher
Affiliation:
Eberhard-Karls-Universität Tübingen, Germany
Anthony David
Affiliation:
Institute of Psychiatry, London
Get access

Summary

Abstract

Human self-consciousness can be defined as the capacity to metarepresent one's own mental states, such as perceptions, judgements, beliefs or desires. It is thus closely related to the so-called theory of mind capacity, which requires the ability to model the mental states of others. Other constitutive features of human self-consciousness comprise the experiences of ownership or agency, of egocentric perspectivity and of long-term unity of beliefs and attitudes. These features are assumed to be neurobiologically implemented as episodically active complex neural activation patterns that can be mapped to the brain given adequate operationalizations of these constitutive features. This bundle of constitutive features is called self-construct to distinguish clearly this empirically motivated operationalized approach from classical philosophical concepts. In the pathophysiology of schizophrenia, it is suggested that clinical subsyndromes like cognitive disorganization and derealization syndromes reflect disorders of partial features of self-consciousness. In this chapter the issue of first-person perspective as opposed to third-person perspective is addressed in more detail. With special regard to the psychopathological symptom of hallucinations, the relevance of the self-construct for the pathophysiology of schizophrenia is discussed.

Self-consciousness and potential empirical indicators

Self-consciousness is a central theme in classical philosophy and contemporary philosophy of mind and has also recently become one of the focuses of cognitive neurosciences. If empirical indicators for self-consciousness or at least for some of its constitutive features can be identified, then operationalization and subsequent mapping to neural structures become possible.

Type
Chapter
Information
Publisher: Cambridge University Press
Print publication year: 2003

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Baker, C. A. & Morrison, A. P. (1998). Cognitive processes in auditory hallucinations: attributional biases and metacognition. Psychological Medicine, 28, 1199–208Google Scholar
Baron-Cohen, S. (1995). Mindblindness. Cambridge, MA: MIT Press
Baron-Cohen, S., Leslie, A. & Frith, U. (1986). Mechanical, behavioral and intentional understanding of picture stories in autistic children. British Journal of Developmental Psychology, 4, 113–25Google Scholar
Behrendt, R. P. (1998). Underconstrained perception: a theoretical approach to the nature and function of verbal hallucinations. Comprehensive Psychiatry, 39, 236–48Google Scholar
Bentall, R. P. (1990). The illusion of reality: a review and integration of psychological research on hallucination. Psychological Bulletin, 107, 82–95Google Scholar
Bentall, R. P., Baker, G. Y. & Havers, S. (1991a). Reality monitoring and psychotic hallucinations. British Journal of Clinical Psychology, 30, 213–22Google Scholar
Bentall, R. P., Kaney, S. & Dewey, M. E. (1991b). Paranoia and social reasoning: an attribution theory analysis. British Journal of Clinical Psychology, 30, 13–23Google Scholar
Berlucchi, G. & Aglioti, S. (1997). The body in the brain: neural bases of corporeal awareness. Trends in Neuroscience, 20, 560–4Google Scholar
Bolton, D. & Hill, J. (1996). Mind, Meaning and Mental Disorder. The Nature of Causal Explanation in Psychology and Psychiatry. Oxford: Oxford University Press
Bressler, S. L. (1995). Large-scale cortical networks and cognition. Brain Research Reviews, 20, 288–304Google Scholar
Brown, J. W.(1985). Hallucinations. Imagery and the microstructure of perception. In Handbook of Clinical Neurology, vol. 1(45). Clinical Neuropsychology, ed. P. J. Vinken, pp. 351–72. Amsterdam: North Holland
Buccino, G., Binkofski, F., Fink, G. R. et al. (2001). Action observation activates premotor and parietal areas in a somatotopic manner: an fMRI study. European Journal of Neuroscience, 13, 400–5Google Scholar
Carruthers, P. (1996). Simulation and self-knowledge: a defence of theory–theory. In Theories of Theories of Mind, ed. P. Carruthers & P. K. Smith, pp. 22–38. Cambridge: Cambridge University Press
Cohen, M. S., Kosslyn, S. M., Breiter, H. C. et al. (1996). Changes in cortical activity during mental rotation. A mapping study using functional MRI. Brain, 119, 89–100Google Scholar
Cummings, J. L. (1993). Frontal-subcortical circuits and human behavior. Archives of Neurology, 50, 873–80Google Scholar
Damasio, A. R. (1994). Descartes' Error. Emotion, Reason and the Human Brain. New York: G. P. Putnam's Son
Damasio, A. R. (1996). The somatic marker hypothesis and the possible functions of the prefrontal cortex. Philosophical Transactions of the Royal Society: Biologic Sciences, 351, 1413–20Google Scholar
David, A. S. (1994). The neuropsychological origin of auditory hallucinations. In Neuropsychology of Schizophrenia, ed. A. S. David & J. Cutting, pp. 269–313. London: Lawrence Erlbaum
Engel, A. K., König, P., Kreiter, A. K. & Singer, W. (1991). Interhemispheric synchronization of oscillatory neuronal responses in cat visual cortex. Science, 252, 1177–79Google Scholar
Engel, A. K., Fries, P., König, P., Brecht, M. & Singer, 2. (1999). Temporal binding, binocular rivalry, and consciousness. Consciousness and Cognition, 8, 128–51Google Scholar
Farah, M. J. (1985). Psychophysical evidence for a shared representational medium for mental images and percepts. Journal for Experimental Psychology (General Psychology), 114, 91-103Google Scholar
Fink, G. R., Markowitsch, H. J., Reinkemeier, M. et al. (1996). Cerebral representation of one's own past: neural networks involved in autobiographical memory. Journal of Neuroscience, 16, 4275–82Google Scholar
Fink, G. R., Marshall, J. C., Halligan, P. W. et al. (1999). The neural consequences of conflict between intention and the senses. Brain, 122, 497–512Google Scholar
Fletcher, P., Happé, F., Frith, U. et al. (1995). Other minds in the brain: a functional imaging study of ‘theory of mind’ in story comprehension. Cognition, 57, 109–28Google Scholar
Frith, C. D. (1995). The cognitive abnormalities underlying the symptomatology and the disability of patients with schizophrenia. International Journal of Psychopharmacology, 10, 87–98Google Scholar
Fuster, J. (1997). The Prefrontal Cortex. Anatomy, Physiology, and Neuropsychology of the Frontal Lobe. New York: Lippincott-Raven
Gallagher, I. (2000). Philosophical conceptions of the self: implications for cognitive science. Trends in Cognitive Science, 4, 14–21Google Scholar
Gallagher, H. L., Happé, F., Brunswick, N. et al. (2000). Reading the mind in cartoons and stories: an fMRI study of ‘theory of mind’ in verbal and non-verbal tasks. Neuropsychologia, 38, 11–21Google Scholar
Gallese, V. & Goldman, A. (1998). Mirror neurons and the simulation theory of mind-reading. Trends in Cognitive Science, 2, 493–501Google Scholar
Gallese, V., Fadiga, L., Fogassi, L. & Rizzolatti, G. (1996). Action recognition in the premotor cortex. Brain, 119, 593–609Google Scholar
Gopnik, A. (1993). How we know our minds: the illusion of first-person-knowledge of intentionality. Behavioral and Brain Sciences, 16, 1–14Google Scholar
Gopnik, A. & Wellmann, H. (1992). Why the child's theory of mind really is a theory. Mind and Language, 7, 145–51Google Scholar
Happé, F., Ehlers, S., Fletcher, P. et al. (1996). ‘Theory of mind’ in the brain. Evidence from a PET scan study of Asperger syndrome. Neuroreport, 8, 197–201Google Scholar
Happé, F. G. E., Brownell, H. & Winner, E. (1999). Acquired ‘theory of mind’ impairments following stroke. Cognition, 70, 211–40Google Scholar
Harris, P. L. (1992). From simulation to folk psychology: the case for development. Mind and Language, 7, 120–44Google Scholar
Hemsley, D. R. (1994). Cognitive disturbance as the link between schizophrenic symptoms and their biological bases. Neurology, Psychiatry and Brain Research, 2, 163–70Google Scholar
Iacoboni, M., Woods, R. P., Brass, M. et al. (1999). Cortical mechanisms of human imitation. Science, 286, 2526–8Google Scholar
Ishai, A. & Sagi, D. (1995). Common mechanisms of visual imagery and perception. Science, 268, 1772–4Google Scholar
Kosslyn, S. M. (1994). Image and Brain: The Resolution of the Imagery Debate. Cambridge, MA: MIT Press
Leibniz, G. W. (1971) (originally published 1765). Neue Abhandlungen über den menschlichen Verstand. Hamburg: Philosophische Bibliothek, Felix Meiner Verlag
Leslie, A. & Roth, D. (1993). What can autism teach us about metarepresentation? In Understanding Other Minds: Persepctives from Autism, ed. S. Baron-Cohen, H. Tager-Flusberg and D. Cohen. Oxford: Oxford University Press, 83–111
Leslie, A. & Thaiss, L. (1992). Domain specificity in conceptual development: evidence from autism. Cognition, 43, 225–31Google Scholar
Maguire, E. A., Burgess, N., Donnett, J. G. et al. (1998). Knowing where and getting there: a human navigation network. Science, 280, 921–4Google Scholar
McGuire, P., Silbersweig, D. A., Wright, I. et al. (1996). The neural correlates of inner speech and auditory verbal imagery in schizophrenia: relationship to auditory verbal hallucinations. British Journal of Psychiatry, 169, 148–59Google Scholar
Melzack, R., Israel, R., Lacroix, R. & Schultz, G. (1997). Phantom limbs in people with congenital limb deficiency or amputation in early childhood. Brain, 120, 1603–20Google Scholar
Mesulam, M. M. (1985). Principles of Behavioral Neurology. Philadelphia: FA Davis
Metzinger, T. (1993). Subjekt und Selbstmodell. Paderborn: Schöningh
Metzinger, T. (1995). Ganzheit, Homogenität und Zeitkodierung. In Bewuβtsein. Beiträge aus der Gegenwartsphilosophie, ed. T. Metzinger, pp. 595–633. Paderborn: Schöningh
Perner, J. & Howes, D. (1992). ‘He thinks he knows’: and more developmental evidence against simulation (role taking) theory. Mind Language, 7, 72–86Google Scholar
Piaget, J. & Inhelder, B. (1975). Die Entwicklung des räumlichen Denkens beim Kinde (1948). In Gesammelte Werke. Stuttgart: Klett Verlag
Premack, D. & Woodruff, G. (1978). Does the chimpanzee have a theory of mind? Behavioral and Brain Sciences, 4, 515–26Google Scholar
Proust, J. (1999). Mind, space and objectivity in non-human animals. Erkenntnis, 5, 141–58Google Scholar
Putnam, H. (1994). Sense, nonsense, and the senses: an inquiry into the powers of the human mind. Journal of Philosophy, XⅭI, 445–517
Richardson, J. T. E. (1995). The efficacy of imagery mnemonics in memory remediation. Neuropsychologia, 33, 1345–57Google Scholar
Sartre, J. P. (1980). L'Imaginaire, 2nd edn. Rowohlt: Reinbek
Schumacher, R. (1997). Philosophische Theorien mentaler Repräsentationen. Deutsche Zeitschrift für Philosophie, 45, 785–815Google Scholar
Shallice, T. & Burgess, P. (1996). The domain of supervisory processes and temporal organization of behaviour. Philosophical Transactions of the Royal Society: Biologic Sciences, 351, 1405–11Google Scholar
Shepard, R. N. &Metzler, J. (1971). Mental rotation of three-dimensional objects. Science, 171, 701–3Google Scholar
Silbersweig, D. A., Stern, E., Frith, C. et al. (1995). A functional neuroanatomy of hallucinations in schizophrenia. Nature, 378, 176–9Google Scholar
Suzuki, M., Yuasa, S., Minabe, Y., Murata, M. & Kurachi, M. (1993). Left superior temporal blood flow increases in schizophrenic and schizophreniform patients with auditory hallucination: a longitudinal case study using 123I-IMP SPECT. European Archives for Psychiatry and Clinical Neurosciences, 242, 257–61Google Scholar
Vallar, G., Lobel, E., Galati, G. et al. (1999). A fronto-parietal system for computing the egocentric spatial frame of reference in humans. Experimental Brain Research, 124, 281–6Google Scholar
Van Hoesen, G. W., Morecraft, R. J. & Semendeferi, K. (1996). Functional neuroanatomy of the limbic system and prefrontal cortex. In Neuropsychiatry, ed. B. S. Fogel, R. B. Schiffer & S. M. Rao. Baltimore: Williams & Wilkins
Vogeley, K. (1995). Repräsentation und Identität. Zur Konvergenz von Hirnforschung und Gehirn-Geist-Philosophie. Berlin: Duncker und Humblot
Vogeley, K. (1999). Hallucinations emerge from an imbalance of self monitoring and reality modelling. The Monist, 82, 626–44Google Scholar
Vogeley, K. & Falkai, P. (1998). The cortical dysconnectivity hypothesis of schizophrenia. Neurology, Psychiatry and Brain Research, 6, 113–22Google Scholar
Vogeley, K. & Fink, G. R. (2003). Neural correlates of first-persion-perspective. Trends in Cognitive Science, 7, 38–42Google Scholar
Vogeley, K. & Newen, A. (2002). Mirror neurons and the self construct. In M. Stamenov & V. Gallese: Mirror Neurons and the Evolution of Brain and Language. John Benjamins Publishers
Vogeley, K., Kurthen, M., Falkai, P. & Maier, W. (1999). Essential features of the human self model are implemented in the prefrontal cortex. Consciousness and Cognition, 8, 343–63Google Scholar
Vogeley, K., Bussfeld, P., Newen, A. et al. (2001). Mind reading: neural mechanisms of theory of mind and self-perspective. NeuroImage, 14, 170–81Google Scholar
Wimmer, H. & Perner, J. (1983). Beliefs about beliefs: representation and constraining function of wrong beliefs in young children's understanding of deception. Cognition, 13, 103–28Google Scholar

Save book to Kindle

To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×