Schnitzler Tim, Fuchs Thomas
Phenomenological Psychopathology and Psychotherapy, Psychiatric Clinic, Heidelberg University, Heidelberg, Germany.
Front Psychiatry. 2025 Mar 28;16:1546453. doi: 10.3389/fpsyt.2025.1546453. eCollection 2025.
A mental illness can lead to a distortion in a person's capacity to engage with the world and other people in a variety of ways. This is particularly relevant to schizophrenia and autism spectrum disorder (ASD), which are not only historically linked, but also overlap clinically in several respects. From a phenomenological point of view, the differences or similarities between both disorders have not yet been sufficiently investigated. Schizophrenic autism can be characterized as a disorder of three interconnected dimensions, namely the self, intersubjectivity and the self's relationship with the life-world. The present work therefore investigates differences in these three dimensions between the two disorders. One key difference is that the self-world relationship in schizophrenia can be described as unstable or fragmented, whereas in ASD it is considered stable. Finally, possible differences in the experience of delusions are discussed as a change in the self's relationship with the world.
精神疾病会导致一个人以多种方式与世界和他人互动的能力出现扭曲。这与精神分裂症和自闭症谱系障碍(ASD)尤为相关,这两种疾病不仅在历史上有联系,而且在临床的几个方面也有重叠。从现象学的角度来看,这两种疾病之间的差异或相似之处尚未得到充分研究。精神分裂症性自闭症可被描述为一种涉及三个相互关联维度的疾病,即自我、主体间性以及自我与生活世界的关系。因此,本研究调查了这两种疾病在这三个维度上的差异。一个关键差异在于,精神分裂症中的自我与世界的关系可被描述为不稳定或碎片化的,而在自闭症谱系障碍中则被认为是稳定的。最后,妄想体验中可能存在的差异被作为自我与世界关系的一种变化进行了讨论。