Abstract
This paper takes a fresh look at Sass & Parnas’ Ipseity Disturbance Hypothesis about Schizophrenia. It asks how well the current theorization in terms of hyperreflexivity, disturbed self-presence and diminished grip really explain the phenomenology of schizophrenia. It then turns to a detailed discussion of the way the various elements of ipseity disturbance are supposed to be explained finding there are certain gaps in that explanation. The second part discusses how the new Hierarchical Predictive Processing (HPP) framework can do a good job explaining and inter-relating the three factors in ipseity disturbance: first, distortions of presence; second, hyperreflexivity; and third, why some distortions of presence progress to the positive symptoms of schizophrenia, namely hallucination and especially delusions. The paper argues that really moving toward a deep understanding of schizophrenia requires grounding the theory in a mechanistic explanation. HPP is well-poised to play this role by explaining why distortions of presence might lead to hallucination and global changes in the structure of a patient’s beliefs.
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Notes
- 1.
NB. It’s important to notice that hyperreflectivity is not identical hyperreflexivity but is rather supposed to be a sort of quasi-agentive form and secondary form of the latter.
- 2.
A discussion of Henry’s influence and the notion of self-affection can be found in Chapter 3, Section 4 of Zahavi (2005).
- 3.
- 4.
From Gurwitsch’s The Field of Consciousness, cited in Sass (2004).
- 5.
This accords with Metzinger’s (2004) claim that the sense of mineness in pre-reflexive self-consciousness, while typically present, is not actually necessary for consciousness.
- 6.
Seth et al.’s (2011) paper is a case here where the presence category is rightly problematized albeit the problem not resolved. The question of whether or not the structural dimension of presence only shows up when consciousness is disturbed requires more attention in the research literature (but see Clowes, 2015).
- 7.
It should be remembered that we are not quite comparing like with like. The schizophrenia subjects were patients interviewed using the EASE scale whereas – as just noted – the DPD patients were drawn from historical literature. It is possible that affinities might be even stronger if the EASE scale was used to interview contemporary subjects.
- 8.
A phrase Clark uses time and again in (Clark, 2015) to signal that perception is not understood on this model as being a shallow appearance but as a highly nuanced and detailed world model. Perception reveals the world.
References
Baars, B. (1996). In the theater of consciousness: The workspace of the mind. New York: Oxford University Press.
Blakemore, S., Wolpert, D., & Frith, C. (2002). Abnormalities in the awareness of action. Trends in Cognitive Sciences, 6(6), 237–242.
Borda, J. P., & Sass, L. A. (2015). Phenomenology and neurobiology of self disorder in schizophrenia: Primary factors. Schizophrenia Research, 169(1), 464–473.
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(3), 703–714.
Clark, A. (2012). Whatever next? Predictive brains, situated agents, and the future of cognitive science. Behavioral and Brain Sciences, 36(3), 181–204.
Clark, A. (2015). Surfing uncertainty: Prediction, action, and the embodied mind. New York: Oxford University Press.
Clowes, R. W. (2015). The reality of the virtual self as interface to the social world. In J. Fonseca & J. Gonçalves (Eds.), Philosophical Perspectives on Self (pp. 221–276). Lisbon, Portugal: Peter Lang.
Clowes, R. W., & Chrisley, R. (2012). Virtualist representation. International Journal of Machine Consciousness, 04(02), 503–522.
Clowes, R. W., & Mendonça, D. (2016). Representation Redux: Is there still a useful role for representation to play in the context of embodied, dynamicist and situated theories of mind? New Ideas in Psychology, Special Issue on Representation, 40, 26–47. (Special Issue: Explaining Representation).
Clowes, R. W., & Seth, A. K. (2008). Axioms, properties and criteria: Roles for synthesis in the science of consciousness. Artificial Intelligence in Medicine, 44(2), 91–104.
Craig, A. D. (2002). How do you feel? Interoception: The sense of the physiological condition of the body. Nature Reviews Neuroscience, 3(8), 655–666.
Craig, A. D. (2009). How do you feel—now? the anterior insula and human awareness. Nature Reviews Neuroscience, 10(1).
Damasio, A. R. (2000). The feeling of what happens: Body, emotion and the making of consciousness. London: Vintage.
Fletcher, P. C., & Frith, C. D. (2009). Perceiving is believing: A Bayesian approach to explaining the positive symptoms of schizophrenia. Nature Reviews Neuroscience, 10(1), 48–58.
Friston, K. (2008). Hierarchical models in the brain. PLoS Computational Biology, 4(11), e1000211.
Friston, K. (2010). The free-energy principle: A unified brain theory? Nature Reviews Neuroscience, 11(2), 127–138.
Frith, C. D. (1979). Consciousness, information processing, and schizophrenia. British Journal of Psychiatry, 134, 225–235.
Frith, C. D. (2000). Abnormalities in the awareness and control of action. Philosophical Transactions of the Royal Society B: Biological Sciences, 355(1404), 1771–1788.
Frith, C. D., Blakemore, S., & Wolpert, D. (2000). Explaining the symptoms of schizophrenia: Abnormalities in the awareness of action. Brain Research Reviews, 31(2–3), 357–363.
Gallagher, S. (2000). Philosophical conceptions of the self: Implications for cognitive science. Trends in Cognitive Sciences, 4(1), 14–21.
Gallagher, S. (2004). Neurocognitive models of schizophrenia: A neurophenomenological critique. Psychopathology, 37(1), 8–19.
Gärtner, K. (2017). Conscious experience and experience externalization. In I. Hipólito, J. Gonçalves, J. G. Pereira (Eds.), Schizophrenia and common sense: Explaining madness and social values. Springer Mind Brain Studies.
Haug, E., Lien, L., Raballo, A., Bratlien, L., Oie, M., Parnas, J., & Moller, P. (2012). Self-disorders and early differential diagnosis in first episode psychosis. Journal of Nervous and Mental Disease, 200, 632–636.
Hobson, J. A., Hong, C. C.-H., & Friston, K. J. (2014). Virtual reality and consciousness inference in dreaming. Frontiers in Psychology, 5.
Hohwy, J. (2013). The predictive mind. Oxford, UK: Oxford University Press.
Krueger, J. W. (2011). The who and the how of experience Self, no self: Perspectives from analytical. Phenomenological and Indian traditions (pp. 27–55).
Martin, B., Wittmann, M., Franck, N., Cermolacce, M., Berna, F., & Giersch, A. (2014). Temporal structure of consciousness and minimal self in schizophrenia. Frontiers in Psychology, 5.
Merleau-Ponty. (1962). Phenomenology of perception. London: Routledge.
Metzinger, T. (2004). Being no one: The self-model theory of subjectivity. Cambridge, MA: Bradford Book.
Metzinger, T. (2014). How does the brain encode epistemic reliability? Perceptual presence, phenomenal transparency, and counterfactual richness. Cognitive Neuroscience, 5(2), 122–124.
Nelson, B., Parnas, J., & Sass, L. A. (2014). Disturbance of minimal self (ipseity) in schizophrenia: Clarification and current status. Schizophrenia Bulletin, 40(3), 479–482.
Nordgaard, J., & Parnas, J. (2014). Self-disorders and the schizophrenia spectrum: A study of 100 first hospital admissions. Schizophrenia Bulletin, 40, 1300–1307. sbt239.
Parnas, J. (2003). Self and schizophrenia: A phenomenological perspective. The Self in Neuroscience and Psychiatry, 217–241.
Parnas, J., & Handest, P. (2003). Phenomenology of anomalous self-experience in early schizophrenia. Comprehensive Psychiatry, 44(2), 121–134.
Parnas, J., & Sass, L. A. (2001). Self, solipsism, and schizophrenic delusions. Philosophy, Psychiatry, & Psychology, 8(2), 101–120.
Parnas, J., & Sass, L. (2011). The structure of self-consciousness in schizophrenia. In S. Gallagher (Ed.), The Oxford handbook of the self (pp. 521–546). Oxford, UK: Oxford University Press.
Parnas, J., Bovet, P., & Zahavi, D. (2002). Schizophrenic autism: Clinical phenomenology and pathogenetic implications. World Psychiatry, 1(3), 131–136.
Parnas, J., Handest, P., Saebye, D., & Jansson, L. (2003). Anomalies of subjective experience in schizophrenia and psychotic bipolar illness. Acta Psychiatrica Scandinavica, 108(2), 126–133.
Parnas, J., Møller, P., Kircher, T., Thalbitzer, J., Jansson, L., Handest, P., & Zahavi, D. (2005). EASE: Examination of anomalous self-experience. Psychopathology, 38(5), 236–258.
Parnas, J., Raballo, A., Handest, P., Jansson, L., Vollmer-Larsen, A., & Sæbye, D. (2011). Self-experience in the early phases of schizophrenia: 5-year follow-up of the Copenhagen Prodromal Study. World Psychiatry, 10(3), 200–204.
Sass, L. A. (2003). Self-disturbance in schizophrenia: Hyperreflexivity and diminished self-affection. In T. Kircher & A. David (Eds.), The self in neuroscience and psychiatry (Vol. 870539117). Cambridge, UK: Cambridge University Press.
Sass, L. A. (2004). Schizophrenia: A disturbance of the thematic field In Gurwitsch’s relevancy for cognitive science (pp. 59–78). Dordrecht: Springer.
Sass, L. A. (2013). Self-disturbance and schizophrenia: Structure, specificity and pathogenesis (Current Issues, New Directions). Schizophrenia Research, 152, 5–11.
Sass, L. A., & Borda, J. P. (2015). Phenomenology and neurobiology of self disorder in schizophrenia: Secondary factors. Schizophrenia Research, 169(1), 474–482.
Sass, L. A., & Parnas, J. (2003). Schizophrenia, consciousness, and the self. Schizophrenia Bulletin, 29(3), 427–444.
Sass, L. A., & Parnas, J. (2007). Explaining schizophrenia: The relevance of phenomenology. Reconceiving Schizophrenia, 63–95.
Sass, L. A., Pienkos, E., Nelson, B., & Medford, N. (2013). Anomalous self-experience in depersonalization and schizophrenia: A comparative investigation. Consciousness and Cognition, 22(2), 430–441.
Seth, A. K. (2013). Interoceptive inference, emotion, and the embodied self. Trends in Cognitive Sciences, 17(11), 565–573.
Seth, A. K., & Critchley, H. D. (2013). Extending predictive processing to the body: Emotion as interoceptive inference. Behavioral and Brain Sciences, 36(03), 227–228.
Sierra, M. (2009). Depersonalization: A new look at a neglected syndrome. Oxford: Oxford University Press.
Seth, A. K., Suzuki, K., & Critchley, H. D. (2011). An interoceptive predictive coding model of conscious presence. Frontiers in Psychology, 2.
Zahavi, D. (2003). Phenomenology of self. The Self in Neuroscience and Psychiatry, 56–75.
Zahavi, D. (2005). Subjectivity and selfhood: Investigating the first-person perspective. Cambridge, MA: The MIT Press.
Acknowledgements
Writing this article was possible thanks to the Portuguese Government Ciência e Tecnologia grants (SFRH/BPD/70440/2010) and the IFILNOVA research fellowship (FCSH/NOVA UID/FIL/00183/2013). Thanks to Inês Hipolito, Klaus Gaertner & Dina Mendonca, João Gama Marques, Anil Seth, Marinos Kyriakopoulos and members of the Lisbon Mind and Reasoning Group for useful discussions and criticisms of the text or presentations which helped develop the ideas.
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Clowes, R.W. (2018). Rethinking the Ipseity Disturbance Theory of Schizophrenia Through Predictive Processing. In: Hipólito, I., Gonçalves, J., Pereira, J. (eds) Schizophrenia and Common Sense. Studies in Brain and Mind, vol 12. Springer, Cham. https://doi.org/10.1007/978-3-319-73993-9_7
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