Self-Disorders: Clinical and Conceptual Implications for the Diagnostic Concept of Schizophrenia
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Self-Disorders : Clinical and Conceptual Implications for the Diagnostic Concept of Schizophrenia. / Parnas, Josef; Jansson, Lennart B.
I: Psychopathology, Bind 48, Nr. 5, 2015, s. 332-8.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Self-Disorders
T2 - Clinical and Conceptual Implications for the Diagnostic Concept of Schizophrenia
AU - Parnas, Josef
AU - Jansson, Lennart B
N1 - © 2015 S. Karger AG, Basel.
PY - 2015
Y1 - 2015
N2 - The release of DSM-5 and the preparations for the launch of the ICD-11 provoked a series of critiques of psychiatric classification, which continues to depend largely on clinical description. Among the immediate problems are those of arbitrary diagnostic thresholds, tendency to reification, rigid category boundaries, comorbidity, diagnostic 'epidemics' and differential diagnostic dilemmas. We argue that many of those problems stem from the polythetic-operational definitions of psychiatric categories, which thereby come to lack an organizing prototype-directed or gestaltic intelligibility principle. We illustrate these issues by briefly examining the current operational diagnosis of schizophrenia, its demarcation from affective illness and the status of the spectrum concept and the prodrome of schizophrenia. We point out that European research on schizophrenia always allocated an important diagnostic weight to a certain prototypical trait core of the illness, phenomenologically indispensable for its demarcation from other, nonschizophrenic psychotic conditions. We believe that the notion of self-disorder (reflective of the structural alterations of subjectivity), itemized into its various aspects in the Examination of Anomalous Self-Experience scale, is an important step forward in a more precise psychopathological articulation of that core, strengthening its clinical and research utility.
AB - The release of DSM-5 and the preparations for the launch of the ICD-11 provoked a series of critiques of psychiatric classification, which continues to depend largely on clinical description. Among the immediate problems are those of arbitrary diagnostic thresholds, tendency to reification, rigid category boundaries, comorbidity, diagnostic 'epidemics' and differential diagnostic dilemmas. We argue that many of those problems stem from the polythetic-operational definitions of psychiatric categories, which thereby come to lack an organizing prototype-directed or gestaltic intelligibility principle. We illustrate these issues by briefly examining the current operational diagnosis of schizophrenia, its demarcation from affective illness and the status of the spectrum concept and the prodrome of schizophrenia. We point out that European research on schizophrenia always allocated an important diagnostic weight to a certain prototypical trait core of the illness, phenomenologically indispensable for its demarcation from other, nonschizophrenic psychotic conditions. We believe that the notion of self-disorder (reflective of the structural alterations of subjectivity), itemized into its various aspects in the Examination of Anomalous Self-Experience scale, is an important step forward in a more precise psychopathological articulation of that core, strengthening its clinical and research utility.
KW - Diagnostic and Statistical Manual of Mental Disorders
KW - Gestalt Theory
KW - Humans
KW - Schizophrenia
KW - Schizophrenic Psychology
KW - Self Concept
U2 - 10.1159/000437232
DO - 10.1159/000437232
M3 - Journal article
C2 - 26346370
VL - 48
SP - 332
EP - 338
JO - Psychopathology
JF - Psychopathology
SN - 0254-4962
IS - 5
ER -
ID: 162112766