Journal article

Varieties of Self Disorder: A Bio-Pheno-Social Model of Schizophrenia

Louis Sass, Juan P Borda, Luis Madeira, Elizabeth Pienkos, Barnaby Nelson

SCHIZOPHRENIA BULLETIN | OXFORD UNIV PRESS | Published : 2018

Abstract

The self-disorder model offers a unifying way of conceptualizing schizophrenia’s highly diverse symptoms (positive, negative, disorganized), of capturing their distinctive bizarreness, and of conceiving their longitudinal development. These symptoms are viewed as differing manifestations of an underlying disorder of ipseity or core-self: hyper-reflexivity/diminished-self-presence with accompanying disturbances of “grip” or “hold” on reality. Recent revision to this phenomenological theory, in particular distinguishing primary-vs-secondary factors, offers a bio-pheno-social model that is consistent with recent empirical findings and offers several advantages: (1) It helps account for the temp..

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