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Autism in Schizophrenia: A Phenomenological Study

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An Experiential Approach to Psychopathology

Abstract

The notion of autism, as depicted by continental psychopathology, describes the essential feature of schizophrenia: an impressive private world far from the intersubjective horizon of life. A clinical case is here analyzed. Five analytical categories were selected to account for the structure of autism in schizophrenia: the cognitive categorization processes, the system of values, the social attunement, the Self setting-up process and the lived space experience. Each category represents a facet of Common Sense, the basic link that bonds each individual to the shared social system. Schizophrenic disturbance of common sense results in a semantic drift, an epistemic eccentricity, a crisis of attunement, a spatial derailment, and finally an ontological instability; there is a circular relationship between all these categories; disorder of embodiment (dis-embodiment) may be considered the common, generative root determining the dramatic corrosion of the pre-reflective basic structures of subjectivity (lived body, self and temporalization, the pre-reflective attunement with others, the indwelling in the world) inducing also the morbid arrangement of the higher-order structures of subjectivity (i.e., identity, the symbolization processes and the system of values).

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References

  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC.

    Google Scholar 

  • Ballerini, A. (2002). Patologia di un eremitaggio. Uno studio sull'autismo schizofrenico. Torrino: Bollati Boringhieri.

    Google Scholar 

  • Ballerini, M. (2004). Schizofrenia, Autismo, Dis-socialitá/dionomia. Minerva Psichiatrica, 45, 19–30.

    Google Scholar 

  • Bastos-Leite, A. J., Ridgway, G. R., Silveira, C., Norton, A., Reis, S., & Friston, K. J. (2015). Dysconnectivity within the default mode in first-episode schizophrenia: A stochastic dynamic causal modeling study with functional magnetic resonance imaging. Schizophrenia Bulletin, 41(1), 144–53.

    Article  PubMed  Google Scholar 

  • Binswanger, L. (1956). Drei Formen Missglueckten Daseins. Tubingen: Niemeyer.

    Book  Google Scholar 

  • Binswanger, L. (1957). Schizophrenie. Pfullingen Neske.

    Google Scholar 

  • Blankenburg, W. (1971). Der Verlust der natuerlichen Selbstverstaendlichkeit. Stuttgart: Enke.

    Google Scholar 

  • Bleuler, E. (1911). Dementia Praecox oder Gruppe der Schizophrenien. Leipzig: Deuticke.

    Google Scholar 

  • Bora, E., Yucel, M., & Pantelis, C. (2009). Theory of mind impairment in schizophrenia: Meta-analysis. Schizophrenia Research, 109, 1–9.

    Article  PubMed  Google Scholar 

  • Bovet, P., & Parnas, J. (1993). Schizophrenic delusions: A phenomenological approach. Schizophrenia Bulletin, 19(3), 579–597.

    Article  CAS  PubMed  Google Scholar 

  • Broyd, S. J., et al. (2009). Default-mode brain dysfunction in mental disorders: A systematic review. Neuroscience and Biobehavioral Reviews, 33(3), 279–96.

    Article  PubMed  Google Scholar 

  • Campbell, R. J. (1989). Psychiatric dictionary (6th ed.). Oxford: Oxford University Press.

    Google Scholar 

  • Cermolacce, E., Sass, L., & Parnas, J. (2010). What is bizarre in bizarre delusions? A critical review. Schizophrenia Bulletin, 36(4), 667–679.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Damasio, A. (2000). What happens: Body, emotion and the making of consciousness. London: Vintage.

    Google Scholar 

  • Fuchs, T. (2007). The temporal structure of intentionality and its disturbance in schizophrenia. Psychopathology, 40, 229–235.

    Article  PubMed  Google Scholar 

  • Fuchs, T. (2010). Phenomenology and psychopathology. In D. Schmicking & S. Gallagher (Eds.), Handbook of phenomenology and cognitive science (pp. 547–573). Berlin: Springer.

    Google Scholar 

  • Fuchs, T., & Schlimme, J. E. (2009). Embodiment and psychopathology: A phenomenological perspective. Current Opinion in Psychiatry, 22, 570–575.

    Article  PubMed  Google Scholar 

  • Gabel, J. (1962). La Fausse Conscience : essai sur la réification. Paris: Éditions de Minuit, « Arguments ».

    Google Scholar 

  • Gadamer, H. G. (1960). Warheit und Methode. Tuebingen: Mohr.

    Google Scholar 

  • Gallagher, S. (2013a). A pattern theory of self. Frontiers in Human Neuroscience, 7, 1–7.

    Article  Google Scholar 

  • Gallagher, S. (2013b). Intersubjectivity and psychopathology. In K. W. M. Fulford, M. Davies, R. G. T. Gipps, G. Graham, J. Z. Sadler, G. Stanghellini, et al. (Eds.), Handbook of philosophy and psychiatry (pp. 258–274). Oxford: Oxford University Press.

    Google Scholar 

  • Gallese, V., & Sinigaglia, C. (2011). What is so special about embodied simulation? Trends in Cognitive Sciences, 15(11), 512-519.

    Google Scholar 

  • Garfinkel, H. (1967). Studies in ethnomethodology. New York: Englewood Cliffs.

    Google Scholar 

  • Gopnik, A., & Wellman, H. (1992). Why the child’s theory of mind really is a theory. Mind and Language, 7, 145–171.

    Article  Google Scholar 

  • Gordon, R. (1986). Folk psychology as simulation. Mind and Language, 1, 158–171.

    Article  Google Scholar 

  • Gross, G., Huber, G., Klosterkötter, J., & Linz, M. (1987). BSABS Bonner Skala fur die Beurteilung von Basissymptomen. Berlin: Springer.

    Google Scholar 

  • Gundell, H., & Rudolf, G. A. E. (1993). Schizophrenic Autism, 1. Historical evaluation and perspectives. Psychopathology, 26, 294–303.

    Article  Google Scholar 

  • Haug, E., Lien, L., Raballo, A., et al. (2012). Selective aggregation of selfdisorders in first-treatment DSM-IV schizophrenia spectrum disorders. The Journal of Nervous and Mental Disease, 200, 632–636.

    Article  PubMed  Google Scholar 

  • Heidegger, M. (1963). Sein und Zeit. Tubingen: Niemeyer.

    Google Scholar 

  • Henry, M. (1990). Phénoménologie materielle. Paris: P.U.F.

    Book  Google Scholar 

  • Hjelmslev, L. (1971). Linguistic essays. Paris: Minuit.

    Google Scholar 

  • Hur, J-W., Kwon, J. S., Lee, T. Y., & Park, S. (2014). The crisis of minimal self-awareness in schizophrenia: A meta-analytic review. Schizophrenia Research, 152, 58–64.

    Google Scholar 

  • Husserl, E. (1991). On the phenomenology of the consciousness of internal time. In Brough JB, trans-ed. Dordrecht, Kluwer Academic Publishers, Boston, 1991.

    Google Scholar 

  • Hutto, D. D. (2013). Interpersonal relating. In K. W. M. Fulford, M. Davies, R. G. T. Gipps, G. Graham, J. Z. Sadler, G. Stanghellini, et al. (Eds.), Handbook of philosophy and psychiatry (pp. 249–257). Oxford: Oxford University Press.

    Google Scholar 

  • Jaspers, K. (1913). Allgemeine Psychopathologie. Berlin: Springer.

    Google Scholar 

  • Kimura, B. (1985). Time and Anxiety. Zeitschrift fur klinische Psychologie, Psychopathologie und Psychotherapie, 33(1), 41–50.

    CAS  PubMed  Google Scholar 

  • Klosterkötter, J., Hellmich, M., Steinmeyer, E. M., & Schultze-Lutter, F. (2001). Diagnosing schizophrenia in the initial prodromal phase. Archives of General Psychiatry, 58, 158–164.

    Article  PubMed  Google Scholar 

  • Kraus, A. (1983). Schizo-affective psychoses from a phenomenologicaò-anthropological point of view. Psychiatria Clinica (Basel), 16(2–4), 265–274.

    CAS  Google Scholar 

  • Kretschmer, E. (1921–1961). Korperbau und Charakter. Berlin: Springer.

    Google Scholar 

  • Lysaker, P. H., Clements, C. A., Plascak-hallberg, C. D., Kinpscheer, S. J., & Wright, D. E. (2002). Insight and personal narratives of illness in schizophrenia. Psychiatry, 65(3), 197–206.

    Article  PubMed  Google Scholar 

  • McCabe, R., Leudar, I., & Antaki, C. (2004). Do people with schizophrenia display theory of mind deficits in clinical interactions? Psychological Medicine, 34, 401–412.

    Article  CAS  PubMed  Google Scholar 

  • Merleau-Ponty, M. (1945). Phénoménologie de la perception. Paris: Gallimard.

    Google Scholar 

  • Minkowski, E. (1927). La schizophrénie. Psychopathologie des schizoïdes et des schizophrènes. Paris: Payot.

    Google Scholar 

  • Minkowsky, E. (1933). Le Temps vécu. Étude phénoménologique et psychopathologiques. Paris: D’Artrey.

    Google Scholar 

  • Nelson, B., Parnas, J., & Sass, L. A. (2014). Disturbance of minimal self (Ipseity) in schizophrenia: Clarification and current status. Schizophrenia Bulletin, 40(3), 479–82.

    Article  PubMed  PubMed Central  Google Scholar 

  • Nelson, B., Thompson, A., & Yung, A. R. (2012). Basic self-disturbance predicts psychosis onset in the ultra high risk for psychosis “prodromal” population. Schizophrenia Bulletin, 38, 1277–1287.

    Article  PubMed  PubMed Central  Google Scholar 

  • Nordgaard, J., & Parnas, J. (2014). Self-disorders and the schizophrenia spectrum: A study of 100 first hospital admissions. Schizophrenia Bulletin, 40(6), 1300–1307.

    Article  PubMed  PubMed Central  Google Scholar 

  • Nordgaard, J., Sass, L. A., & Parnas, J. (2013). The psychiatric interview: Validity, structure, and subjectivity. European Archives of Psychiatry and Clinical Neuroscience, 263(4), 353–364.

    Article  PubMed  Google Scholar 

  • Northoff, G., Alexander Heinzel, A., de Greck, M., Bermpohl, F., Dobrowolny, H., & Jaak Panksepp, J. (2006). Self-referential processing in our brain—A meta-analysis of imaging studies on the self. NeuroImage, 31, 440–457.

    Article  PubMed  Google Scholar 

  • Parnas, J. (2011). A disappearing heritage: The clinical core of schizophrenia. Schizophrenia Bulletin, 37(6), 1121–1130.

    Article  PubMed  PubMed Central  Google Scholar 

  • Parnas, J., & Sass, L. A. (2001). Self, solipsism, and schizophrenic delusions. Philosophy, Psychiatry, and Psychology, 8(2/3), 101–120.

    Article  Google Scholar 

  • Parnas, J., Bovet, P., & Zahavi, D. (2002). Schizophrenic autism: Clinical phenomenology and pathogenetic implication. World Psychiatry, 1(3), 131–136.

    PubMed  PubMed Central  Google Scholar 

  • Parnas, J., Møller, P., Kircher, T., et al. (2005). EASE: Examination of anomalous self-experience. Psychopathology, 38, 236–258.

    Article  PubMed  Google Scholar 

  • Raballo, A., Sæbye, D., & Parnas, J. (2011). Looking at the schizophrenia spectrum through the prism of self-disorders: An empirical study. Schizophrenia Bulletin, 37, 344–351.

    Article  PubMed  Google Scholar 

  • Sass, L. A. (1992). Madness and modernism: Insanity in the light of modern art, literature, and thought. Cambridge, MA: Harvard University Press.

    Google Scholar 

  • Sass, L. A. (2014). Self-disturbance and schizophrenia: Structure, specificity, pathogenesis (Current issues, New directions). Schizophrenia Research, 152(1), 5–11.

    Article  PubMed  Google Scholar 

  • Sass, L. A., & Parnas, J. (2003). Schizophrenia, consciousness, and the self. Schizophrenia Bulletin, 29(3), 427–444.

    Article  PubMed  Google Scholar 

  • Sass, L. A., & Pienkos, E. (2013). Space, time, and atmosphere. A comparative phenomenology of melancholia, mania, and schizophrenia, Part II. Journal of Consciousness Studies, 20(7–8), 131–152.

    Google Scholar 

  • Scheler, M. (1973). Wesen und Formen der Sympathie. Bern-Munchen: Francke.

    Google Scholar 

  • Schneider, K. (1950). Klinische Psychopathologie. Stuttgart: Thieme Verlag.

    Google Scholar 

  • Schutz, A. (1962). Common sense and scientific interpretation of human action. In A. Schutz, Collected Papers vol. I, M. Nijhoff, Den Haag.

    Google Scholar 

  • Schwartz, S. H. (2012). An overview of the schwartz theory of basic values. Online Readings in Psychology and Culture, 2(1). doi:10.9707/2307-0919.1116.

  • Stanghellini, G. (2001). Psychopathology of common sense. Philosophy, Psychiatry and Psychology, 8(2/3), 201–218.

    Article  Google Scholar 

  • Stanghellini, G. (2004a). Disembodied spirits and deanimatied bodies: The psychopathology of common sense. Oxford: Oxford University Press.

    Book  Google Scholar 

  • Stanghellini, G. (2004b). The puzzle of the psychiatric interview. Journal of Phenomenological Psychology, 35(2), 173–195.

    Article  Google Scholar 

  • Stanghellini, G. (2009a). The meanings of psychopathology. Current Opinion in Psychiatry, 22(6), 559–564.

    Article  PubMed  Google Scholar 

  • Stanghellini, G. (2009b). Embodiment and schizophrenia. World Psychiatry, 8, 56–59.

    Article  PubMed  PubMed Central  Google Scholar 

  • Stanghellini, G., & Ballerini, M. (2002). Dis-sociality: The phenomenological approach to social dysfunction in schizophrenia. World Psychiatry, 1, 102–6.

    PubMed  PubMed Central  Google Scholar 

  • Stanghellini, G., & Ballerini, M. (2004). Autism: Disembodied existence. Philosophy, Psychiatry, and Psychology, 11(3), 259–268.

    Article  Google Scholar 

  • Stanghellini, G., & Ballerini, M. (2007a). Values in persons with schizophrenia. Schizophrenia Bulletin, 33(1), 131–141.

    Article  PubMed  Google Scholar 

  • Stanghellini, G., & Ballerini, M. (2007b). Criterion B (social dysfunction) in persons with schizophrenia: The puzzle. Current Opinion in Psychiatry, 20, 582–587.

    Article  PubMed  Google Scholar 

  • Stanghellini, G., & Ballerini, M. (2008). Qualitative analysis. Its use in psychopathological research. Acta Psychiatrica Scandinavica, 117(3), 161–3.

    Article  PubMed  Google Scholar 

  • Stanghellini, G., & Ballerini, M. (2011a). What is it like to be a person with Schizophrenia in the social world? A first-person perspective study on Schizophrenic Dissociality--part2: Methodological issues and empirical findings. Psychopathology, 44(3), 183–192.

    Article  PubMed  Google Scholar 

  • Stanghellini, G., & Ballerini, M. (2011b). What is it like to be a person with schizophrenia in the social world? A first-person perspective study on Schizophrenic dissociality-part 1: State of the art. Psychopathology, 44(3), 172–182.

    Article  PubMed  Google Scholar 

  • Stanghellini, G., Ballerini, M., Fusar-Poli, P., & Cutting, J. (2012). Abnormal bodily experiences may be a marker of early schizophrenia? Current Pharmaceutical Design, 18(4), 392–398.

    Article  CAS  PubMed  Google Scholar 

  • Stanghellini, G., Ballerini, M., Blasi, S., Blasi, S., Mancini, M., Presenza, S., et al. (2014a). The bodily self: A qualitative study of abnormal bodily phenomena in persons with schizophrenia. Comprehensive. Psychiatry, 55(7), 1703–1711.

    Google Scholar 

  • Stanghellini, G., Ballerini, M., & Cutting, J. (2014b). Abnormal bodily phenomena questionnaire. Journal of Psychopathology, 20, 138–143.

    Google Scholar 

  • Stanghellini, G., Ballerini, M., & Lysaker, P. H. (2014c). Autism rating scale. Journal of Psychopathology, 20, 273–285.

    Google Scholar 

  • Stanghellini, G., & Rossi, R. (2014). Pheno-phenotypes: A holistic approach to the psychopathology of schizophrenia. Current Opinion in Psychiatry, 27(3), 236–241.

    Article  PubMed  Google Scholar 

  • Stanghellini, G., Ballerini, M., Presenza, S., Mancini, M., Raballo, A., Blasi, S., et al. (2016). Psychopathology of lived time: Abnormal time experience in persons with schizophrenia. Schizophrenia Bulletin, 42(1), 45–55.

    Google Scholar 

  • Straus, E. (1935). Von Sinn der Sinne. Berlin: Springer.

    Google Scholar 

  • Uhlhaas, P. J., & Mishara, A. L. (2007). Perceptual anomalies in schizophrenia: Integrating phenomenology and cognitive neuroscience. Schizophrenia Bulletin, 33(1), 142–156.

    Article  PubMed  Google Scholar 

  • van Dijk, T. A. (1980). Macrostructures: An interdisciplinary study of global structures in discourse, interaction, and cognition. Hillsdale: Erlbaum.

    Google Scholar 

  • Varela, F. J., Thompson, E., & Rosch, E. (1991). The embodied mind: Cognitive science and human experience. Cambridge: MIT Press.

    Google Scholar 

  • Weber, M. (1922). Wirtschaft und Gesellschaft. Tuebingen: Mohr.

    Google Scholar 

  • Zahavi, D. (2005). Subjectivity and selfhood: Investigating the first-person perspective. Cambridge, MA: MIT.

    Google Scholar 

  • Zaner, R. M. (1973). Solitude and sociality: The critical foundations of social sciences. In G. Psathas (Ed.), Phenomenological sociology: Issues and applications (pp. 25–43). New York: Wiley.

    Google Scholar 

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Acknowledgments

The author would like to thank Nicholas Barrett and Barbara Ciomei, European University Institute, Florence, Italy, for the linguistic revision of the chapter.

I made every efforts in order to make the case presentation not recognizable.

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Ballerini, M. (2016). Autism in Schizophrenia: A Phenomenological Study. In: Stanghellini, G., Aragona, M. (eds) An Experiential Approach to Psychopathology. Springer, Cham. https://doi.org/10.1007/978-3-319-29945-7_15

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