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Schizophrenia and the experience of intersubjectivity as threat

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Abstract

Many with schizophrenia find social interactions a profound and terrifying threat to their sense of self. To better understand this we draw upon dialogical models of the self that suggest that those with schizophrenia have difficulty sustaining dialogues among diverse aspects of self. Because interpersonal exchanges solicit and evoke movement among diverse aspects of self, many with schizophrenia may consequently find those exchanges overwhelming, resulting in despair, the sensation of fusion with another, and/or self-dissolution. In short, compromised dialogical capacities may be a contributing factor to social dysfunction in schizophrenia.

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References

  • American Psychiatric Association 1994. Diagnostic and Statistical Manual of Mental Disorders Fourth Edition. Washington DC: American Psychiatric Association.

    Google Scholar 

  • Andersen, S. M. and Chen, S. 2002. The relational self: An interpersonal social–cognitive theory. Psychological Review 109: 619–645.

    Article  Google Scholar 

  • Andersen, S. M. and Glassman, N. S. 1996. Responding to significant others when they are not there: Effects of interpersonal inference, motivation, and affect. In R. M. Sorrentino and E. T. Higgins (eds.), Handbook of Motivation and Cognition pp. 262–321. New York: Guilford Press.

    Google Scholar 

  • Andersen, S. M., Glassman, N. S. and Gold, D. 1998. Mental representations of the self, significant others, and nonsignificant others: Structure and processing of private and public aspects. Journal of Personality and Social Psychology 75: 845–861.

    Article  Google Scholar 

  • Andreasen, N. C., Flaum, M., Swayze, V. W., Tyrrell, G. and Arndt, S. 1990. Positive and negative symptoms in schizophrenia: a critical reappraisal. Archives of General Psychiatry 47: 615–621.

    Google Scholar 

  • Bak, R. C. 1954. The schizophrenia defense against aggression. International Journal of Psychoanalysis 35: 129–134.

    Google Scholar 

  • Bakhtin, M. 1929/1985. Problems of Dostoyevsky's Poetics. (C. Emerson Trans.). Minneapolis MN: University of Minnesota Press.

  • Bakhtin, M. 1981. The Dialogic Imagination. (C Emerson Trans.). Austin TX: University of Texas Press.

  • Baldwin, M. D., Keelan, J. P. R., Fehr, B., Enns, V. and Koh-Rangarjoo, E. 1996. Social-Cognitive conceptualization of attachment working models: Availability and accessibility effects. Journal of Personality and Social Psychology 71: 94–109.

    Google Scholar 

  • Bleuler, E. 1911/1950. Dementia Praecox or the Group of Schizophrenias. (J. Zinkin Trans.). New York: International Universities Press.

  • Boss, M. 1983. Existential Foundations of Medicine and Psychology. New York: Jason Arronson.

    Google Scholar 

  • Birchwood, M., Meaden, A., Trower, P., Gilbert, P. and Plaistow, J. 2000. The power and omnipotence of voices: subordination and entrapment by voices and significant others. Psychological Medicine 30: 337–334.

    Article  Google Scholar 

  • Borges, J. L. 1962. Labyrinths: Selected Stories and Other Writings. New York: New Directions Press.

    Google Scholar 

  • Bovet, P. and Parnas, J. 1993. Schizophrenia delusions: A phenomenological approach. Schizophrenia Bulletin 19: 579–597.

    Google Scholar 

  • Bryson, G. J., Bell, M. D. and Lysaker, P. H. 1997. Affect recognition in schizophrenia: A function of global impairment or a specific cognitive deficit. Psychiatry Research 71: 105–133.

    Google Scholar 

  • Carpenter, W. T., Heinrichs, D. W. and Wagman, A. M. 1988. Deficit and nondeficit forms of schizophrenia. American Journal of Psychiatry 145: 578–583.

    Google Scholar 

  • Corrigan, P. W. and Toomey, R. 1995. Interpersonal problem solving and information processing in schizophrenia. Schizophrenia Bulletin 21: 395–403.

    Google Scholar 

  • Corin, E. 1998. The thickness of being: Intentional worlds, strategies of identity and experience among schizophrenics. Psychiatry 61: 133–147.

    Google Scholar 

  • Davidson, L. and Strauss, J. 1992. Sense of self in recovery from mental illness. British Journal of Medical Psychology 65: 131–145.

    Google Scholar 

  • Dostoyevsky, F. M. 1866/1993. Crime and Punishment (R Pever and L Volokhonsky Trans.) New York: Vintage Books.

  • Duckworth, K., Nair, V., Patel, J. K. and Goldfinger, S. 1997. Lost time, found hope and sorrow, the search for self, connection and purpose during awakenings on the new antipsychotics. Harvard Review of Psychiatry 5: 227–233.

    Google Scholar 

  • Frankel, B. 1993. Groups for the chronic mental patient and the legacy of failure. International Journal of Group Psychotherapy 43: 157–172.

    Google Scholar 

  • Freeman, T. 1973. The Psychoanalytic Study of the Psychoses. New York: International Universities Press.

    Google Scholar 

  • Frith, C. D. 1992. The Cognitive Neuropsychology of Schizophrenia. Hove UK: Lawrence Earlbaum.

    Google Scholar 

  • Frith, C. D. and Corcoran, R. 1996. Exploring “theory of mind” in people with schizophrenia. Psychological Medicine 26(3): 521–530.

    Article  Google Scholar 

  • Fromm-Reichmann, F. 1959. Psychoanalysis and Psychotherapy: Selected Papers. Chicago: University of Chicago Press.

  • Frosh, J. 1983. The Psychotic Process. New York: International Universities Press.

    Google Scholar 

  • Gallagher, S. 2000. Self reference and schizophrenia: A cognitive model of immunity to error through misidentification. In: D. Zahavi (eds), Exploring the Self, pp. 147–171. Philadelphia: John Benjamins Publishing Company.

    Google Scholar 

  • Goldberg, R. W., Rollins, A. L. and Lehman, A. F. 2003. Social network correlates among people with psychiatric disabilities. Psychiatric Rehabilitation Journal 26: 393–402.

    Google Scholar 

  • Gilbert, P., Birchwood, M., Gilbert, J., Trower, P., Hay, J., Murray, B., Meaden, A., Olsen, K. and Miles, J. N. V. 2001. An exploration of evolved mental mechanisms for dominant and subordinate behavior in relation to auditory hallucinations in schizophrenia and critical thoughts in depression. British Journal of Medical Psychology 31: 1117–1127.

    Google Scholar 

  • Green, M. F. 1996. What are the functional consequences of neurocognitive deficits in schizophrenia? American Journal of Psychiatry 153: 321–330.

    Google Scholar 

  • Gregg, G. S. 1995. Multiple identities and the integration of personality. Journal of Personality 63: 617–641.

    Google Scholar 

  • Habermas, J. 1981/1987. Theory of Communicative Action: Volume One Boston: Beacon Press.

    Google Scholar 

  • Habermas, J. 1981/1989. Theory of Communicative Action: Volume Two. Boston: Beacon Press.

    Google Scholar 

  • Habermas, J. 1988/1992. Postmetaphysical Thinking. Cambridge: MIT University Press.

    Google Scholar 

  • Harding, C. M., Zubin, J., and Strauss, J. 1992. Chronicity in schizophrenia. British Journal of Psychiatry 161 (supp 18): 27–37.

    Google Scholar 

  • Hegel, G. W. F. 1807/1979. The Phenomenology of Spirit. Oxford: Oxford University Press.

    Google Scholar 

  • Hermans, H. J. M. 1996a. Opposites in a dialogical self: Constructs as characters. Journal of Constructive Psychology 9: 1–26.

    Google Scholar 

  • Hermans, H. J. M. 1996b. Voicing the self: From information processing to dialogical interchange. Psychological Bulletin 119: 31–50.

  • Hermans, H. J. M., Rijks, T. I. and Kempen, H. J. G. 1993. Imaginal dialogues in the self: Theory and method. Journal of Personality 61: 207–236.

    Google Scholar 

  • Holma, J. and Aaltonen, J. 1997. The sense of agency and the search for narrative in acute psychosis. Contemporary Family Therapy 19: 463–477.

    Article  Google Scholar 

  • Keefe, R. S., Arnold, M. C., Bayen, U. J., McEvoy, J. P. and Wilson, W. H. 2002. Source-monitoring deficits for self-generated stimuli in schizophrenia: Multinomial modeling of data from three sources. Schizophrenia Research 57: 51–67.

    Google Scholar 

  • Kierkegaard, S. 1949/1980. The Sickness unto Death. Princeton NJ: Princeton University Press.

    Google Scholar 

  • Kierkegaard, S. 1846/1992. The Concluding Unscientific Postscripts. Princeton NJ: Princeton University Press.

    Google Scholar 

  • Kington, J. M., Jomes, L. A., Watt, A. A., Hopkin, E. J. and Williams, J. 2000. Impaired eye expression recognition in schizophrenia. Journal of Psychiatric Research 34: 341–347.

    Google Scholar 

  • Laing, R. D. 1978. The Divided Self. New York: Penguin Books.

    Google Scholar 

  • Lysaker, J. T. 1996. The shape of selves to come: Rorty and self creation. Philosophical and Social Criticism 22: 39–74.

    Google Scholar 

  • Lysaker, P. H. and Bell, M. D. 1995. Work and meaning: Disturbance of volition and vocational dysfunction in schizophrenia. Psychiatry 58(4): 392–400.

    Google Scholar 

  • Lysaker, P. H. and Lysaker, J. T. 2001. Psychosis and the disintegration of dialogical self-structure: Problems posed by schizophrenia for the maintenance of dialogue. British Journal of Medical Psychology 74: 23–33.

    Article  Google Scholar 

  • Lysaker, P. H. and Lysaker, J. T. 2002. Narrative Structure in Psychosis: Schizophrenia and Disruptions in the Dialogical Self. Theory and Psychology 12: 207–220.

    Google Scholar 

  • Lysaker, J. T. and Lysaker, P. H. (In Press). Being Interrupted: The self and schizophrenia. Journal of Speculative Philosophy.

  • Lysaker, P. H., Lysaker, J. T. and Lysaker, J. T. 2001. Schizophrenia and the collapse of the dialogical self: Recovery, narrative and psychotherapy. Psychotherapy. 38: 252–261.

    Google Scholar 

  • Lysaker, P. H., Wickett, A. M., Wilke, N. and Lysaker, J. T. 2003b. Narrative incoherence in schizophrenia: The absent protagonist, neurocognitive impairments and fear of audience. American Journal of Psychotherapy 57: 153–166.

    Google Scholar 

  • Lysaker, P. H., Wilt, M. A., Plascek-Hallberg, C. D., Brenner, C. and Clements, C. A. 2003a. The association of personality with symptoms and coping in schizophrenia. Journal of Nervous and Mental Disease 191: 80–86.

    Article  Google Scholar 

  • Markowitz, F. E. 1998. The effects of stigma on the psychological well-being and life satisfaction of persons with mental illness. Journal of Health and Social Behavior 39: 335–347.

    Google Scholar 

  • Mead, G. H. 1934/1967. Mind, Self, and Society. Chicago: Chicago University Press.

    Google Scholar 

  • Minkowski, E. 1987. The essential disorder underlying schizophrenia and schizophrenic thought. In: John Cutting and Shepherd (eds), The Clinical Roots of the Schizophrenic Concept, pp. 188–212. Cambridge: Cambridge University Press.

    Google Scholar 

  • Neuchterlein, K. H., Dawson, M. F. and Green, M. F. 1994. Information-processing abnormalities as neuropsychological vulnerability indicators for schizophrenia. Acta Psychiatrica Scandinavica, 90 (Suppl): 71–79.

    Google Scholar 

  • Nietzsche, F. 1886/1966. Beyond Good and Evil. New York: Random House.

    Google Scholar 

  • Nietzsche, F. 1887/1989. On the Genealogy of Morals. New York: Random House.

    Google Scholar 

  • Nietzsche, F. 1882/1966. The Gay Science. New York: Random House.

    Google Scholar 

  • Pao, P. N. 1979. Schizophrenic Disorders. New York: International Universities Press.

    Google Scholar 

  • Parnas, J. and Handest, P. 2003. Phenomenology of anomalous self-experience in early schizophrenia. Comprehensive Psychiatry 44: 121–134.

    Article  Google Scholar 

  • Penn, D. L., Spaulding, W., Reed, D., Sullivan, M., Mueser, K. T. and Hope, D. A. 1997. Cognition and social functioning in schizophrenia. Psychiatry 60: 281–291.

    Google Scholar 

  • Roe, D. and Ben-Yaskai, A. B. 1999. Exploring the relationship between the person and the disorder among individuals hospitalized for psychosis. Psychiatry 62: 372–380.

    Google Scholar 

  • Rooke, O. and Birchwood, M. 1998. Loss humiliation and entrapment as appraisal of schizophrenia illness: A prospective study of depressed and non-depressed patients. British Journal of Clinical Psychology 37: 259–268.

    Google Scholar 

  • Rudge, T. and Morse, K. 2001. Re-awakening?: A discourse analysis of the recovery from schizophrenia after medication change. Australian & New Zealand Journal of Mental Health Nursing 10: 66–76.

    Google Scholar 

  • Sartre, J. P. 1943/1956. Being and Nothingness. New York: Philosophical Library.

    Google Scholar 

  • Sass, L. A. 1992. Madness and Modernism. Cambridge: Harvard Press.

    Google Scholar 

  • Searles, H. 1965. Collected Papers of Schizophrenia and Related Subjects. New York: International Universities Press.

  • Spitzer, M. 1997. A cognitive neuroscience view of schizophrenic thought disorder. Schizophrenia Bulletin 23: 29–50.

    Google Scholar 

  • Stanghellini, G. 2000. The phenomenology of the social self: The schizotype and the melancholy type. In: D. Zahavi (ed), Exploring the Self, pp. 147–171. Philadelphia: John Benjamins Publishing Company.

    Google Scholar 

  • Szasz, T. S. 1970. The Manufacture of Madness. New York: Harper & Row.

    Google Scholar 

  • Vygotsky, L. S. 1978. Mind in Society. Cambridge MA: Harvard University Press.

    Google Scholar 

  • Wright, E. R., Gronfein, W. P. and Owens, T. J. 2000. Deinstitutionalization, social rejection and the self esteem of former mental patients. Journal of Health and Social Behavior. 41: 68–90.

    Google Scholar 

  • Young, S. L. and Ensign, D. S. 1999. Exploring recovery from the perspective of persons with psychiatric disabilities. Psychosocial Rehabilitation Journal 22: 219–231.

    Google Scholar 

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Lysaker, P.H., Johannesen, J.K. & Lysaker, J.T. Schizophrenia and the experience of intersubjectivity as threat. Phenom Cogn Sci 4, 335–352 (2005). https://doi.org/10.1007/s11097-005-4067-1

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