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Schizophrenia, Subjectivity, and Mindreading

Nour, MM; Barrera, A; (2015) Schizophrenia, Subjectivity, and Mindreading. Schizophrenia Bulletin , 41 (6) pp. 1214-1219. 10.1093/schbul/sbv035. Green open access

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Abstract

A number of recent articles, many appearing in Schizophrenia Bulletin, signal a renewed interest in phenomenological approaches to our understanding of schizophrenia. These approaches conceptualize schizophrenia as a disorder of altered self-awareness and decreased prereflective social attunement, which may manifest as an impaired understanding of self, others, and the physical world. Phenomenological approaches to psychopathology are sometimes construed as being incompatible with the reductionistic methodology of contemporary neuroscience. In this article, we re-examine findings from the phenomenological investigation of schizophrenia in light of an influential neurocomputational account of mindreading, which postulates that understanding of others is subserved by coherent internal self-models. We argue that the phenomenological approach to schizophrenia is not incompatible with a neurocomputational account of mindreading, and that the 2 approaches should instead be viewed as existing in a relationship of mutual constraint and enlightenment. Our hypothesis, while speculative, is an attempt to marry the phenomenological and neuronal realities of schizophrenia. Furthermore, it has implications for psychotherapeutic interventions and future research.

Type: Article
Title: Schizophrenia, Subjectivity, and Mindreading
Open access status: An open access version is available from UCL Discovery
DOI: 10.1093/schbul/sbv035
Publisher version: https://doi.org/10.1093/schbul/sbv035
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: Science & Technology, Life Sciences & Biomedicine, Psychiatry, phenomenology, Bayesian inference, predictive coding, self-disorder, QUALITY-OF-LIFE, SELF-DISORDERS, INDIVIDUAL PSYCHOTHERAPY, 1ST-PERSON PERSPECTIVE, NARRATIVE STRUCTURE, SOCIAL COGNITION, DIALOGICAL SELF, PSYCHOPATHOLOGY, SPECTRUM, NEUROSCIENCE
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology > Imaging Neuroscience
URI: https://discovery.ucl.ac.uk/id/eprint/10060876
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