Frith Chris
Wellcome Department of Imaging Neuroscience, Institute of Neurology, University College London, UK.
Conscious Cogn. 2005 Dec;14(4):752-70. doi: 10.1016/j.concog.2005.04.002. Epub 2005 Aug 10.
Patients with delusions of control are abnormally aware of the sensory consequences of their actions and have difficulty with on-line corrections of movement. As a result they do not feel in control of their movements. At the same time they are strongly aware of the action being intentional. This leads them to believe that their actions are being controlled by an external agent. In contrast, the normal mark of the self in action is that we have very little experience of it. Most of the time we are not aware of the sensory consequences of our actions or of the various subtle corrections that we make during the course of goal-directed actions. We know that we are agents and that we are successfully causing the world to change. But as actors we move through the world like shadows glimpsed only occasional from the corner of an eye.
有控制妄想的患者会异常地意识到自己行为的感觉后果，并且在对动作进行即时纠正方面存在困难。因此，他们感觉自己无法控制自己的动作。与此同时，他们强烈地意识到动作是有意为之的。这使他们相信自己的行为受到外部因素的控制。相比之下，自我在行动中的正常特征是我们对此几乎没有什么体验。大多数时候，我们没有意识到自己行为的感觉后果，也没有意识到在目标导向行动过程中所做的各种微妙纠正。我们知道自己是行为主体，并且成功地使世界发生了变化。但作为行动者，我们在世界中穿梭，就像只能偶尔从眼角瞥见的影子。
