The concept of self is a fundamental characteristic of the human mind, and the alteration of self is thought to be a core deficit of schizophrenia. Previous studies have demonstrated that patients with schizophrenia are deficient in self-face recognition. Because self faces are not only self-related but also highly familiar, it is unclear whether such deficit arises from the breakdown of the self-awareness or the failure of recognizing the familiarity of self faces. Here we directly tested these two alternatives by instructing patients with schizophrenia to recognize the identity of a morphed face created by blending face features between any of two identities from the self face, a familiar face, and a novel face. We found that there was no association between the recognition of the self and the recognition of the familiarity, suggesting these two component processes are independent in schizophrenia. Further, patients with schizophrenia were significantly worse in recognizing the familiarity of faces than normal participants, whereas no difference in the sense of self was found between the two groups. Taken together, our finding suggests that it is the sense of familiarity, not the sense of self, that is selectively impaired in self-face recognition in schizophrenia. Thus, our study challenges the hypothesis that the deficit in self-face recognition in schizophrenia reflects the breakdown of self-awareness. , two related but distinct theories have been proposed. One interpretation is that the poor performance reflects deficits in recognizing the familiarity of self faces (i.e., a deficit in the sense of familiarity) [19,20], whereas the other argues that the disrupted behavior arises from the breakdown of self-awareness in schizophrenia (i.e., a deficit in the sense of self) [13,16]. To test these two alternatives, we adopted a paradigm to exclude the effect of general cognitive ability and to decouple self-face recognition into two component processes, the sense of familiarity and the sense of self. We then directly examined which component process of self-face recognition is disrupted in schizophrenia. Previous studies have shown that the sense of familiarity and the sense of self are processed independently in normal participants [9,11]. First, a left-hand advantage is observed only in recognizing self faces, not familiar faces, suggesting that the processing of self is dominated in the right hemisphere [4][5][6]. Second, functional magnetic resonance imaging studies have revealed that different cortical regions are