Turk Psikiyatri Derg. 2022 Fall;33(3):196-205. doi: 10.5080/u26182.
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, we will discuss, prominent theories on the concept of 'self ', historical background of the minimal self disorder model in schizophrenia and the current approach to this model. 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 defined as the excessive attention to processes that would ordinarily be implicitly experienced. Diminished self-affection (diminished self-presence) refers to an experience of a loss of self-agency. Disturbed grip or hold on the cognitive-perceptual world refers to the disturbances of spatio-temporal structuring of the experiential field. These three aspects are intimately interlinked, and should be understood more as the components of a single entity. Finally, clinical symptoms that may indicate minimal self disorder and the abnormal self experiences of two patients with a diagnosis of schizophrenia are discussed. Keywords: Schizophrenia, phenomenology, self-disorders, hyperreflexivity, diminished self-affection.
近年来,我们见证了对主体性及其障碍领域的兴趣复兴,特别是非精神病性异常主观体验的严重程度和质量。当代精神分裂症异常主观体验的研究使用了几种不同的理论框架。其中最常见的是现象学方法。现象学方法的一个突出例子是最小自我障碍模型。在本文中,我们将讨论关于“自我”概念的突出理论、精神分裂症最小自我障碍模型的历史背景以及该模型的当前方法。根据该模型,自我障碍被假设为精神分裂症的一种潜在的、特征性的核心特征。该模型表明,精神分裂症患者的这种最小自我会以三种方式受到干扰:过度反射、自我情感减弱(自我存在感减弱)以及对认知感知世界的把握或控制受损。过度反射定义为对通常会被隐含体验的过程的过度关注。自我情感减弱(自我存在感减弱)是指自我能动性丧失的体验。对认知感知世界的把握或控制受损是指体验领域的时空结构紊乱。这三个方面密切相关,应该被理解为一个单一实体的组成部分。最后,讨论了可能表明最小自我障碍和两名被诊断为精神分裂症的患者的异常自我体验的临床症状。
精神分裂症、现象学、自我障碍、过度反射、自我情感减弱。