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16 - Self-narrative in schizophrenia

from Part III - Disturbances of the self: the case of schizophrenia

Published online by Cambridge University Press:  18 December 2009

By
Shaun Gallagher
Edited by
Tilo Kircher  and
Anthony David
Shaun Gallagher
Affiliation:
Department of Philosophy and Cognitive Science, Canisius College, Buffalo, NY, USA
Tilo Kircher
Affiliation:
Eberhard-Karls-Universität Tübingen, Germany
Anthony David
Affiliation:
Institute of Psychiatry, London
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Summary

Abstract

Proper structures of self-narrative depend on at least four capacities in the narrator: (1) a capacity for temporal integration of information; (2) a capacity for minimal self-reference; (3) a capacity for encoding and retrieving autobiographical memories; (4) a capacity for engaging in reflective metacognition. This chapter explicates the cognitive, phenomenological, narratological and neurological details of these four capacities and their dysfunction in schizophrenia, as evidenced by schizophrenic self-narrative.

Introduction

The concept of the narrative self involves a diachronic and complex structure that depends on reflective experience and on factors that are conceptual, emotional and socially embedded. According to a narrative approach, persons constitute their own identity by formulating autobiographical narratives – life stories (Schechtman, 1996). In this chapter I want to explore issues pertaining to the generation and structure of the narrative self in schizophrenia. Normal generation of a narrative self depends on the proper functioning of a variety of cognitive capacities, including capacities for short-term temporal processing (working memory), self-awareness, episodic memory and reflective metacognition. Neuropsychological research suggests that in schizophrenia the mechanisms responsible for each of these elements are frequently disrupted. It should not be surprising that, as a result, schizophrenic narratives, and the self that is constituted through them, are problematic, both in structure and content. (Problems with narrative self-identity begin at the prodromal stage for preschizophrenic subjects at school age (Hartmann et al., 1984).

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The Self in Neuroscience and Psychiatry , pp. 336 - 358
Publisher: Cambridge University Press
Print publication year: 2003

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  • Self-narrative in schizophrenia
    • By Shaun Gallagher, Department of Philosophy and Cognitive Science, Canisius College, Buffalo, NY, USA
  • Edited by Tilo Kircher, Eberhard-Karls-Universität Tübingen, Germany, Anthony David, Institute of Psychiatry, London
  • Book: The Self in Neuroscience and Psychiatry
  • Online publication: 18 December 2009
  • Chapter DOI: https://doi.org/10.1017/CBO9780511543708.017
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  • Self-narrative in schizophrenia
    • By Shaun Gallagher, Department of Philosophy and Cognitive Science, Canisius College, Buffalo, NY, USA
  • Edited by Tilo Kircher, Eberhard-Karls-Universität Tübingen, Germany, Anthony David, Institute of Psychiatry, London
  • Book: The Self in Neuroscience and Psychiatry
  • Online publication: 18 December 2009
  • Chapter DOI: https://doi.org/10.1017/CBO9780511543708.017
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  • Self-narrative in schizophrenia
    • By Shaun Gallagher, Department of Philosophy and Cognitive Science, Canisius College, Buffalo, NY, USA
  • Edited by Tilo Kircher, Eberhard-Karls-Universität Tübingen, Germany, Anthony David, Institute of Psychiatry, London
  • Book: The Self in Neuroscience and Psychiatry
  • Online publication: 18 December 2009
  • Chapter DOI: https://doi.org/10.1017/CBO9780511543708.017
Available formats
×