Other Persons: On the Phenomenology of Interpersonal Experience in Schizophrenia (Ancillary Article to EAWE Domain 3)

Stanghellini, Giovanni; Ballerini, Massimo; Mancini, Milena

doi:10.1159/000456037

Cited by 19 publications

(12 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This suggests that we might need a broader view of anomalous social experience that is associated with the schizophrenia spectrum. However, in the ancillary article to EAWE Domain 3 only a couple of items listed under heading 3.7 are mentioned, and without any attempt at conceptually integrating them with the other characteristic disruptions of this domain (Stanghellini, Ballerini, & Mancini, 2017). Most of the discussion of the specific anomalies of this domain continues to be focused on forms of dissociality, a concept which builds on and extends the concept of autism.…”

Section: Lost In the Socially Extended Mindmentioning

confidence: 99%

Lost in the socially extended mind: Genuine intersubjectivity and disturbed self-other demarcation in schizophrenia

Froese¹,

Krueger²

2020

Preprint

View full text Add to dashboard Cite

Much of the characteristic symptomatology of schizophrenia can be understood as resulting from a pervasive sense of disembodiment. The body is experienced as an external machine that needs to be controlled with explicit intentional commands, which in turn leads to severe difficulties in interacting with the world in a fluid and intuitive manner. In consequence, there is a characteristic dissociality: Others become problems to be solved by intellectual effort and no longer present opportunities for spontaneous interpersonal alignment. This dissociality goes hand in hand with a progressive loss of the socially extended mind, which normally affords opportunities for co-regulation of cognitive and affective processes. However, at times people with schizophrenia report that they are confronted by the opposite of this dissociality, namely an unusual fluidity of the self-other boundary as expressed in experiences of ambiguous body boundaries, intrusions, and even merging with others. Here the person has not lost access to the socially extended mind but has instead become lost in it, possibly due to a weakened sense of self. We argue that this neglected aspect of schizophrenic social dysfunction can be usefully approached via the concept of genuine intersubjectivity: We normally participate in a shared experience with another person by implicitly co-regulating how our interaction unfolds. This co-regulation integrates our respective experience’s dynamical bases into one interpersonal process and gives the interaction an ambiguous second-person character. The upshot is that reports of abnormal self-other fluidity are not indicative of hallucinations without any basis in reality, but of a heightened sensitivity and vulnerability to processes of interpersonal alignment and mutual incorporation that form the normal basis of social life. We conclude by discussing implications of this view for both the science of consciousness as well as approaches to intervention and therapy.

show abstract

Section: Lost In the Socially Extended Mindmentioning

confidence: 99%

Lost in the socially extended mind: Genuine intersubjectivity and disturbed self-other demarcation in schizophrenia

Froese¹,

Krueger²

2020

Preprint

View full text Add to dashboard Cite

show abstract

“…Intersubjectivity is a key factor for reality constitution. Pragmatically, it is the capacity to grasp the meaning of the other persons' behavior and expression ( 7 ). The majority of everyday relations are grounded on pre-reflexive encounters with other persons.…”

Section: Main Dimensions Of the Life-worldmentioning

confidence: 99%

New Perspectives in Phenomenological Psychopathology: Its Use in Psychiatric Treatment

et al. 2018

Self Cite

View full text Add to dashboard Cite

Phenomenological psychopathology is a body of scientific knowledge on which the clinical practice of psychiatry is based since the first decades of the twentieth century, a method to assess the patient's abnormal experiences from their own perspective, and more importantly, a science responsible for delimiting the object of psychiatry. Recently, the frontiers of phenomenological psychopathology have expanded to the productive development of therapeutic strategies that target the whole of existence in their actions. In this article, we present an overview of the current state of this discipline, summing up some of its key concepts, and highlighting its importance to clinical psychiatry today. Phenomenological psychopathology understands mental disorders as modifications of the main dimensions of the life-world: lived time, lived space, lived body, intersubjectivity, and selfhood. Psychopathological symptoms are the expression of a dialectical modification of the proportions of certain domains of the life-world or of the lived experience. The far-reaching relevance of the concepts of proportion and dialectics for the clinical agenda is explored. The article presents two contemporary models for clinical practice based on phenomenological psychopathology: Dialectical-proportional oriented approach and Person-centered dialectic approach (P.H.D. method). The main characteristics of these approaches are considered, as well as the new perspectives they bring to the challenges of psychiatric care in the twentieth-first century.

show abstract

“…Impairments in the comprehension of non-literal meanings, referred to as "concretism" (13), have always been considered distinctive traits of the schizophrenia spectrum by psychopathology. In addition, there is a strong connection between these communication difficulties and one of the core features of the disorders (14,15), the so-called "hypoattunement" (16,17) with others, i.e., the incapacity to intuitively grasp unwritten rules of social interactions.…”

Section: Introduction Schizophrenia Spectrum and Communication: Disormentioning

confidence: 99%

Speech Prosody as a Bridge Between Psychopathology and Linguistics: The Case of the Schizophrenia Spectrum

et al. 2020

View full text Add to dashboard Cite

Patients with schizophrenia spectrum disorders experience severe difficulties in interpersonal communication, as described by traditional psychopathology and current research on social cognition. From a linguistic perspective, pragmatic abilities are crucial for successful communication. Empirical studies have shown that these abilities are significantly impaired in this group of patients. Prosody, the tone of voice with which words and sentences are pronounced, is one of the most important carriers of pragmatic meaning and can serve a range of functions from linguistic to emotional ones. Most of the existing literature on prosody of patients with schizophrenia spectrum disorders focuses on the expression of emotion, generally showing significant impairments. By contrast, the use of non-emotional prosody in these patients is scarcely investigated. In this paper, we first present a linguistic model to classify prosodic functions. Second, we discuss existing studies on the use of non-emotional prosody in these patients, providing an overview of the state of the art. Third, we delineate possible future lines of research in this field, also taking into account some classical psychopathological assumptions, for both diagnostic and therapeutic purposes.

show abstract

Other Persons: On the Phenomenology of Interpersonal Experience in Schizophrenia (Ancillary Article to EAWE Domain 3)

Cited by 19 publications

References 19 publications

Lost in the socially extended mind: Genuine intersubjectivity and disturbed self-other demarcation in schizophrenia

Lost in the socially extended mind: Genuine intersubjectivity and disturbed self-other demarcation in schizophrenia

New Perspectives in Phenomenological Psychopathology: Its Use in Psychiatric Treatment

Speech Prosody as a Bridge Between Psychopathology and Linguistics: The Case of the Schizophrenia Spectrum

Contact Info

Product

Resources

About