Autonomy and Schizophrenia: Reflections on an Ideal

Sass, Louis A.

doi:10.1007/978-1-4419-6214-0_5

Cited by 13 publications

(13 citation statements)

References 26 publications

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“…The limited association between indices of well-being and the basic psychological needs of autonomy and competence was surprising given the relative emphasis on these two psychological needs as key elements associated with well-being among individuals with psychosis in the current literature (Heinrichs et al, 2008; Liberman et al, 1986; Sass, 2011). Several factors may account for this finding.…”

Section: Discussionmentioning

confidence: 80%

“…Additionally, the limited relationship between the basic psychological needs of autonomy and competence and well-being may result from a measurement limitation. Specifically, as individuals with psychosis may perceive themselves as simultaneously possessing high and low levels of autonomy and competence in different domains of functioning (Sass, 2011), measures of autonomy and competence across domains of functioning (e.g., BPNS) may provide convoluted assessments of these constructs. In such situations, domain-specific assessments of autonomy and competence may be more appropriate.…”

Section: Discussionmentioning

confidence: 99%

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Self-determination and first-episode psychosis: Associations with symptomatology, social and vocational functioning, and quality of life

Breitborde

Kleinlein

Srihari

2012

Schizophrenia Research

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Self-determination theory (SDT) postulates that satisfaction of three basic psychological needs (i.e., autonomy, competence, and well-being) promotes motivation, well-being, growth across domains of functioning. Thus, per SDT, we examined satisfaction of basic psychological needs among individuals with first-episode psychosis. First, we quantified the level of need satisfaction among a sample of individuals with first-episode psychosis and compared their level of need satisfaction to that of individuals without psychosis. Second, we examined the association between need satisfaction and several domains of well-being among individuals with first-episode psychosis (i.e., symptomatology, social/vocational functioning, and quality of life). Our results indicated that individuals with first-episode psychosis experience less satisfaction of basic psychological needs as compared to their same-aged counterparts. There was a modest association between need satisfaction and well-being among individuals with first-episode psychosis, with the need of relatedness being the need most frequently associated with indices of well-being. Although modest in scope, the results of the current study raise the possibility that further investigation of SDT among individuals with first-episode psychosis may reveal important strategies through which early intervention services can better promote well-being and recovery.

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Section: Discussionmentioning

confidence: 80%

Section: Discussionmentioning

confidence: 99%

Self-determination and first-episode psychosis: Associations with symptomatology, social and vocational functioning, and quality of life

Breitborde

Kleinlein

Srihari

2012

Schizophrenia Research

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“…In either case, it can be misleading to view persons with schizophrenia as mere passive victims of their illness. A person may, after all, come to appreciate and endorse a predisposition to certain forms of experience even though he has not adopted it freely; in this way, "the patient has a preference for and commits himself to the way of being that happens to be available to him" [28] , thereby playing a significantly agentic role in his or her striving toward independence, uniqueness, and the establishment of an autonomous value system.…”

Section: Contemporary Viewsmentioning

confidence: 99%

“…Indeed, Sass [28] has argued that, in some cases, persons with schizophrenia may manifest a greater degree of autonomy -albeit not conventional autonomy -than do normal, healthy individuals, by questioning or rejecting the conventional attitudes and behaviors that may be passively accepted and taken for granted in the general population. This tendency to reject conventional forms of perception and reasoning may result in, among other things, greater creativity.…”

Section: Contemporary Viewsmentioning

confidence: 99%

“…data]. Or, in contrast with this abnormal skepticism , they may express utter certainty about certain anomalous interpretations of the world (similar to the "utter certainty" that Müller-Suur [27] noted accompanying the delusions of certain patients with schizophrenia) (EAWE 6.2.2, Conceptual freedom/anything goes ; EAWE 6.3, Pervasive disbelief, skepticism, curiosity re the obvious/taken-for-granted ; EAWE 6.4, Absolute certitude ) [26,28] .…”

Section: Contemporary Viewsmentioning

confidence: 99%

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Existential Orientation: On the Phenomenology of Values, Attitudes, and Worldviews in Schizophrenia (Ancillary Article to EAWE Domain 6)

Pienkos

Sass²

2017

Psychopathology

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Since the appearance of schizophrenia as a distinct diagnosis, various researchers and clinicians, particularly those in the phenomenological and existential tradition, have noted the unique contribution of attitudinal and characterological factors to the illness. There has been a notable lack of attention paid to these features in most recent research on the disorder; still, understanding the values, attitudes, and worldviews - what might be termed the “existential orientation” - of persons with schizophrenia may be essential for comprehending the illness and developing effective approaches to treatment. Domain 6, Existential orientation, of the Examination of Anomalous World Experience (EAWE) includes descriptions related to unusual worldviews and values that may be especially common in schizophrenia. The current paper provides a summary of classic and contemporary phenomenological literature on values and existential orientation in schizophrenia, with the goal of providing a context for and further explanation of the items in EAWE Domain 6. These characterizations generally suggest that persons with schizophrenia may more likely value being faithful to idiosyncratic, often eccentric ways of thinking and acting, questioning or rejecting conventions and common sense, refusing or avoiding relationships and intimacy with others, and living according to intellectual and idealistic rules (in contrast to a more immediate or spontaneous approach to life). Possible factors contributing to the development of these values are also discussed.

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Delusion and Double Book-Keeping

Sass

2013

Karl Jaspers’ Philosophy and Psychopathology

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Autonomy and Schizophrenia: Reflections on an Ideal

Cited by 13 publications

References 26 publications

Self-determination and first-episode psychosis: Associations with symptomatology, social and vocational functioning, and quality of life

Self-determination and first-episode psychosis: Associations with symptomatology, social and vocational functioning, and quality of life

Existential Orientation: On the Phenomenology of Values, Attitudes, and Worldviews in Schizophrenia (Ancillary Article to EAWE Domain 6)

Delusion and Double Book-Keeping

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