What are the neurocognitive correlates of basic self-disturbance in schizophrenia?: Integrating phenomenology and neurocognition. Part 1 (Source monitoring deficits).
B Nelson, Thomas J Whitford, Suzie Lavoie, Louis Sass
Schizophrenia Research January 2014 DOI: 10.1016/j.schres.2013.06.022 (opens in new tab)
Study at a glance
AI-extracted from the abstract| Characteristics | Theoretical or philosophical paper Peer reviewed |
|---|---|
| Topics | Philosophy of mind |
| Keywords | Neurocognition Psychosis Schizophrenia Self |
| Key points | Proposes that basic self-disturbance in schizophrenia may be underpinned by source monitoring deficits, contributing particularly to disturbances of 'ownership' and 'mineness'; a companion paper addresses aberrant salience. Argues that integrating phenomenological and neurocognitive levels could advance understanding of schizophrenia and enhance early identification and intervention. |
Abstract
Phenomenological research indicates that disturbance of the basic sense of self may be a core phenotypic marker of schizophrenia spectrum disorders. Basic self-disturbance refers to disruption of the sense of ownership of experience and agency of action and is associated with a variety of anomalous subjective experiences. Little is known about the neurocognitive underpinnings of basic self-disturbance. In these two theoretical papers (of which this is Part 1), we review some recent phenomenological and neurocognitive research and point to a convergence of these approaches around the concept of self-disturbance. Specifically, we propose that subjective anomalies associated with basic self-disturbance may be associated with: 1. source monitoring deficits, which may contribute particularly to disturbances of "ownership" and "mineness" (the phenomenological notion of presence or self-affection) and 2. aberrant salience, and associated disturbances of memory, prediction and attention processes, which may contribute to hyper-reflexivity, disturbed "grip" or "hold" on the perceptual and conceptual field, and disturbances of intuitive social understanding ("common sense"). In this paper (Part 1) we focus on source monitoring deficits. Part 2 (this issue) addresses aberrant salience. Empirical studies are required in a variety of populations in order to test these proposed associations between phenomenological and neurocognitive aspects of self-disturbance in schizophrenia. An integration of findings across the phenomenological and neurocognitive "levels" would represent a significant advance in the understanding of schizophrenia and possibly enhance early identification and intervention strategies.
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Citations in the library
Cited by 39
- Looking for the Self: Phenomenology, Neurophysiology and Philosophical Significance of Drug-induced Ego Dissolution Frontiers in Human Neuroscience May 23, 2017
- Self-disturbance and schizophrenia: structure, specificity, pathogenesis (Current issues, New directions). Schizophrenia Research 2014
- Mysticism and schizophrenia: A phenomenological exploration of the structure of consciousness in the schizophrenia spectrum disorders. Consciousness and Cognition July 1, 2016
- The neurophenomenology of early psychosis: An integrative empirical study. Consciousness and Cognition November 1, 2019
- Phenomenological and neurocognitive perspectives on delusions: A critical overview. World Psychiatry June 1, 2015
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Cites 14
- Functional Connectivity Measures After Psilocybin Inform a Novel Hypothesis of Early Psychosis Schizophrenia Bulletin October 6, 2012
- Self-disturbance and schizophrenia: structure, specificity, pathogenesis (Current issues, New directions). Schizophrenia Research 2014
- Self‐experience in the early phases of schizophrenia: 5‐year follow‐up of the Copenhagen Prodromal Study World Psychiatry October 1, 2011
- Anomalous self-experience in depersonalization and schizophrenia: a comparative investigation. Consciousness and Cognition June 1, 2013
- A Test of the Psychedelic Model of Altered States of Consciousness Archives of General Psychiatry July 1, 1976
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