Minimal Self Disorders in Schizophrenia


AYLAK İ., ULUĞ B. D.

Turk Psikiyatri Dergisi, cilt.33, sa.3, ss.196-205, 2022 (SSCI) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 33 Sayı: 3
  • Basım Tarihi: 2022
  • Doi Numarası: 10.5080/u26182
  • Dergi Adı: Turk Psikiyatri Dergisi
  • Derginin Tarandığı İndeksler: Social Sciences Citation Index (SSCI), Scopus, Central & Eastern European Academic Source (CEEAS), EMBASE, MEDLINE, Psycinfo
  • Sayfa Sayıları: ss.196-205
  • Anahtar Kelimeler: Schizophrenia, phenomenology, self-disorders, hyperreflexivity, diminished self-affection
  • Hacettepe Üniversitesi Adresli: Evet

Özet

© 2022, Turk Psikiyatri Dergisi.All Rights Reserved.In recent years we have witnessed a rebirth of interest in the field of subjectivity and its disorders, particularly the severity and quality of non-psychotic abnormal subjective experience. Contemporary research on abnormal subjective experiences in schizophrenia has used several different theoretical frameworks. The most common of these is the phenomenological approach. A prominent example of the phenomenological approach is the minimal self disorder model. In this article, first of all, prominent theories about the self and the historical background of the minimal self disorder model in schizophrenia and then the current approach to this model is discussed. According to this model self disorders have been hypothesized to be an underlying and trait-like core feature of schizophrenia. The model suggests that this minimal self is disturbed in three ways in people with schizophrenia: hyperreflexivity, diminished self-affection (diminished self-presence) and disturbed grip or hold on the cognitive-perceptual world. Hyperreflexivity is an excessive attention to processes that would ordinarily be implicitly experienced. Diminished self-affection (diminished selfpresence) refers to an experience of a loss of self-agency. Disturbed grip or hold on the cognitive-perceptual world refers to disturbances of spatiotemporal structuring of the experiential field. The three aspects are intimately interlinked, and should be understood more as aspects of a single whole. Finally, clinical symptoms that may indicate minimal self disorder and the abnormal self experiences of two patients with a diagnosis of schizophrenia are discussed