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Psychopathology of Lived Time: Abnormal Time Experience in Persons With Schizophrenia

机译:生存时间的心理病理学:精神分裂症患者的异常时间经历

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摘要

Abnormal time experience (ATE) in schizophrenia is a long-standing theme of phenomenological psychopathology. This is because temporality constitutes the bedrock of any experience and its integrity is fundamental for the sense of coherence and continuity of selfhood and personal identity. To characterize ATE in schizophrenia patients as compared to major depressives we interviewed, in a clinical setting over a period of 15 years, 550 consecutive patients affected by schizophrenic and affective disorders. Clinical files were analyzed by means of Consensual Qualitative Research (CQR), an inductive method suited to research that requires rich descriptions of inner experiences. Of the whole sample, 109 persons affected by schizophrenic (n = 95 acute, n = 14 chronic) and 37 by major depression reported at least 1 ATE. ATE are more represented in acute (N = 109 out of 198; 55%) than in chronic schizophrenic patients (N = 14 out of 103; 13%). The main feature of ATE in people with schizophrenia is the fragmentation of time experience (71 out of 109 patients), an impairment of the automatic and prereflexive synthesis of primal impression-retention-protention. This includes 4 subcategories: disruption of time flowing, déjà vu/vecu, premonitions about oneself and the external world. We contrasted ATE in schizophrenia and in major depression, finding relevant differences: in major depressives there is no disarticulation of time experience, rather timelessness because time lacks duration, not articulation. These core features of the schizophrenic pheno-phenotype may be related to self-disorders and to the manifold of characteristic schizophrenic symptoms, including so called bizarre delusions and verbal-acoustic hallucinations.
机译:精神分裂症的异常时间经历(ATE)是现象学心理病理学的长期主题。这是因为暂时性是任何经验的基石,其完整性对于自我和个人身份的连贯性和连续性至关重要。为了表征精神分裂症患者与主要抑郁症相比的ATE,我们在15年的临床环境中连续研究了550位连续受精神分裂症和情感障碍影响的患者。临床档案通过共识定性研究(CQR)进行分析,这是一种适用于需要对内部经验进行丰富描述的归纳方法。在整个样本中,有109人患有精神分裂症(n = 95,急性,n = 14,慢性),其中37受重度抑郁症影响,至少有1 ATE。与急性精神分裂症患者相比,急性(在198人中,N = 109; 55%)中的ATE发生率更高(在103人中,N = 14; 13%)。 ATE在精神分裂症患者中的主要特征是时间经历的分散(109名患者中的71名),这是对原始印象保持保留的自动和自反合成的损害。其中包括4个子类别:时间流逝中断,déjàvu/ vecu,关于自己和外界的预感。我们在精神分裂症和重度抑郁症中对ATE进行了对比,发现了相关的差异:在重度抑郁症中,没有时间经验的明确表达,而是因为时间缺乏持续时间而不是明确表达的永恒性。精神分裂症表型的这些核心特征可能与自我障碍以及特征性精神分裂症症状的多种多样有关,包括所谓的奇幻妄想和言语幻觉。

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