Hipolito Ines
Brain-Mind Doctoral College, Alameda da Universidade de Lisboa, University of Lisbon, Lisbon, Portugal.
J Eval Clin Pract. 2016 Aug;22(4):608-14. doi: 10.1111/jep.12560. Epub 2016 May 30.
Several studies suggest that the disorders of the self include a disturbance of the most elementary component of self - the minimal self. Characterizing these disorders and understanding the mechanisms involved remain a challenge to medical epistemology and health care professionals. In the present work, I bring together concepts of different fields, such as neuroscience, epistemology and phenomenology. The main goal is to show that the second-person perspective can be used to point out particular features of social cognition and its related psychopathology. Taking the hypothesis that the second-person perspective is the congruence point between an objective process and the subjective experience, I will attempt to explain schizophrenia as a self-related deficit, first in the light of the first-person and the third-person perspective and afterward, in the light of the poorly less understood second-person perspective. On the one hand, the first-person experience is correlated both with space and time. In fact, psychiatric patients report subjective experiences that can be understood within research on the bodily self, such as (1) spatially incongruent proprioception and (2) impaired sense of time as the basic mechanism that allows conscious experience. On the other hand, the second-person approach has already begun to prove productive within social cognition research, pointing out the importance of experiencing and interacting with others as our primarily way well-being. I will phenomenological analyse subjective and intersubjective experience in the disorders of the self and derive practical consequences to evidence-based medicine.
多项研究表明,自我障碍包括自我最基本组成部分——最小自我的紊乱。描述这些障碍并理解其中涉及的机制,仍然是医学认识论和医疗保健专业人员面临的一项挑战。在本研究中,我整合了神经科学、认识论和现象学等不同领域的概念。主要目标是表明,第二人称视角可用于指出社会认知及其相关精神病理学的特定特征。基于第二人称视角是客观过程与主观体验之间的契合点这一假设,我将首先从第一人称和第三人称视角,然后从理解较少的第二人称视角,尝试将精神分裂症解释为一种与自我相关的缺陷。一方面,第一人称体验与空间和时间都相关。事实上,精神科患者报告的主观体验,可在关于身体自我的研究中得到理解,比如(1)空间上不一致的本体感觉,以及(2)作为有意识体验基本机制的时间感受损。另一方面,第二人称方法在社会认知研究中已开始证明具有成效,指出了与他人体验和互动作为我们主要幸福方式的重要性。我将对自我障碍中的主观和主体间体验进行现象学分析,并得出对循证医学的实际影响。