title: Schizophrenia and the sense of self.
abstract: Sense of self (SOS)--understood as the foundation upon which individuals experience their daily lives--has been increasingly investigated in schizophrenia. A disrupted SOS is thought to represent a platform for the experience of psychiatric symptoms, social cognitive deficits, and other abnormalities of consciousness. Few studies, however, have investigated the specificity of disrupted SOS to schizophrenia. The primary objective of the present study was to test the hypothesis that SOS is deficient in schizophrenia patients compared to both nonpsychiatric controls and patients with psychotic bipolar disorder. Using select scales from the Assessment of Self Descriptions, the present study assessed SOS from spontaneous narratives provided by schizophrenia patients (N = 50), bipolar patients with psychotic features (N = 17), and nonpsychiatric controls (N = 24). Our findings indicate that facets of SOS-in particular, certain aspects of agency and relatedness to others-are deficient in schizophrenia compared to nonpsychiatric controls and bipolar patients with psychotic features, even when overall level of functioning and psychiatric symptoms are accounted for. Implications of these results are discussed.
authors: *To whom correspondence should be addressed; Department of Psychology, Kent State University, Kent, OH 44240, US; tel: (330)-672-7671, fax: (330)-672-3786, e-mail: amoe@kent.edu.
authors: Aubrey M
authors: AM
authors: Moe
authors: Nancy M
authors: NM
authors: Docherty
mesh_terms: D000328:Adult; D001714:Bipolar Disorder / Q000503:physiopathology*; D004532:Ego; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012559:Schizophrenia / Q000503:physiopathology*; D012565:Schizophrenic Psychology; D012649:Self Concept; D012647:Self-Assessment
keywords: language; narrative; phenomenology; self
references: Aust N Z J Psychiatry. 2010 Dec;44(12):1112-7
references: 21070107
references: Acta Psychiatr Scand. 2003 Aug;108(2):126-33
references: 12823169
references: Trends Cogn Sci. 2000 Jan;4(1):14-21
references: 10637618
references: Conscious Cogn. 2003 Dec;12(4):656-69
references: 14656508
references: Early Interv Psychiatry. 2009 May;3(2):83-93
references: 21352181
references: Compr Psychiatry. 2003 Mar-Apr;44(2):121-34
references: 12658621
references: Schizophr Res. 2013 Jan;143(1):50-4
references: 23178108
references: J Nerv Ment Dis. 2003 Aug;191(8):538-41
references: 12972857
references: J Nerv Ment Dis. 2012 Jul;200(7):632-6
references: 22759943
references: Conscious Cogn. 2009 Sep;18(3):653-64
references: 19615919
references: Schizophr Bull. 2007 Jan;33(1):113-21
references: 17023563
references: Schizophr Bull. 2012 Nov;38(6):1327-35
references: 21562141
references: Schizophr Bull. 2010 Nov;36(6):1061-2
references: 20929969
references: Arch Gen Psychiatry. 1978 Jul;35(7):837-44
references: 678037
references: PLoS One. 2011;6(10):e27089
references: 22073126
references: Psychol Med. 1987 Aug;17(3):631-48
references: 3628624
references: Am J Psychiatry. 2010 Jul;167(7):748-51
references: 20595427
references: Psychiatry. 1998 Winter;61(4):269-78
references: 9919622
references: Am J Psychother. 2007;61(2):163-79
references: 17760320
references: Psychol Med. 2000 Sep;30(5):1131-9
references: 12027049
references: Psychopathology. 2005 Sep-Oct;38(5):236-58
references: 16179811
references: Schizophr Bull. 2003;29(3):427-44
references: 14609238
references: Schizophr Bull. 1987;13(2):261-76
references: 3616518
references: Clin Psychol Psychother. 2011 May-Jun;18(3):187-201
references: 20677182
references: J Clin Exp Neuropsychol. 2012;34(5):467-75
references: 22272559
references: Schizophr Res. 2010 Aug;121(1-3):271-6
references: 20347269