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EPA-1610 - Basic Self-disturbance in Psychosis: Integrating Phenomenology and Neurosciences

Published online by Cambridge University Press:  15 April 2020

P. Monhonval
Affiliation:
Psychiatrie, Psychiatric University Hospital Chêne aux haies/Ambroise Paré, Mons, Belgium
C. Widakowich
Affiliation:
Psychiatrie, Psychiatric University Hospital Chêne aux haies/Ambroise Paré, Mons, Belgium
J. Tecco
Affiliation:
Psychiatrie, Psychiatric University Hospital Chêne aux haies/Ambroise Paré, Mons, Belgium

Abstract

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Recent theoretical and empirical work indicates renewed interest in the study of subjective experience in psychopathology (1,2). Phenomenological research shown that disturbance of the basic sense of self may be a core marker of the schizophrenia spectrum (3). This selfdisturbance occurs at the tacit, pre-reflective level of selfhood, where it exists a disruption of the sense of ownership of experience, associated with various anomalies of subjective experience. These anomalies include disturbed stream of consciousness, sense of presence, corporeality, self-demarcation and existential reorientation. All of these items are well described in the Examination of Anomalous Self-Experience (EASE) instrument (4). Also, recent researches try to elucidate the neurocognitive underpinnings of this basic self-disturbance (5).

After introducing the classical phenomenological approach about psychosis (Minkowski, Binswanger, Conrad, Tellenbach Blankenburg), we propose to review current theories about altered self-experience (Parnas, Bovet, Sass), and their correlate with neurobiological postulates.

Type
P31 - Schizophrenia
Copyright
Copyright © European Psychiatric Association 2014

References

Mishara, A.L.Parnas, J.Naudin, J.Forging the links between phenomenology, cognitive neuroscience and psychopathology: the emergence of a new discipline. Curr Opin Psychiatry 1998; 11: 567573CrossRefGoogle Scholar
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Parnas, J.Handest, P.Phenomenology of anomalous self-experience in early schizophrenia. Compr Psychiatry 2003; 44: 121134CrossRefGoogle ScholarPubMed
Parnas, J.Moller, P.EASE: Examination of Anomalous Self-Experience. Psychopathology 2005; 38: 236258CrossRefGoogle ScholarPubMed
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