Dissociation and social cognition in schizophrenia spectrum disorder

Renard, Selwyn; Pijnenborg, Marieke; Lysaker, Paul H.

doi:10.1016/j.schres.2012.02.001

Cited by 25 publications

(22 citation statements)

References 27 publications

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“…While much research has focused on facial affect recognition in different cultures (e.g., Elfenbein and Ambady 2002), and problems with affect recognition in psychopathology (e.g., Renard et al 2012), considerably less research has focused on the behavioural responses that are elicited by facial emotional expressions, and how these responses may depend on contextual cues. Insight in the possible context-dependency of behavioural response patterns is important for a more comprehensive understanding of the role of facial affect in daily interactions.…”

Section: Introductionmentioning

confidence: 99%

Approach–avoidance of facial affect is moderated by the presence of an observer-irrelevant trigger

2016

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This study examined whether approach–avoidance related behaviour elicited by facial affect is moderated by the presence of an observer-irrelevant trigger that may influence the observer’s attributions of the actor’s emotion. Participants were shown happy, disgusted, and neutral facial expressions. Half of these were presented with a plausible trigger of the expression (a drink). Approach–avoidance related behaviour was indexed explicitly through a questionnaire (measuring intentions) and implicitly through a manikin version of the affective Simon task (measuring automatic behavioural tendencies). In the absence of an observer-irrelevant trigger, participants expressed the intention to avoid disgusted and approach happy facial expressions. Participants also showed a stronger approach tendency towards happy than towards disgusted facial expressions. The presence of the observer-irrelevant trigger had a moderating effect, decreasing the intention to approach happy and to avoid disgusted expressions. The trigger had no moderating effect on the approach–avoidance tendencies. Thus the influence of an observer-irrelevant trigger appears to reflect more of a controlled than automatic process.

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Section: Introductionmentioning

confidence: 99%

Approach–avoidance of facial affect is moderated by the presence of an observer-irrelevant trigger

2016

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“…Symptoms such as thought rumination, fantasizing, dissociation from the present moment, and reward-directed behavioral disturbance are common to both schizophrenia (Potenza & Chambers, 2001;Renard, Pijnenborg, & Lysaker, 2012) and pathological gambling (e.g., Griffiths, Wood, Parke, & Parke, 2006). Given that meditation has been shown to reduce these symptoms (Shonin, Van Gordon, & Griffiths, 2013c), it is hypothesized that meditation-based therapy (i.e., based on third-wave CBT principles) could be an acceptable and effective treatment for patients with co-morbid schizophrenia and pathological gambling.…”

mentioning

confidence: 99%

Cognitive Behavioral Therapy (CBT) and Meditation Awareness Training (MAT) for the Treatment of Co-occurring Schizophrenia and Pathological Gambling: A Case Study

Shonin

Gordon²,

Griffiths

2013

Int J Ment Health Addiction

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There is a paucity of interventional approaches that are sensitive to the complex needs of individuals with co-occurring schizophrenia and pathological gambling. Utilizing a singleparticipant design, this study conducted the first clinical evaluation of a novel and integrated non-pharmacological treatment for a participant with dual-diagnosis schizophrenia and pathological gambling. The participant underwent a 20-week treatment course comprising: (i) an initial phase of second-wave cognitive behavioral therapy (CBT), and (ii) a subsequent phase employing a meditation-based recovery model (involving the administering of an intervention known as Meditation Awareness Training). The primary outcome was diagnostic change (based on DSM-IV-TR criteria) for schizophrenia and pathological gambling. Secondary outcomes were: (i) psychiatric symptom severity, (ii) pathological gambling symptom severity, (iii) psychosocial functioning, and (iv) dispositional mindfulness. Findings demonstrated that the participant was successfully treated for both schizophrenia and pathological gambling. Significant improvements were also observed across all other outcome variables and positive outcomes were maintained at three-month follow-up. An initial phase of CBT to improve social coping skills and environmental mastery, followed by a phase of meditation-based therapy to increase perceptual distance from mental urges and intrusive thoughts, may be a diagnostically-syntonic treatment for co-occurring schizophrenia and pathological gambling.

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“…Vogel et al (2006) found that even patients without a history of trauma or posttraumatic symptoms can elevate a level of dissociation on the DES scale and in a later study (Vogel et al, 2009b) it has been showed that dissociation has a more proximal impact on schizophrenia symptoms then trauma history. Moreover, a worse capability to discriminate negative emotion in schizophrenia and schizoafective patients is probably associated with amnestic dissociation and therefore with functional deficit in these disorders (Renard et al, 2012). All these recent findings show that dissociation is not only related to previous trauma history and that it may contribute to characteristic feature of schizophrenia, perhaps as a psychological mechanism of defense for mitigation of strong disorganizing affects or inner conflicts (Giese et al, 1997;Vogel et al, 2009b).…”

Section: Dissociation Splitting and Metacognitionmentioning

confidence: 95%

Trauma, Dissociation and Synthetic Metacognition in Schizophrenia

2015

Self Cite

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Both childhood trauma and dissociation are associated with schizophrenia. More rudimentary form of dissociation known already from Eugen Bleuler as splitting of association is theoretically close to the modern concept of synthetic metacognition in schizophrenia. The synthetic metacognition as a psychological process is described as a capability to synthesize intentions, thoughts, feelings, and connections between events, and to integrate them into larger complex representations of self and others. Disturbed synthetic metacognition was found in early as well as in late forms of schizophrenia and has its typical formula. Deficit of synthetic metacognition is related to symptoms of schizophrenia and psychosocial functions. Synthetic metacognition is measurable by analyzing discourse using standardized procedures. The level of metacognition is assessed from the sample of narrative on the basis of the Metacognitive Assessment Scale -Abbreviated (MAS-A). Psychotherapies focused on strengthening of metacognitive functions concentrate on integration of fragmented mental content or on promoting of formation of stable mental representations in this disorder.

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Dissociation and social cognition in schizophrenia spectrum disorder

Cited by 25 publications

References 27 publications

Approach–avoidance of facial affect is moderated by the presence of an observer-irrelevant trigger

Approach–avoidance of facial affect is moderated by the presence of an observer-irrelevant trigger

Cognitive Behavioral Therapy (CBT) and Meditation Awareness Training (MAT) for the Treatment of Co-occurring Schizophrenia and Pathological Gambling: A Case Study

Trauma, Dissociation and Synthetic Metacognition in Schizophrenia

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