Phenomenology and the Cognitive Sciences

, Volume 13, Issue 3, pp 477–496 | Cite as

The disoriented self. Layers and dynamics of self-experience in dementia and schizophrenia

Article

Abstract

This paper explores the question concerning the relationship between basic and higher layers of experience and self-experience. The latter distinction implicitly presupposes the idea of a univocal foundation. After explaining the formal ontological law of foundation, an attempt is made to clarify how the idea of foundation may be suitable to understand the relationship among moments, or layers, of self-experience. To this aim, the phenomenological descriptions of self- and world-experience in dementia and schizophrenia are compared. The comparison between these two, in many ways radically different, pathologies allows us to highlight both the potentialities and the limits of resorting to the foundational relationship for the description of lived experience. Taking the challenges coming from the description of dementia and schizophrenia into serious consideration, the meaning of the “stratified” account of self-experience will be eventually reassessed, and a way to complement the idea of foundation among layers will be proposed.

Keywords

Phenomenology Psychopathology Self-experience Foundational relationship Dementia Schizophrenia 

References

  1. Blankenburg, W. (1971). Der Verlust der natürlichen Selbstverständlichkeit. Berlin: Parados.Google Scholar
  2. Blankenburg, W. (2007). Ansätze zu einer Psychopathologie des 'Common sense. In M. Heinze (Ed.), Wolfgang Blankenburg. Psychopathologie des Unscheinbaren. Ausgewählte Aufsätze (pp. 97–118). Berlin: Parodos.Google Scholar
  3. Cermolacce, M., Naudin, J., & Parnas, J. (2007). The "minimal self" in psychopathology: re-examining the self-disorders in the schizophrenia spectrum. Consciousness and Cognition, 16, 703–714.CrossRefGoogle Scholar
  4. Damasio, A. R. (1999). The feeling of what happens. San Diego, CA: Harcourt.Google Scholar
  5. Damasio, A. R., & Gabrowski, T. J. (2004). Definition, clinical features and neuroanatomical basis of dementia. In M. M. Esiri, V. M.-Y. Lee, & J. Q. Trojanowski (Eds.), The neuropathology of dementia (2nd ed., pp. 1–34). Cambridge: Cambridge University Press.Google Scholar
  6. Fazio, S., & Mitchell, D. B. (2009). Persistence of self in individuals with Alzheimer's disease. Evidence from language and visual recognition. Dementia, 8(1), 39–59.CrossRefGoogle Scholar
  7. Fink, E. (1966). Studien zur Phänomenologie, 1930–1939. Den Haag: Martinus Nijhoff.Google Scholar
  8. Fontana, A., & Smith, R. (1989). Alzheimer's disease victims: the "unbecoming" of self and the normalization of competence. Sociological Perspectives, 32(1), 35–46.CrossRefGoogle Scholar
  9. Fuchs, T. (2005). Corporealized and disembodied minds. A phenomenological view of the body in melancholia and schizophrenia. Philosophy, Psychiatry & Psychology, 12(2), 95–107.Google Scholar
  10. Fuchs, T. (2007). The temporal structure of intentionality and its disturbance in schizophrenia. Psychopathology, 2007(40), 229–235.CrossRefGoogle Scholar
  11. Fuchs, T. (2010a). Das Leibgedächtnis in der Demenz. In A. Kruse (Ed.), Lebensqualität bei Demenz. Zum gesellschaftlichen und individuellen Umgang mit einer Grenzsituation im Alter (pp. 231–242). Heidelberg: Akademische Verlagsgesellschaft.Google Scholar
  12. Fuchs, T. (2010b). Phenomenology and psychopathology. In S. Gallagher & D. Schmicking (Eds.), Handbook of phenomenology and cognitive sciences (pp. 536–562). Dordrecht: Springer.Google Scholar
  13. Fuchs, T. (2010c). The psychopathology of hyperreflexivity. The Journal of Speculative Philosophy, 24(3), 239–255.CrossRefGoogle Scholar
  14. Fuchs, T. (2010d). Temporality and psychopathology. Phenomenology and the Cognitive Sciences, online first.Google Scholar
  15. Fuchs, T., Sattel, H., & Henningsen, P. (Eds.). (2010). The embodied self. Dimensions, coherence and disorders. Stuttgart: Schattauer.Google Scholar
  16. Gallagher, S. (2000). Philosophical conceptions of the self: implications for cognitive sciences. Trends in Cognitive Sciences, 4(1), 14–21.CrossRefGoogle Scholar
  17. Gallagher, S. (2011). The Oxford handbook of the self. Oxford: Oxford University Press.CrossRefGoogle Scholar
  18. Gallagher, S., & Shear, J. (Eds.). (1999). Models of the self. Thorverton: Imprint Academic.Google Scholar
  19. Gil, R. (2007). Conscience de Soi, conscience de l'autre et démences. Psychologie & Neuropsychiatrie du Vieillissement, 5(2), 87–99.Google Scholar
  20. Gil, R., Arroyo-Anllo, E. M., Gil, M., Neau, J. P., Ornon, C., & Bonnaud, V. (2001). Self-consciousness and Alzheimer's disease. Acta Neurologica Scandinavica, 104, 296–300.CrossRefGoogle Scholar
  21. Hubbard, G., Cook, A., Tester, S., & Downs, M. (2002). Beyond words. Older people with dementia using and interpreting nonverbal behaviour. Journal of Aging Studies, 16, 155–167.CrossRefGoogle Scholar
  22. Hughes, J. C., Louw, S. J., & Sabat, S. R. (2006). Seeing whole. In J. C. Hughes, S. J. Louw, & S. R. Sabat (Eds.), Dementia mind, meaning, and the person (pp. 1–39). Oxford: Oxford University Press.Google Scholar
  23. Husserl, E. (1966). Zur Phänomenologie des inneren Zeitbewusstseins (1893–1917) (Vol. X, Husserliana). Den Haag: Martinus Nijhoff.Google Scholar
  24. Husserl, E. (1973a). Ding und Raum. Vorlesungen 1907 (Vol. XVI, Husserliana). Den Haag: Martinus Nijhoff.Google Scholar
  25. Husserl, E. (1973b). Ideen zu einer reinen Phänomenologie und phänomenologischen Philosophie. Allgemeine Einführung in die reine Phänomenologie (Vol. III/1, Husserliana). Den Haag: Martinus Nijhoff.Google Scholar
  26. Husserl, E. (1973c). Zur Phänomenologie der Intersubjektivität. Texte aus dem Nachlass. II Teil (1921–1928) (Vol. XIV, Husserliana). Den Haag: Martinus Nijhoff.Google Scholar
  27. Husserl, E. (1974). Formale und transzendentale Logik. Versuch einer Kritik der logischen Vernunft (Vol. XVII, Husserliana). Den Haag: Martinus Nijhoff.Google Scholar
  28. Husserl, E. (1984). Logische Untersuchungen. Untersuchungen zur Phänomenologie und Theorie der Erkenntnis (Vol. XIX/1, Husserliana). Den Haag: Martinus Nijhoff.Google Scholar
  29. Husserl, E. (2001). Die Bernauer Manuskripte über das Zeitbewusstsein (1917/18) (Vol. XXXIII, Husserliana). Dordrecht: Kluwer.Google Scholar
  30. Husserl, E. (2006). Späte Texte über Zeitkonstitution (1929–1934). Die C-Manuskripte (Husserliana Materialien). Dordrecht: Springer.Google Scholar
  31. Husserl, E. (2008). Die Lebenswelt. Auslegungen der vorgegebenen Welt und ihrer Konstitution. Texte aus dem Nachlass (1916–1937) (Vol. XXXVIII, Husserliana). Dordrecht: Springer.Google Scholar
  32. Kitwood, T. (1990). The dialectics of dementia: with particular reference to Alzheimer disease. Ageing and Society, 9, 1–15.CrossRefGoogle Scholar
  33. Kitwood, T., & Bredin, K. (1992). Towards a theory of dementia care: personhood and well-being. Ageing and Society, 12, 269–287.CrossRefGoogle Scholar
  34. Kontos, P. (2004). Ethnographic reflections on selfhood, embodiment and Alzheimer's disease. Aging and Society, 24, 829–847.CrossRefGoogle Scholar
  35. Kontos, P. (2005). Embodied selfhood in Alzheimer's disease. Dementia, 4(4), 553–570.CrossRefGoogle Scholar
  36. McMillan, J. (2006). Identity, self, and dementia. In J. C. Hughes, S. J. Louw, & S. R. Sabat (Eds.), Dementia mind, meaning, and the person (pp. 63–70). Oxford: Oxford University Press.Google Scholar
  37. Mead, G. H. (1934). Mind, self and society. Chicago: University of Chicago Press.Google Scholar
  38. Merleau-Ponty. (1945). Phénoménologie de la perception. Paris: Gallimard.Google Scholar
  39. Merleau-Ponty, M. (1964). Le visible et l'invisible. Paris: Gallimard.Google Scholar
  40. Minkowski, E. (1995). Le temps vécu. Études phénoménologiques et psychopathologiques. Paris: PUF.Google Scholar
  41. Neisser, U. (1988). Five kinds of self-knowledge. Philosophical Psychology, 1(1), 35–59.CrossRefGoogle Scholar
  42. Parnas, J. (2000). The self and intentionality in the pre-psychotic stages of schizophrenia. A phenomenological study. In D. Zahavi (Ed.), Exploring the self. Philosophical and psychopathological perspectives on self-experience (pp. 115–147). Amsterdam: John Benjamins.CrossRefGoogle Scholar
  43. Parnas, J., & Sass, L. A. (2011). The structure of self-consciousness in schizophrenia. In S. Gallagher (Ed.), The Oxford handbook of the self. Oxford: Oxford University Press.Google Scholar
  44. Radden, J., & Fordyce, J. M. (2006). Into the darkness: losing identity with dementia. In J. C. Hughes, S. J. Louw, & S. R. Sabat (Eds.), Dementia mind, meaning, and the person (pp. 71–87). Oxford: Oxford University Press.Google Scholar
  45. Ratcliffe, M. (2008). Feelings of being. Phenomenology, psychiatry and the sense of reality. Oxford: Oxford University Press.CrossRefGoogle Scholar
  46. Ricœur, P. (1990). Soi même comme un autre. Paris: Seuil.Google Scholar
  47. Sabat, S. R. (2001). The experience of Alzheimer’s disease. Life through a tangled veil. Oxford: Blackwell.Google Scholar
  48. Sabat, S. R. (2002). Surviving manifestations of selfhood in Alzheimer's disease. A case study. Dementia, 1(1), 25–36.CrossRefGoogle Scholar
  49. Sabat, S. R. (2006). Mind, meaning, and personhood in dementia: the effects of positioning. In J. C. Hughes, S. J. Louw, & S. R. Sabat (Eds.), Dementia mind, meaning, and the person (pp. 287–302). Oxford: Oxford University Press.Google Scholar
  50. Sabat, S. R., & Cagigas, X. E. (1997). Extralinguistic communication compensates for the loss of verbal fluency: a case study of Alzheimer's disease. Language & Communication, 14(4), 341–351.CrossRefGoogle Scholar
  51. Sabat, S. R., & Collins, M. (1999). Intact social, cognitive ability, and selfhood: a case study of Alzheimer's disease. American Journal of Alzheimer's Disease and Other Dementias, 14(1), 11–19.CrossRefGoogle Scholar
  52. Sabat, S. R., & Harré, R. (1995). The Alzheimer's disease sufferer as a semiotic subject. Philosophy, Psychiatry & Psychology, 1(3), 145–160.Google Scholar
  53. Sass, L. A. (2000). Schizophrenia, self-experience, and the so-called "negative symptoms". Reflections on hyperreflexivity. In D. Zahavi & D. Zahavi (Eds.), Exploring the self. Philosophical and psychopathological perspectives on self-experience (pp. 149–182). Amstedam: John Benjamins.CrossRefGoogle Scholar
  54. Sass, L. A. (2010). Phenomenology as description and as explanation: the case of schizophrenia. In D. Schmicking & S. Gallagher (Eds.), Handbook for phenomenology and the cognitive sciences. Dordrecht: Springer.Google Scholar
  55. Sass, L. A., & Parnas, J. (2003). Schizophrenia, consciousness, and the self. Schizophrenia Bulletin, 29(3), 427–444.CrossRefGoogle Scholar
  56. Sass, L. A., & Parnas, J. (2007). Explaining schizophrenia: the relevance of phenomenology. In M. C. Chung, K. W. M. B. Fulford, & G. Graham (Eds.), Reconceiving schizophrenia (pp. 63–96). Oxford: Oxford University Press.Google Scholar
  57. Saunders, P. A. (1998). "My brain's on strike"—the construction of identity through memory accounts by dementia patients. Research on Aging, 14(1), 65–90.CrossRefGoogle Scholar
  58. Shweder, R. A., & Sullivan, M. A. (1989). The semiotic subject of cultural psychology. In L. A. Previn (Ed.), Handbook of personality theory and research (pp. 399–416). New York: Guilford.Google Scholar
  59. Siderits, M., Thompson, E., & Zahavi, D. (Eds.). (2011). Self, no self? Perspectives from analytical, phenomenological, and Indian traditions. Oxford: Oxford University Press.Google Scholar
  60. Small, J. A., Geldart, K., Gutman, G., & Clarke Scott, M. A. (1998). The discourse of self in dementia. Aging and Society, 18, 291–316.Google Scholar
  61. Stanghellini, G. (2001). Psychopathology of common sense. Philosophy, Psychiatry & Psychology, 8(2/3), 210–218.Google Scholar
  62. Stanghellini, G. (2004). Disembodied spirits and deanimated bodies. The psychopathology of common sense. Oxford: Oxford University Press.CrossRefGoogle Scholar
  63. Straus, E. (1960). Die Formen des Räumlichen. Ihre Bedeutung für die Motorik und die Wahrnehmung (1930). In Psychologie der menschlichen Welt. Gesammelte Schriften (pp. 141–178). Berlin: Springer.Google Scholar
  64. Summa, M. (2012). Zwischen Erinnern und Vergessen. Implizites Leibgedächtnis und das Selbst am Beispiel der Demenz-Erkrankungen. Phänomenologische Forschungen, 2011, 155–174.Google Scholar
  65. Tatossian, A. (1987). Phénoménologie des états démentiels. Psychologie médicale, 19(8).Google Scholar
  66. Zahavi, D. (1999). Self-awareness and alterity. A phenomenological investigation. Evanston: Northwestern University Press.Google Scholar
  67. Zahavi, D. (Ed.). (2000). Exploring the self. philosophical and psychopathological perspectives on self-experience. Amsterdam: John Benjamins.Google Scholar
  68. Zahavi, D. (2005). Subjectivity and selfhood. Investigating the first-person perspective. Cambridge: MIT.Google Scholar
  69. Zahavi, D. (2010). Minimal self and narrative self. A distinction in need of refinement. In T. Fuchs, H. Sattel, & P. Henningsen (Eds.), The embodied self. Dimensions, coherence and disorders (pp. 3–11). Stuttgart: Schattauer.Google Scholar

Copyright information

© Springer Science+Business Media Dordrecht 2013

Authors and Affiliations

  1. 1.Klinik für allgemeine PsychiatrieSektion Phänomenologische Psychopathologie und PsychotherapieHeidelbergGermany

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