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Schizophrenia and the Scaffolded Self

Joel Krueger

Topoi March 8, 2018 DOI: 10.1007/s11245-018-9547-3 (opens in new tab)

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Characteristics Theoretical or philosophical paper Case report Peer reviewed
Citations 81
Key points Argues that schizophrenia is fundamentally a self-disturbance, but reconceives this as a disruption of the "scaffolded self"—a self established and regulated through ongoing engagement with the world and others—rather than simply a disruption of ipseity or minimal self-consciousness. Proposes that this scaffolded framework indicates the need for new forms of intervention and treatment.

Abstract

A family of recent externalist approaches in philosophy of mind argues that our psychological capacities are synchronically and diachronically “scaffolded” by external (i.e., beyond-the-brain) resources. I consider how these “scaffolded” approaches might inform debates in phenomenological psychopathology. I first introduce the idea of “affective scaffolding” and make some taxonomic distinctions. Next, I use schizophrenia as a case study to argue—along with others in phenomenological psychopathology—that schizophrenia is fundamentally a self-disturbance. However, I offer a subtle reconfiguration of these approaches. I argue that schizophrenia is not simply a disruption of ipseity or minimal self-consciousness but rather a disruption of the scaffolded self , established and regulated via its ongoing engagement with the world and others. I conclude by considering how this scaffolded framework indicates the need to consider new forms of intervention and treatment.

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