Phenomenology of anomalous self-experience in early schizophrenia
Phenomenology of anomalous self-experience in early schizophrenia
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DOI：
10.1053/comp.2003.50017
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发表时间：
2003-03-01
影响因子：
7.3
通讯作者：
Handest, P
中科院分区：
文献类型：
--
作者：
Parnas, J;Handest, P
自我体验障碍在经典文献以及现象学精神病学中被强调为精神分裂症谱系障碍的基本临床特征，但在当代精神病理学中却因出于认识论动机对研究主观性异常的不信任而被忽视。基于我们自己以及其他的实证研究，我们在此详细呈现自我体验的非精神病性异常的临床现象学描述，这些异常可能在精神分裂症的前驱期以及分裂型障碍中被观察到。自我体验异常根据似乎受影响的体验领域进行分组，并通过简短的案例片段或患者的逐字引述加以说明。有人提出，自我障碍值得从病因学角度进一步进行系统的实证研究。自我障碍可能最终被证明作为精神分裂症谱系障碍的一种精神病理学组织因素是潜在有用的。对这些障碍的精神病理学强调可能也有助于将对精神分裂症神经发育机制的研究与关于自我个体发生的发展心理学研究相结合。版权2003，爱思唯尔科学（美国）。保留所有权利。
Disorders of self-experience were emphasized in classic literature and in phenomenological psychiatry as essential clinical features of the schizophrenia spectrum disorders, but are neglected in the contemporary psychopathology due to epistemologically motivated distrust of studying anomalies of subjectivity. Based on our own and other empirical studies, we present here detailed clinical phenomenological descriptions of nonpsychotic anomalies of self-experience that may be observable in the prodromal phases of schizophrenia and in the schizotypal disorders. Anomalies of self-experience are grouped according the experiential domain that appears to be affected and are illustrated by short vignettes or verbatim quotes from the patients. It is suggested that disorders of the self deserve further systematic empirical investigations, also from an etiological perspective. Self-disorders may turn out to be potentially useful as a psychopathological organizer of the schizophrenia spectrum disorders. Psychopathological emphasis on these disorders may also help to integrate the search for the neurodevelopmental mechanisms in schizophrenia with developmental-psychological research on the ontogenesis of the self. Copyright 2003, Elsevier Science (USA). All rights reserved.