The Self in Neuroscience and Psychiatry

Author: Tilo Kircher; Anthony David  

Publisher: Cambridge University Press‎

Publication year: 2003

E-ISBN: 9780511057311

P-ISBN(Paperback): 9780521803878

Subject: R749 Psychiatry

Keyword: 神经病学与精神病学

Language: ENG

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The Self in Neuroscience and Psychiatry

Description

In recent years the clinical and cognitive sciences and neuroscience have contributed important insights to understanding the self. The neuroscientific study of the self and self-consciousness is in its infancy in terms of established models, available data and even vocabulary. However, there are neuropsychiatric conditions, such as schizophrenia, in which the self becomes disordered and this aspect can be studied against healthy controls through experiment, building cognitive models of how the mind works, and imaging brain states. In this 2003 book, the first to address the scientific contribution to an understanding of the self, an eminent, international team focuses on current models of self-consciousness from the neurosciences and psychiatry. These are set against introductory essays describing the philosophical, historical and psychological approaches, making this a uniquely inclusive overview. It will appeal to a wide audience of scientists, clinicians and scholars concerned with the phenomenology and psychopathology of the self.

Chapter

2 The self in philosophy, neuroscience and psychiatry: an epistemic approach

Introduction

Characteristics of the perspectives

Epistemic abilities and limitations

First-person perspective

Second-person perspective

Third-person perspective

Properties of the experiences in different perspectives

First-person perspective

Second-person perspective

Third-person perspective

The different perspective and the theories of the self

First-person perspective

Second-person perspective

Third-person perspective

Conclusions

REFERENCES

3 Phenomenology of self

Introduction

Different notions of self

A Kantian suggestion: the self as a pure identity-pole

A hermeneutical suggestion: the self as a narrative construction

The phenomenological suggestion: the self as an experiential dimension

First-personal givenness

Two forms of self-consciousness

Implications

Self and schizophrenia

Nonconceptual self-consciousness

Further work

The methodological problem

The problem of temporality

The problem of the body

The problem of intersubjectivity

Conclusion

REFERENCES

4 Language and self-consciousness: modes of self-presentation in language structure

The levels of language structure and the possibilities for self-presentation

The experience of inner voice and self-awareness

Some aspects of human voice processing online

The ontogenetic basis of voice processing

The estrangement from one’s inner voice and the pathology of self-awareness

The self as a sign – the personal pronoun / and the deictic here and now

Word and entence as vehicles of consciousness and self-consciousness

The verb, its structure and meaning

Types of structure and meaning associated with the verb

The language-specific semantic roles of the self

The syntactic subcategorization frame of the verb

Every sentence is a small drama: about the representational potential of verbal mind

The basic emergent characteristics constitutive of sentence structure

Every sentence must have a self

Every sentence can have an explicit self, but no more than one, please – the complementary function of pronominals and anapho

Complex sentence structure and the case for absent nonspecular represented self

The representational potential of complex sentence and the scope of self-consciousness

Conclusion

REFERENCES

Part II Cognitive and neurosciences

5 The multiplicity of consciousness and the emergence of the self

Introduction

The multiplicity of consciousness

What does the unity of consciousness entail?

Single-track versus multitrack models of consciousness

Evidence for the multitrack model of consciousness

The emergence of the self

REFERENCES

6 Asynchrony, implicational meaning and the experience of self in schizophrenia

Introduction

Theoretical foundations for variation in representations, modes of processing and rates of change

Images, awareness, flow and self-representation

The theoretical foundation of asynchrononous processing of image content

Symptom expression

Acute signs and symptoms

Longer-term adaptations

Conclusions

REFERENCES

7 Self-awareness, social intelligence and schizophrenia

Mirror self-recognition

Self-recognition research: phylogenetic and ontogenetic trends

Self-awareness and mental state attribution

Testable implications of the model

Mental state attribution in animals

Mental state attribution in children

Neurological underpinnings of self-awareness: the frontal cortex

Mental state attribution and the frontal cortex

Is self-recognition an indicator of self-awareness?

Implications of the model for schizophrenia

Self-recognition

Mental state attribution

The role of the frontal cortex

Implications for autism

Implications for senile dementia

Acknowledgements

REFERENCES

8 The neural correlates of self-awareness and self-recognition

Introduction

Self-recognition

Self-face recognition

Autonoetic awareness

Episodic memory

REFERENCES

9 Autonoetic consciousness

The term ‘consciousness’

The possible representation of consciousness in the brain

The frontal lobes as a major hub for conscious information processing

The right prefrontal cortex and consciousness

Schizophrenia, consciousness, memory and the frontal lobes

Autonoetic consciousness and autonoetic memory

REFERENCES

10 The neural nature of the core SELF: implications for understanding schizophrenia

Introduction

Neuroscepticism and the neural foundations of emotions

On the primal nature of the SELF

The essential motor underpinnings of consciousness

Resolving the Libet paradox

Neural hierarchies in the SELF-structures

Toward animal models of schizophrenia

Future prospects

REFERENCES

Part III Disturbances of the self: the case of schizophrenia

11 Self and schizophrenia: a phenomenological perspective

Introduction

Self and schizophrenia: early descriptive approaches

Recent studies

Presentation of complaints upon the initial medical contact

A case example of anomalous self-experiences in schizophrenia

Phenomenological description of self-disorders

Presence and its alterations

Sense of corporeality and its alterations

Stream of consciousness and its alterations

Self-demarcation and its alterations

Solipsism

Self-experience and negative symptoms

Transition to psychosis

Implications

REFERENCES

12 Self-disturbance in schizophrenia: hyperreflexivity and diminished self-affection

Introduction

Hyperreflexivity and diminished self-affection

Positive symptoms

Negative symptoms

Disorganization symptoms

Artaud: interdependence of the syndromes

Acknowledgement

REFERENCES

13 The self-experience of schizophrenics

The aim of psychopathology

Focusing the self-experience of schizophrenics

The empirical ego a the centre of self-awareness

Ego vitality

Self-accounts illustrating disorder of ego vitality

Ego activity

Self-accounts illustrating disorder of ego activity

Ego consistency and coherence

Self-accounts illustrating disorders of ego consistency and coherence

Ego demarcation

Self-accounts illustrating disorders of ego demarcation

Ego identity

Self-accounts illustrating disorders of ego identity

The construct of ego-pathology of schizophrenics

The schizophrenic symptoms evolving from the disordered self-experience

Reactions to the threat of ego disintegration

Motor behaviour

Affective behaviour

Cognitive behaviour

Interactive behaviour

Cognitive–affective overcompensation

Empirical studies

The ego pathology inventory

Study population

Results

Confirmatory factor analysis

Validity

Face validity

Content validity

Criterion validity

Concurrent validity

Predictive validity

Construct validity

Convergent validity

Discriminant validity

Treatment of schizophrenics: reconstruction, resynthesis

Principles of treatment programme

Concluding remarks

APPENDIX THE EGO PATHOLOGY INVENTORY

REFERENCES

14 The paranoid self

Paranoia as a defence

The attributional style and paranoia

Are paranoid attributions self-protective?

What is the self?

The process of self-representation

The attribution–self-representation cycle

How the working self influences attributions

How attributions influence the working self

Biases in the cycle

The impact of life events

Testing and developing the model

REFERENCES

15 Schizophrenia and the narrative self

Introduction

The narrative self

The narrative self in schizophrenia

Conclusion

REFERENCES

16 Self-narrative in schizophrenia

Introduction

Self-narrative

Temporal integration

Minimal self-reference

Episodic–autobiographical memory

Reflective metacognition

Conclusions

REFERENCES

17 Schizophrenia as disturbance of the self-construct

Self-consciousness and potential empirical indicators

Self-perspective

Example of ‘physical stories’ (T-S-)

Example of ‘TOM stories’ (T+S-)

Example of ‘self and other ascription stories’ (T+S+)

Example of ‘self-ascription stories’ (T-S+)

Schizophrenia as clinical disorder of self-consciousness

Future strategies in schizophrenia research

REFERENCES

18 Action recognition in normal and schizophrenic subjects

Introduction: the sense of agency

Agency versus ownership

The simulation hypothesis

Failure of the attribution mechanisms

A disturbance of executive mechanisms in schizophrenia

An experimental study of anticipation in schizophrenia

A working memory impairment?

The behavioural and clinical consequences of lack of anticipation

Dysfunction of a specific mechanism for recognizing action

A pilot study of agency in normal and schizophrenic subjects

A parametric study of agency in normal and schizophrenic subjects

Neural constraints on action recognition in the social context

Perception of biological movements

A neural hypothesis for action recognition: the ‘who’ system

REFERENCES

19 Disorders of self-monitoring and the symptoms of schizophrenia

Introduction

Auditory hallucinations and passivity symptoms in schizophrenia

Evidence for misattribution of self-generated action in schizophrenia

Thinking as a type of action

Detecting the sensory consequences of our own actions

Internal forward models of the motor system

Perception of the sensory consequences of actions in normal subjects

Behavioural evidence for problems of self-monitoring in schizophrenia

The perception of self-produced sensory stimuli in patients with auditory hallucinations and passivity

The physiological basis of the perceptual modulation of self-produced sensory stimuli

Physiological abnormalities associated with delusions of control

Acknowledgements

REFERENCES

20 Hearing voices or hearing the self in disguise? Revealing the neural correlates of auditory hallucinations in schizophreni

Introduction

REFERENCES

21 The cognitive neuroscience of agency in schizophrenia

The psychopathology of agency in schizophrenia

The functional neuroanatomy of agency

Neuromodulation and Ichstörungen

Personal relatedness, right hemisphere and dopamine

Summary

REFERENCES

22 Self-consciousness: an integrative approach from philosophy, psychopathology and the neurosciences

Introduction

A model of consciousness and self-consciousness

Data from neuroscience

Facial self-recognition

Autobiographical semantic memory

Social self

Schizophrenia

Phenomenology of ego-disorders in psychosis

Self-recognition in schizophrenia

Self-monitoring

Insight in psychopathology

General considerations

Is lack of insight a cognitive deficit?

Conclusions

Acknowledgements

REFERENCES

Index