PMID: 11314900Apr 21, 2001Paper

Psychosis and the disintegration of dialogical self-structure: problems posed by schizophrenia for the maintenance of dialogue

The British Journal of Medical Psychology
P H Lysaker, J T Lysaker

Abstract

Researchers and theoreticians across widely varying disciplines have increasingly stressed how sense of self is inherently 'dialogical', or the product of ongoing dialogue both within the individual and between the individual and others. This perspective emphasizes that self-awareness is not an awareness of an isolated or seamless viewpoint, but a collective of numerous complementary, competing, and sometimes contradictory, voices. In this paper we suggest that changes in subjective sense of self in schizophrenia spectrum disorders may represent the collapse of this essential dialogue. We suggest that this collapse can have the end-result of mentally ill persons either coming to embrace a singular, all-incorporating self-position or standing precariously on the brink of cacophony which is experienced as self-dissolution. We point to two phenomena associated with schizophrenia that could contribute to the derailment of internal and external dialogue: impairments in associative processes and affect dysregulation. Illustrated with a case example, we finally suggest how psychotherapy has the potential to revive internal dialogue through its explicit use of external dialogue helping to restore previous levels of social function.

Citations

Dec 14, 2006·The Journal of Nervous and Mental Disease·David RoePaul H Lysaker
Jul 19, 2008·Schizophrenia Bulletin·Paul H Lysaker, John T Lysaker
Oct 1, 2003·Journal of Consulting and Clinical Psychology·Golan Shahar, Larry Davidson
Oct 31, 2002·Psychiatry·Paul H LysakerDustin E Wright
Jan 29, 2013·Comprehensive Psychiatry·Jong-Hoon KimJinyoung Lee
Aug 11, 2015·Scientific Reports·Mélissa C AlléFabrice Berna
Feb 28, 2008·Psychology and Psychotherapy·Sarah DilksBernadette Wren
Nov 24, 2007·Psychology and Psychotherapy·Trudy Meehan, Malcolm MacLachlan
Nov 21, 2013·Early Intervention in Psychiatry·Jane E DunkleyBruce M Findlay
Apr 5, 2011·Consciousness and Cognition·Fabrice BernaJean-Marie Danion
Oct 6, 2016·The Psychoanalytic Quarterly·Felipe Muller
Dec 15, 2010·Cognitive Neuropsychiatry·Paul H LysakerGiancarlo Dimaggio
Oct 22, 2009·Qualitative Health Research·Javier SaavedraPaul Crawford
Sep 5, 2014·Qualitative Health Research·Lydia P Ogden
Oct 13, 2012·Clinical Child Psychology and Psychiatry·Coralie E FuchsWietse Kuis
Dec 17, 2015·The Journal of Nervous and Mental Disease·David Colin CiceroJohn G Kerns
Apr 5, 2005·The Journal of Nervous and Mental Disease·Paul H LysakerLouanne W Davis
Dec 20, 2007·The Journal of Nervous and Mental Disease·Ross G WhiteCiaran Mulholland
Feb 26, 2019·Journal of Personality·Larry Davidson
Aug 16, 2001·The Journal of Nervous and Mental Disease·P H LysakerK A Marks
Sep 16, 2003·The Journal of Nervous and Mental Disease·Paul H LysakerKelly D Buck

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