Cluster A Personality Disorders: A Review

Parnas, Josef; Licht, Deborah M.; Bovet, Pascal

doi:10.1002/0470090383.ch1

Cited by 51 publications

(52 citation statements)

References 81 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…As ipseity disturbance is not delimited to schizophrenia alone but underlies a specific way of being-in-the-world for the whole spectrum [37,38], the participants were asked to describe their EmEx before, during and after psychosis. Regarding the pre-psychotic EmEx, the participants were asked to describe their most self-defining emotional memories with no time interval constraints.…”

Section: Methodsmentioning

confidence: 99%

The Phenomenology of Emotion Experience in First-Episode Psychosis

Vodušek

Parnas²,

Tomori

et al. 2014

Psychopathology

View full text Add to dashboard Cite

Background: Although it has been suggested that disturbances in emotion experience and regulation play a central role in the aetiology and psychopathology of schizophrenia spectrum disorders, the phenomenology of emotion experience in schizophrenia remains under-researched. Sampling and Methods: In-depth interviews were conducted twice with each of the 20 participants (firstly at admission and secondly 6 months later). Data collection and analysis were guided by the principles of phenomenological study of lived experience. Results: The emotion experiences described by our participants vary greatly in both quality and intensity, but appear to have a common phenomenology. Anxiety is reported as the basic emotion which buffers, transforms and sometimes supplants all others. Emotions in general are experienced as foreign, unstable and perturbing, thereby contributing greatly to feelings of ambivalence, perplexity and an unstable sense of self in general. Conclusions: The findings of this study have important therapeutic and theoretical implications because they suggest that emotion experiences in schizophrenia spectrum disorders may underlie a wide range of psychopathological phenomena in both the cognitive and social functioning domains. Due to the relatively small sample size and its selection from psychotherapeutic units, the results may not be generalizable to all schizophrenia patients.

show abstract

Section: Methodsmentioning

confidence: 99%

The Phenomenology of Emotion Experience in First-Episode Psychosis

Vodušek

Parnas²,

Tomori

et al. 2014

Psychopathology

View full text Add to dashboard Cite

show abstract

“…The schizotypal disorder figures in the contemporary classifications, as an axis II (personality) disorder in DSM-III-5, and as a syndromic axis I diagnosis, just following after schizophrenia in the ICD-10 hierarchy. The schizotypal disorder is perhaps one of the most carefully research-validated diagnostic entities [31], and its status as a part of the schizophrenic spectrum is corroborated by molecular genetic research showing a substantial sharing of common genetic variants believed to be implicated in the etiology of schizophrenia [32]. …”

Section: The Spectrum Concept and A Preschizophrenic Prodromementioning

confidence: 99%

Self-Disorders: Clinical and Conceptual Implications for the Diagnostic Concept of Schizophrenia

Parnas

Jansson

2015

Psychopathology

Self Cite

View full text Add to dashboard Cite

The release of DSM-5 and the preparations for the launch of the ICD-11 provoked a series of critiques of psychiatric classification, which continues to depend largely on clinical description. Among the immediate problems are those of arbitrary diagnostic thresholds, tendency to reification, rigid category boundaries, comorbidity, diagnostic ‘epidemics' and differential diagnostic dilemmas. We argue that many of those problems stem from the polythetic-operational definitions of psychiatric categories, which thereby come to lack an organizing prototype-directed or gestaltic intelligibility principle. We illustrate these issues by briefly examining the current operational diagnosis of schizophrenia, its demarcation from affective illness and the status of the spectrum concept and the prodrome of schizophrenia. We point out that European research on schizophrenia always allocated an important diagnostic weight to a certain prototypical trait core of the illness, phenomenologically indispensable for its demarcation from other, nonschizophrenic psychotic conditions. We believe that the notion of self-disorder (reflective of the structural alterations of subjectivity), itemized into its various aspects in the Examination of Anomalous Self-Experience scale, is an important step forward in a more precise psychopathological articulation of that core, strengthening its clinical and research utility.

show abstract

“…Par ailleurs, il est parfaitement conscient de l'absurdité de ces affirmations, dont il ne peut cependant pas se défaire 6 . » Ces dernières années, diverses investigations ont été conduites, dans une perspective phénoménologique, sur la nature de ces troubles du sens de soi, et leur spécificité comme caractéristique de trait des troubles du spectre schizophrénique [22,24], aboutissant à l'élaboration d'une échelle semistructurée en vue de leur évaluation [23].…”

Section: Conceptions Phénoménologiquesunclassified

“…Les troubles de l'expérience subjective et du sens de soi se retrouvent non seulement chez les schizophrènes avérés, mais chez nombre de schizotypes, et dans les phases prodromiques de la maladie [20,24]. Un des problèmes majeurs auxquels se confrontent les programmes de détection et de prise en charge précoces des psychoses émergentes est la difficulté de repérer les sujets avant l'éclosion de symptômes psychotiques, fussent-ils de moindre intensité ou de brève durée [25].…”

Section: Théories éTiopathogéniques De La Schizophrénieunclassified

“…La notion de schizoïdie a, depuis la création de ce terme il y a bientôt cent ans, subi bon nombre de changements [24]. Ce qu'il en subsiste aujourd'hui dans le DSM-IV ou la CIM-10 ne présente guère d'intérêt, ni pour le psychopathologue, ni pour le psychothérapeute, mais on aurait tort d'ignorer la richesse des conceptions élaborées à son propos de part et d'autre de l'Atlantique durant plus d'un demi-siècle, conceptions qu'évoquent par exemple Essen-Möller [8] et Nannarello [18].…”

unclassified

See 1 more Smart Citation

Pour une réhabilitation de la notion de schizoïdie

Bovet

2007

Psychiatr Sci Hum Neurosci

View full text Add to dashboard Cite

La notion psychopathologique de schizoïdie ne se retrouve pas de manière reconnaissable dans les actuels DSM-IV et CIM-10. Cependant, celle-ci se révèle utile à la psychiatrie phénoménologique qui s'en inspire pour atteindre une conception dynamique des troubles schizophréniques. Au travers de l'écoute du discours du patient, la démarche phénoménologique cherche la spécificité caractéristique des troubles du spectre shizophrénique, allant au-delà de la simple énumération de symptômes. Les recherches en neurosciences, de leur côté, suggèrent une étiopathologie de type neurodévelop-pemental, mettant en évidence la question de la connectivité intersynaptique et le rôle du glutathion. Sans s'exclure l'un l'autre, ni pour autant se trouver en correspondance stricte, ces deux domaines distincts d'appréhension que sont la phénoménologie et les neurosciences semblent pouvoir s'enrichir mutuellement dans l'étude de la schizophrénie : l'un par l'étude du substrat biologique en cause dans la maladie, l'autre par la compréhension descriptive et le traitement clinique des malades. Mots clés : Schizoïdie -Schizophrénie -Psychiatrie phénoménologiqueRehabilitating the concept of schizoid disorder Abstract: The notion of the schizoid disorder appears in a somewhat tainted form in the current DSM-IV and CIM-10. Yet this notion is of great use in phenomenological psychiatry, which draws on it to conceptualise dynamically schizophrenic disorders. Phenomenology traces the specifics of the schizophrenia spectrum disorders through the discourse of patients. By contrast, neuroscience suggests neurodevelopmental pathogenesis, emphasizing the role of synaptic connectivity and the importance of glutathione. Phenomenology and neuroscience are neither mutually exclusive nor in complete concordance; instead, each seems to benefit from the other's approach to schizophrenia, phenomenology through the descriptive understanding and clinical treatment of patients, neuroscience through the study of the illness's biological substrate.

show abstract

Cluster A Personality Disorders: A Review

Cited by 51 publications

References 81 publications

The Phenomenology of Emotion Experience in First-Episode Psychosis

The Phenomenology of Emotion Experience in First-Episode Psychosis

Self-Disorders: Clinical and Conceptual Implications for the Diagnostic Concept of Schizophrenia

Pour une réhabilitation de la notion de schizoïdie

Contact Info

Product

Resources

About