Disturbed time experience during and after psychosis
David H. V. Vogel, Timo Beeker, Theresa Haidl, Christian Kupke, Martin Heinze, Kai Vogeley
Schizophrenia Research Cognition March 21, 2019 DOI: 10.1016/j.scog.2019.100136 (opens in new tab)
Study at a glance
AI-extracted from the abstract| Characteristics | Qualitative study Peer reviewed |
|---|---|
| Population | Patients diagnosed with schizophrenia |
| Measures | Time Questionnaire |
| Citations | 40 |
| Key findings | The authors report that acute psychosis is predominantly a disturbance of the passage of time, while remission from psychosis is defined primarily by changes in the experience of the explicit structure of time integrating past, present, and future. They argue this distinction between acute psychotic and post-psychotic syndromes holds significance for the diagnostic and therapeutic understanding of schizophrenia. |
Abstract
Disturbances in time experience have been argued to play a significant, if not causative role in the clinical presentation of schizophrenia. Phenomenological considerations suggest a fragmented or dis-articulated time experience causing both primary symptoms such as hallucinations, delusions, and self-disorders, as well as an intersubjective desynchronization. We employed content analysis on material collected from patients diagnosed with schizophrenia using the Time Questionnaire to generate hypotheses on possible disturbances of time experience in schizophrenia. As a key result we find evidence for the distinction between acute psychotic and post-psychotic syndromes. Acute psychosis is predominantly a disturbance of the passage of time, whereas the remission from psychosis is primarily defined by changes in the experience of the explicit structure of time integrating past, present, and future. We discuss our findings with regards to previous insights and observations on time experience and time perception. We suggest our findings hold significance for the diagnostic and therapeutic understanding of schizophrenia as well as for future integrative research on time experience in general.