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Disordered recognition and perception of human faces in acute schizophrenia and experimental psychosis.

A Harrington, G Oepen, M Spitzer

Comprehensive Psychiatry September 1, 1989 DOI: 10.1016/0010-440x(89)90003-5 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Theoretical or philosophical paper Peer reviewed
Topics Mescaline
Keywords Face Humans Agnosia Psychoses, substance-induced Acute disease Delusions Body image Form perception Optical illusions Pattern recognition, visual Perceptual distortion Narcissism Neuropsychological tests Schizophrenic psychology Adult Female
Key points Argues that three disturbances of facial perception in acute schizophrenia and mescaline-induced psychosis—"affective prosopagnosia," "physiognomization" of the environment, and the "mirror phenomenon"—may be related in ways neuropsychology can illuminate, while proposing no final neurobiological solution and discussing when neuropsychological and hermeneutic approaches should be combined.

Abstract

Three disorders of facial recognition and perception in acute schizophrenia and mescaline-induced psychosis are described and illustrated using original clinical and experimental material: "affective prosopagnosia" or stress-related dysfunctional face recognition; "physiognomization" of the environment or persistent illusions and hallucinations of nonspecific faces; and the "mirror phenomenon" or the experience of inner alienation from one's reflected face, which is perceived as independently alive, sinister, and generally physically distorted. It is proposed that neuropsychology suggests relationships between these phenomena that might otherwise be less apparent. No final neurobiological solution to the problem of dysfunctional facial perception and recognition in psychosis is presented, but various insights and suggestive models from the neurosciences are discussed. Attention is also paid to the conditions under which one might need to combine neuropsychological approaches with hermeneutically oriented analyses.

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