Self-consciousness, self-agency, and schizophrenia

Conscious Cogn. 2003 Dec;12(4):656-69. doi: 10.1016/s1053-8100(03)00071-0.

Abstract

Empirical approaches on topics such as consciousness, self-awareness, or introspective perspective, need a conceptual framework so that the emerging, still unconnected findings can be integrated and put into perspective. We introduce a model of self-consciousness derived from phenomenology, philosophy, the cognitive, and neurosciences. We will then give an overview of research data on one particular aspect of our model, self-agency, trying to link findings from cognitive psychology and neuroscience. Finally, we will expand on pathological aspects of self-agency, and in particular on psychosis in schizophrenia. We show, that a deficient self-monitoring system underlies, in part, hallucinations and formal thought (language) disorder in schizophrenia. We argue, that self-consciousness is a valid construct and can be studied with the instruments of cognitive and neuroscience.

MeSH terms

  • Awareness / physiology
  • Brain / physiopathology
  • Brain Mapping
  • Cognition / physiology*
  • Consciousness / physiology*
  • Ego*
  • Hallucinations / diagnosis
  • Hallucinations / physiopathology
  • Hallucinations / psychology
  • Humans
  • Intention
  • Internal-External Control*
  • Magnetic Resonance Imaging
  • Perceptual Distortion / physiology
  • Personal Construct Theory
  • Psychomotor Performance / physiology
  • Schizophrenia / diagnosis
  • Schizophrenia / physiopathology*
  • Schizophrenic Psychology*