Disordered selves or persons with schizophrenia?

Current Opinion in Psychiatry
G Stanghellini, René Rosfort

Abstract

This study builds on the self-disorder hypothesis of schizophrenia and further develops it by integrating the notion of 'selfhood' with that of 'personhood'. The self-disorder hypothesis brings to light the patient's subjective abnormal experiences. What may remain out of focus is the person's attitude towards these anomalous experiences. Taking into account the notion of personhood allows for an articulation of the way the suffering person reflectively responds to and makes sense of her troubled selfhood. This approach is conducive to the development of a person-centred dialectical (PCD) model of schizophrenia that is concerned not only with the phenomenological description of troubled selfhood but also with how persons with schizophrenia interact and cope with their abnormal experiences. The principal clinical implication is the development of a two-tier descriptive system including phenomenal assessment of disordered selfhood and appraisal of personal background. The recognition of the patient's resources is necessary for effective treatment, as recovery requires not only the reduction of full-blown symptoms but also a change in the patient's attitude with respect to her basic abnormal phenomena. The latter involves the pers...Continue Reading

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Citations

Sep 30, 2015·Case Reports in Psychiatry·Lizardo CruzadoPatricia Núñez-Moscoso
Mar 13, 2018·Schizophrenia Bulletin·Louis SassBarnaby Nelson
Nov 20, 2016·Frontiers in Psychology·Marino Pérez-ÁlvarezSalvador Perona-Garcelán
Jan 9, 2020·Psychodynamic Psychiatry·Guilherme Rui CantaCarlos Amaral Dias
Nov 22, 2017·Trends in psychiatry and psychotherapy·Guilherme MessasGiovanni Stanghellini
Nov 13, 2018·Frontiers in Psychology·Nienke MoernautJasper Feyaerts
Oct 17, 2018·Frontiers in Psychiatry·Guilherme MessasGiovanni Stanghellini
May 19, 2021·World Psychiatry : Official Journal of the World Psychiatric Association (WPA)·Rosa RitunnanoMatthew R Broome

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