Dr. Hemsley, THE DISRUPTION OF THE SENSE OF SELF IN SCHIZOPHRENIA - POTENTIAL LINKS WITH DISTURBANCES OF INFORMATION-PROCESSING, British Journal of Medical Psychology, 71, 1998, pp. 115-124
It is argued in this paper that the disruption of one aspect of the 's
ense of self' in schizophrenia, that relating to the continuity of con
scious experience and the organization of action, may be linked to cur
rent models of the information-processing disturbance prominent in the
disorder. The 'sense of self in normal persons in part results from t
he consistent manner in which contextually appropriate stored material
operates on sensory input. If, as has been proposed, there is in schi
zophrenia a disruption in the moment-by-moment integration of these so
urces of information, then a disturbance in the 'sense of self is impl
icit in the cognitive model. A consideration of action identification
theory (Vallacher & Wegner, 1987) permits Further links to be made, si
nce higher-level action identities are viewed as being practically syn
onymous with self-defining significance. It is suggested that che info
rmation-processing disturbance results in a tendency to low-level acti
on identification and a gradually developing instability in the sense
of personal identity.