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The lived body in schizophrenia: transition from basic self-disorders to full-blown psychosis.

Leonor Irarrázaval

Frontiers in Psychiatry 2015 DOI: 10.3389/fpsyt.2015.00009 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Phenomenological study Peer reviewed
Population Patients with schizophrenia during their first psychiatric hospitalization
Topics Philosophy of mind
Keywords Embodiment Intersubjectivity Schizophrenia Self-disorder
Key points The authors argue that a structural element of schizophrenia is the diminishment of self-presence in experience, manifesting on both individual and social levels. They describe acute-phase "disembodiment," subjective anomalies of "ipseity" or pre-reflexive self-awareness, and secondary disturbances in consensual intersubjectivity leading to communication difficulties and withdrawal from the intersubjective world.

Abstract

This paper provides the results of a phenomenological study of patients with schizophrenia during their first psychiatric hospitalization. The study aims at clarify aspects related to the diagnosis of schizophrenia and to reach a greater understanding of the illness, with a view to contribute to prevention and psychotherapeutic intervention models. First, the paper offers a description of the patients' "disembodiment" manifested in acute phases of schizophrenia. Second, it presents a description of the subjective anomalies that may be considered as disorders of "ipseity" or of pre-reflexive self-awareness. Third, the description is extended to encompass secondary disturbances to processes of establishing consensual intersubjectivity that lead to difficulties in shared communication practices and a progressive withdrawal from the intersubjective world. The conclusion states that a structural element, a key part of the personal processes involved in schizophrenia, is the diminishment of self-presence in experience, which manifests on both individual and social levels.

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