精神分裂症的最小自我障碍

IF 0.9 4区 医学 Q4 PSYCHIATRY Turk Psikiyatri Dergisi Pub Date : 2022-01-01 DOI:10.5080/u26182
İbrahim Aylak, Berna Diclenur Uluğ
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引用次数: 0

摘要

近年来,我们目睹了对主体性及其紊乱领域的兴趣的重生,特别是对非精神病性异常主观体验的严重性和质量的兴趣。当代对精神分裂症患者异常主观体验的研究采用了几种不同的理论框架。其中最常见的是现象学方法。现象学方法的一个突出例子是最小自我混乱模型。在本文中,我们将讨论关于“自我”概念的重要理论,精神分裂症最小自我障碍模型的历史背景以及目前该模型的研究方法。根据这个模型,自我障碍被假设为精神分裂症的一个潜在的、类似特质的核心特征。该模型表明,精神分裂症患者的这种最小自我以三种方式受到干扰:过度反射、自我情感减弱(自我存在减弱)和对认知感知世界的掌控能力受到干扰。超反身性被定义为对通常隐式体验的过程的过度关注。自我情感的减弱(自我存在的减弱)是指自我能动性的丧失。对认知知觉世界的把握或把握紊乱是指经验场的时空结构紊乱。这三个方面是密切相关的,应该更多地被理解为一个单一实体的组成部分。最后,临床症状,可能表明最小的自我障碍和异常的自我经验的两名患者诊断精神分裂症进行了讨论。关键词:精神分裂症,现象学,自我障碍,超反身性,自我情感减弱。
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Minimal Self Disorders in Schizophrenia.

In recent years we have witnessed a rebirth of interest in the field of subjectivity and its disorders, particularly the severity and quality of non-psychotic abnormal subjective experience. Contemporary research on abnormal subjective experiences in schizophrenia has used several different theoretical frameworks. The most common of these is the phenomenological approach. A prominent example of the phenomenological approach is the minimal self disorder model. In this article, we will discuss, prominent theories on the concept of 'self ', historical background of the minimal self disorder model in schizophrenia and the current approach to this model. According to this model, self disorders have been hypothesized to be an underlying and trait-like core feature of schizophrenia. The model suggests that this minimal self is disturbed in three ways in people with schizophrenia: hyperreflexivity, diminished self-affection (diminished self-presence) and disturbed grip or hold on the cognitive-perceptual world. Hyperreflexivity is defined as the excessive attention to processes that would ordinarily be implicitly experienced. Diminished self-affection (diminished self-presence) refers to an experience of a loss of self-agency. Disturbed grip or hold on the cognitive-perceptual world refers to the disturbances of spatio-temporal structuring of the experiential field. These three aspects are intimately interlinked, and should be understood more as the components of a single entity. Finally, clinical symptoms that may indicate minimal self disorder and the abnormal self experiences of two patients with a diagnosis of schizophrenia are discussed. Keywords: Schizophrenia, phenomenology, self-disorders, hyperreflexivity, diminished self-affection.

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来源期刊
CiteScore
1.30
自引率
11.10%
发文量
15
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