Thought Disorder, Subjectivity, and the Self

Sass, Louis A.; Parnas, Josef

doi:10.1093/schbul/sbx032

Cited by 23 publications

(14 citation statements)

References 36 publications

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“…Several of these symptoms are included as SPD criteria, i.e., subtle forms of formal thought disorder, inadequate forms of rapport and affect, eccentricity, and mannerisms. Unfortunately, clinicians and researchers no longer pay careful attention to those features [ 61 , 62 ], and their expressive nature make them impossible to be assessed through self-report questionnaires and structured interviews.…”

Section: Discussionmentioning

confidence: 99%

Exploring schizophrenia spectrum psychopathology in borderline personality disorder

Zandersen

Parnas

2019

Eur Arch Psychiatry Clin Neurosci

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We have previously argued that the current borderline personality disorder (BPD) diagnosis is over-inclusive and clinically and conceptually impossible to distinguish from the schizophrenia spectrum disorders. This study involves 30 patients clinically diagnosed with BPD as their main diagnosis by three BPD dedicated outpatient treatment facilities in Denmark. The patients underwent a careful and time-consuming psychiatric evaluation involving several senior level clinical psychiatrists and researchers and a comprehensive battery of psychopathological scales. The study found that the vast majority of patients (67% in DSM-5 and 77% in ICD-10) in fact met the criteria for a schizophrenia spectrum disorder, i.e., schizophrenia (20%) or schizotypal (personality) disorder (SPD). The schizophrenia spectrum group scored significantly higher on the level of disorders of core self as measured by the Examination of Anomalous Self-Experiences Scale (EASE). The BPD criterion of "identity disturbance" was significantly correlated with the mean total score of EASE. These findings are discussed in the light of changes from prototypical to polythetic diagnostic systems. We argue that the original prototypes/gestalts informing the creation of BPD and SPD have gone into oblivion during the evolution of polythetic criteria.

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Section: Discussionmentioning

confidence: 99%

Exploring schizophrenia spectrum psychopathology in borderline personality disorder

Zandersen

Parnas

2019

Eur Arch Psychiatry Clin Neurosci

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“…The current status of clinical investigations of disordered thought is reviewed by Hart and Lewine (this issue) 1 and Sass and Parnas describe the phenomenology (this issue). 2 Current investigative approaches for patient level studies are discussed in a commentary by Cohen et al (this issue). 3 To study the fundamental mechanisms involved in psychopathology the field often employs animal models.…”

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confidence: 99%

“…This is challenging for thought disorder pathology which is manifest in language. In this commentary we describe 3 statistical and mathematical approaches to linguistics and semantics-(1) computational natural language, (2) complex networks and (3) quantitative linguistics-that address fundamentals of speech communication that may be applied in preclinical investigations of mechanisms of thought disorder.…”

mentioning

confidence: 99%

Thoughts About Disordered Thinking: Measuring and Quantifying the Laws of Order and Disorder

Elvevåg

Foltz

Rosenstein

et al. 2017

Schizophrenia Bulletin

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“…The experience of loss of common sense makes everyday life appear as complicated and unnatural. Even trivial tasks have to be thought through in a deliberate and careful (rather than an automatic and intuitive) fashion [19,46,47], creating uncertainty around the performance of actions others take for granted. The experience that life is coherent, consistent and predictable is thus influenced in a negative way.…”

Section: Discussionmentioning

confidence: 99%

Basic self-disturbances are associated with Sense of Coherence in patients with psychotic disorders

et al. 2020

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BackgroundThe Sense of Coherence (SOC) theory gives a possible explanation of how people can experience subjective good health despite severe illness. Basic self-disturbances (BSDs) are subtle non-psychotic disturbances that may destabilize the person's sense of self, identity, corporeality, and the overall 'grip' of the world. AimOur objective was to investigate associations between BSDs and SOC in patients with psychotic disorders. DesignThis is a cross-sectional study of 56 patients diagnosed with psychotic disorders inside and outside the schizophrenia spectrum (35 schizophrenia, 13 bipolar, and eight other psychoses). SOC was measured using Antonovsky's 13-item SOC questionnaire, and BSDs were assessed using the Examination of Anomalous Self-Experience (EASE) manual. Diagnosis, symptoms, and social and occupational performance were assessed using standardized clinical instruments. ResultsWe found a statistically significant correlation (r = ) between high levels of BSDs and low levels of SOC (r = -0.64/p<0.001). This association was not influenced by diagnostics, clinical symptoms or level of functioning in follow-up multivariate analyses.A statistically significant association between BSDs and SOC indicates that the presence and level of self-disturbances may influence the person's ability to experience life as comprehensive, manageable and meaningful. However, the cross-sectional nature of the study precludes conclusions regarding the direction of this association.

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Thought Disorder, Subjectivity, and the Self

Cited by 23 publications

References 36 publications

Exploring schizophrenia spectrum psychopathology in borderline personality disorder

Exploring schizophrenia spectrum psychopathology in borderline personality disorder

Thoughts About Disordered Thinking: Measuring and Quantifying the Laws of Order and Disorder

Basic self-disturbances are associated with Sense of Coherence in patients with psychotic disorders

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