Abstract
Authors present in this chapter some relationships between self-consciousness and panic disorder. Discussion is based on Karl Jaspers’ phenomenological descriptions of the self-consciousness manifestations, aiming to explore the ideas of Jaspers about the relations between self-constitution and panic attacks. Some broad definitions of self-consciousness and some illustrated descriptions of their pathological manifestations are also presented, and the some psychological contributions for panic disorder. Panic disorder etiologies keep under investigation and stressful events in childhood and adulthood seem relevant. Another aspect addressed in this chapter is the association between brain regulation of self-consciousness, since neurological regulation of self-consciousness depends on brain structures responsible for programming and self-monitoring of our behavior. All common neurologic and clinical aspects between panic and schizophrenia seem to be connected by self-consciousness physiopathology and its psychopathological manifestations.
Keywords
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Jaspers K. Psicopatologia Geral. São Paulo: Editora Ateneu; 2003.
Veras AB, Nardi AE, Kahn JP. Attachment and self-consciousness: a dynamic connection between schizophrenia and panic. Med Hypotheses. 2013;81(5):792–6.
Fergusson DM, Lynskey MT, Horwood LJ. Childhood sexual abuse and psychiatric disorder in young adulthood: I. Prevalence of sexual abuse and factors associated with sexual abuse. J Am Acad Child Adolesc Psychiatry. 1996;35(10):1355–64.
Kendler KS, Bulik CM, Silberg J, Hettema JM, Myers J, Prescott CA. Childhood sexual abuse and adult psychiatric and substance use disorders in women: an epidemiological and cotwin control analysis. Arch Gen Psychiatry. 2000;57(10):953–9.
Kendler KS, Neale MC, Kessler RC, Heath AC, Eaves LJ. Childhood parental loss and adult psychopathology in women. A twin study perspective. Arch Gen Psychiatry. 1992;49(2):109–16.
Faravelli C. Life events preceding the onset of panic disorder. J Affect Disord. 1985;9(1):103–5.
Salum GA, Blaya C, Manfro GG. Transtorno do pânico. Rev Psiquiatr RS. 2009;31(2):86–94.
Raveendran V, Kumari V. Clinical, cognitive and neural correlates of self-monitoring deficits in schizophrenia: an update. Acta Neuropsychiatr. 2007;19:27–37.
Frith CD. The cognitive neuropsychology of schizophrenia. Erlbaum, UK: Taylor and Francis; 1992.
Jeannerod M, Pacherie E. Agency, simulation and self identification. Mind Lang. 2004;19:113–46.
Frith CD, Friston KJ, Herold S, Silbersweig D, Fletcher P, Cahill C,et al. Regional brain activity in chronic schizophrenic patients during the performance of a verbal fluency task. Br J Psychiatry. 1995;167:343–9.
Fu CH, Vythelingum GN, Andrew C, et al. Alien voices who said that? Neural correlates of impaired verbal selfmonitoring in schizophrenia. Neuroimage. 2001;13:S1052.
Hunter MD, Griffiths TD, Farrow TF, et al. A neural basis for the perception of voices in external auditory space. Brain. 2003;126:161–9.
McGuire PK, Shah GM, Murray RM. Increased blood flow in Broca’s area during auditory hallucinations in schizophrenia. Lancet. 1993;342:703–6.
Shergill SS, Bullmore E, Simmons A, Murray R, McGuire P. Mapping auditory hallucinations in schizophrenia using functional magnetic resonance imaging. Arch Gen Psychiatry. 2000;59:468–89.
Silbersweig DA, Stern E, Frith C, et al. A functional neuroanatomy of hallucinations in schizophrenia. Nature. 1995;378:176–9.
Sokhi DS, Hunter MD, Wilkison ID, Woodruff PW. Male and female voices activate distinct regions in the male brain. Neuroimage. 2005;27:572–8.
Frith C. Neuropsychology of schizophrenia, what are the implications of intellectual and experiential abnormalities for the neurobiology of schizophrenia? Br Med Bull. 1996;52:618–26.
Bush G, Luu P, Posner MI. Cognitive and emotional influences in anterior cingulate cortex. Trends Cogn Sci. 2000;4(6):215–22.
Mobbs D, Marchant JL, Hassabis D, et al. From threat to fear: the neural organization of defensive fear systems in humans. J Neurosci. 2009;29(39):12236–43.
Thomas H. A community survey of adverse effects of cannabis use. Drug Alcohol Depend. 1996;42:201–7.
Mula M, Pini S, Cassano GB. The neurobiology and clinical significance of depersonalization in mood and anxiety disorders: A critical reappraisal. J Affect Disord. 2007;99:91–9.
Sierra M, Berrios GE. Depersonalization: neurobiological perspectives. Biol Psychiatry. 1998;44:898–908.
Craig T, Hwang MY, Bromet EJ. Obsessive–compulsive and panic symptoms in patients with first-admission psychosis. Am J Psychiatry. 2002;59:592–800.
Achim AM, Maziade M, Raymond E, Olivier D, Merette C, Roy MA. How prevalent are anxiety disorders in schizophrenia? A meta-analysis and critical review on a significant association. Schizophr Bull. 2009;37:811–21.
Kahn JP, Meyers JR. Treatment of comorbid panic disorder and schizophrenia: evidence for a panic psychosis. Psychiatr Ann. 2000;30:29–33.
Hofmann SG. Relationship between panic and schizophrenia. Depress Anxiety. 1999;1995(9):101–6.
Kahn JP, Puertollano MA, Schane MD, Klein DF. Adjunctive alprazolam for schizophrenia with panic anxiety: clinical observation and pathogenetic implications. Am J Psychiatry. 1988;145:742–4.
Savitz AJ, Kahn TE, McGovern KE, Kahn JP. Carbon dioxide induction of panic anxiety in schizophrenia with auditory hallucinations. Psychiatry Res. 2011;189:38–42.
Kahn JP. Consciousness lost and instinct run amok: schizophrenia and psychosis. In: Kahn JP, editor. Angst: origins of anxiety and depression. New York: Oxford University Press; 2013. Chapter 7.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2016 Springer International Publishing Switzerland
About this chapter
Cite this chapter
Gabínio, T., Veras, A.B., Kahn, J.P. (2016). Self-Consciousness and Panic. In: Nardi, A., Freire, R. (eds) Panic Disorder. Springer, Cham. https://doi.org/10.1007/978-3-319-12538-1_14
Download citation
DOI: https://doi.org/10.1007/978-3-319-12538-1_14
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-12537-4
Online ISBN: 978-3-319-12538-1
eBook Packages: MedicineMedicine (R0)