Coenästhetische Schizophrenie

Schmoll, Dirk

doi:10.1055/s-2007-999070

Cited by 6 publications

(4 citation statements)

References 2 publications

(2 reference statements)

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“…Since Wernicke foreshadowed the idea of body image in his concept of the ‘somatopsyche’, disturbances of body have been recognized as important in the understanding of schizophrenic patients, especially in relation to hallucinatory and delusional disturbances 1–4 5 …”

Section: Introductionmentioning

confidence: 99%

“…Since Wernicke foreshadowed the idea of body image in his concept of the 'somatopsyche', disturbances of body have been recognized as important in the understanding of schizophrenic patients, especially in relation to hallucinatory and delusional disturbances. [1][2][3][4] However, during the 1980s the predominant view of the phenomenology of schizophrenia broadened beyond a narrow focus on psychotic symptoms to include negative symptoms and, in the 1990s, to include an emphasis on the neurocognitive aspects of schizophrenia, regarding schizophrenia as a disorder of neurocognition. 5 During these two decades, the observations on abnormal body experiences have also been broadened to include disturbances of pain perception, 6-10 out-of-body experiences, [11][12][13] dysmorphophobia [14][15][16][17][18][19][20][21] and self-injury or self-mutilation.…”

Section: Introductionmentioning

confidence: 99%

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Body image, symptoms and insight in chronic schizophrenia

Koide

Iizuka

Fujihara

et al. 2002

Psychiatry Clin Neurosci

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Historically, schizophrenics' body image problems were regarded as related particularly to delusions and hallucinations. However, during the 1980s, the predominant view of the phenomenology of the disorder broadened to include negative symptoms; deviations in schizophrenics' body image underlie various behaviors or allegations concerning the body and should be refocused. The present study attempted to detect body image deviations in chronic schizophrenia using the Body Image Questionnaire (BIQ), which comprises three hypothetical components (anatomical, functional and other psychological components), and to clarify their related clinical characteristics in symptoms and insight. The BIQ was administered to 93 chronic schizophrenics (diagnosed according to DSM IV; 44 men and 49 women) and 177 normals (78 men and 99 women) adults. The combined data of the three BIQ components in schizophrenic and normal subjects were factor-analyzed separately, and factor scores obtained were compared between schizophrenic and normal groups. The factor scores that differentiated groups were further compared between schizophrenic subgroups, determined by high or low scores for positive symptoms assessed by Scale for the Assessment of Positive Symptoms, negative symptoms by Scale for the Assessment of Negative Symptoms and insight by the Schedule for Assessing Insight. Significant differences between diagnostic groups were found in five of nine factor scores. Dullness in movement, powerlessness, unusually strong gastrointestinal function, lifelessness and fragility proved to be the deviated body images in chronic schizophrenic patients. Powerlessness and lifelessness proved to be related to positive and negative symptoms, and unusually strong gastrointestinal function and fragility to insight.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Body image, symptoms and insight in chronic schizophrenia

Koide

Iizuka

Fujihara

et al. 2002

Psychiatry Clin Neurosci

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“…S. Priebe Erkrankungen. Huber [51,52] [102] vor dem Hintergrund einer von Merlau-Ponty bestimmten Phänomenologie der Leiblichkeit die "Sinnstruktur des Leibes" im subjektiven Erleben der Kranken nach. Von zwei Patienten wurden die Coenästhesien positiv bewertet, für neun weitere Patienten mil Leibgefühlsstörungen wurden negative Interaktionen mit der Regelmäßigkeit der Medikamenleneinnahme erfaßt, was vom Autor als Hinweis auf eine Kompensation erlebter Ich-Schwächen durch die leibsymptome diskutiert wurde.…”

Section: Coenästhesien Körper-jleibhalluzinationenunclassified

Störungen des Körpererlebens bei schizophrenen Patienten

Röhricht¹,

Priebe

1997

Fortschr Neurol Psychiatr

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Disturbances of body experience in schizophrenia patients occur frequently. They vary phenomenologically and lack exact and distinct definitions. Their theoretical and clinical relevance remains widely unclear. This review summarises the literature on clinically relevant symptoms such as coenaesthesis and body hallucinations, disturbances of pain perception, out-of-body-experiences, dysmorphophobia and self-injuries or self-mutilation. Empirical studies on the concepts of body schema, body concept and body cathexis are reported. Many of these studies have serious methodological shortcomings. The correlation of disturbances of body experience with other psychopathology is considered. Standardised methods for assessing these disturbances are listed. Effects of body-oriented psychotherapy have been suggested, but not empirically tested. Finally, the possible relevance of further research in this field is discussed.

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“…Empirical research shows that patients with schizophrenia frequently present many different kinds of ABP in the course of their illness, including somatic delusions [26], coenaesthesias [7,[27][28][29][30][31], disturbances of pain perception [32][33][34][35], out-ofbody experiences [36,37], dysmorphophobia [38][39][40][41][42][43][44], body disintegration [45], and self-injury or self-mutilation [46][47][48][49][50]. This set of phenomena is heterogeneous and most of them are not specific to schizophrenia.…”

Section: Introductionmentioning

confidence: 99%