The phenomenological critique and self-disturbance: implications for ultra-high risk ("prodrome") research.
Identifieur interne : 003782 ( Main/Exploration ); précédent : 003781; suivant : 003783The phenomenological critique and self-disturbance: implications for ultra-high risk ("prodrome") research.
Auteurs : Barnaby Nelson [Australie] ; Alison R. Yung ; Andreas Bechdolf ; Patrick D. McgorrySource :
- Schizophrenia bulletin [ 0586-7614 ] ; 2008.
Descripteurs français
- KwdFr :
- MESH :
- diagnostic : Schizophrénie, Troubles psychotiques.
- Concept du soi, Facteurs de risque, Humains.
English descriptors
- KwdEn :
- MESH :
- diagnosis : Psychotic Disorders, Schizophrenia.
- Humans, Risk Factors, Self Concept.
Abstract
Recent years have witnessed widespread interest in the early phase of schizophrenia and other psychotic disorders. Strategies have been introduced to attempt to identify individuals in the prepsychotic or prodromal phase. The most widely used of these approaches is the ultra-high risk (UHR) approach, which combines known trait and state risk factors for psychotic disorder. However, researchers guided by phenomenological theory have argued that modern psychiatry's neglect of subjective experience has compromised researchers' understanding of psychotic disorder and has thereby limited efforts at prospective and early identification. Phenomenological research indicates that disturbance of the basic sense of self may be a core marker of psychotic vulnerability, particularly of schizophrenia spectrum disorders. It is argued that identifying self-disturbance in the UHR population may provide a means of further "closing in" on individuals truly at high risk of psychotic disorder, thus supplementing the UHR identification approach. This would be of practical value in the sense of reducing inclusion of "false-positive" cases in UHR samples and of theoretical value in the sense of shedding light on core features of psychotic pathology. The strong explanatory power and empirical findings to date invite further research into the role of self-disturbance as a phenotypic vulnerability marker for psychotic disorder.
DOI: 10.1093/schbul/sbm094
PubMed: 17702990
PubMed Central: PMC2632406
Affiliations:
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Barnaby.Nelson@mh.org.au</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>ORYGEN Research Centre, 35 Poplar Road (Locked Bag 10), Parkville, Victoria 3052</wicri:regionArea><wicri:noRegion>Victoria 3052</wicri:noRegion></affiliation></author><author><name sortKey="Yung, Alison R" sort="Yung, Alison R" uniqKey="Yung A" first="Alison R" last="Yung">Alison R. Yung</name></author><author><name sortKey="Bechdolf, Andreas" sort="Bechdolf, Andreas" uniqKey="Bechdolf A" first="Andreas" last="Bechdolf">Andreas Bechdolf</name></author><author><name sortKey="Mcgorry, Patrick D" sort="Mcgorry, Patrick D" uniqKey="Mcgorry P" first="Patrick D" last="Mcgorry">Patrick D. Mcgorry</name></author></analytic><series><title level="j">Schizophrenia bulletin</title><idno type="ISSN">0586-7614</idno><imprint><date when="2008" type="published">2008</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Humans (MeSH)</term><term>Psychotic Disorders (diagnosis)</term><term>Risk Factors (MeSH)</term><term>Schizophrenia (diagnosis)</term><term>Self Concept (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Concept du soi (MeSH)</term><term>Facteurs de risque (MeSH)</term><term>Humains (MeSH)</term><term>Schizophrénie (diagnostic)</term><term>Troubles psychotiques (diagnostic)</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Psychotic Disorders</term><term>Schizophrenia</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Schizophrénie</term><term>Troubles psychotiques</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Humans</term><term>Risk Factors</term><term>Self Concept</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Concept du soi</term><term>Facteurs de risque</term><term>Humains</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Recent years have witnessed widespread interest in the early phase of schizophrenia and other psychotic disorders. Strategies have been introduced to attempt to identify individuals in the prepsychotic or prodromal phase. The most widely used of these approaches is the ultra-high risk (UHR) approach, which combines known trait and state risk factors for psychotic disorder. However, researchers guided by phenomenological theory have argued that modern psychiatry's neglect of subjective experience has compromised researchers' understanding of psychotic disorder and has thereby limited efforts at prospective and early identification. Phenomenological research indicates that disturbance of the basic sense of self may be a core marker of psychotic vulnerability, particularly of schizophrenia spectrum disorders. It is argued that identifying self-disturbance in the UHR population may provide a means of further "closing in" on individuals truly at high risk of psychotic disorder, thus supplementing the UHR identification approach. This would be of practical value in the sense of reducing inclusion of "false-positive" cases in UHR samples and of theoretical value in the sense of shedding light on core features of psychotic pathology. The strong explanatory power and empirical findings to date invite further research into the role of self-disturbance as a phenotypic vulnerability marker for psychotic disorder.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">17702990</PMID><DateCompleted><Year>2008</Year><Month>06</Month><Day>27</Day></DateCompleted><DateRevised><Year>2018</Year><Month>11</Month><Day>13</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Print">0586-7614</ISSN><JournalIssue CitedMedium="Print"><Volume>34</Volume><Issue>2</Issue><PubDate><Year>2008</Year><Month>Mar</Month></PubDate></JournalIssue><Title>Schizophrenia bulletin</Title><ISOAbbreviation>Schizophr Bull</ISOAbbreviation></Journal><ArticleTitle>The phenomenological critique and self-disturbance: implications for ultra-high risk ("prodrome") research.</ArticleTitle><Pagination><MedlinePgn>381-92</MedlinePgn></Pagination><Abstract><AbstractText>Recent years have witnessed widespread interest in the early phase of schizophrenia and other psychotic disorders. Strategies have been introduced to attempt to identify individuals in the prepsychotic or prodromal phase. The most widely used of these approaches is the ultra-high risk (UHR) approach, which combines known trait and state risk factors for psychotic disorder. However, researchers guided by phenomenological theory have argued that modern psychiatry's neglect of subjective experience has compromised researchers' understanding of psychotic disorder and has thereby limited efforts at prospective and early identification. Phenomenological research indicates that disturbance of the basic sense of self may be a core marker of psychotic vulnerability, particularly of schizophrenia spectrum disorders. It is argued that identifying self-disturbance in the UHR population may provide a means of further "closing in" on individuals truly at high risk of psychotic disorder, thus supplementing the UHR identification approach. This would be of practical value in the sense of reducing inclusion of "false-positive" cases in UHR samples and of theoretical value in the sense of shedding light on core features of psychotic pathology. The strong explanatory power and empirical findings to date invite further research into the role of self-disturbance as a phenotypic vulnerability marker for psychotic disorder.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Nelson</LastName><ForeName>Barnaby</ForeName><Initials>B</Initials><AffiliationInfo><Affiliation>ORYGEN Research Centre, 35 Poplar Road (Locked Bag 10), Parkville, Victoria 3052, Australia. 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