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作者: MC Allé , A D’Argembeau , P Schneider , J Potheegadoo , R Coutelle

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摘要: Disorders of the self, such as a reduced sense of personal continuity in time, are a core symptom of schizophrenia, but one that is still poorly understood. In the present study, we investigated two complementary aspects of self-continuity, namely phenomenological and narrative continuity, in 27 patients with schizophrenia, and compared them with 27 control participants. Participants were asked to identify important past events and to narrate a story from their life that included these events. They were also asked to imagine important events that might happen in their personal future and to build a narrative of their future life. The vividness of these important life events and the proportion of self-event connections in the narratives were used as a measure of phenomenological and narrative continuity, respectively. Our results showed patients with schizophrenia experienced less vivid representations of personally significant events for both temporal directions (past and future). In addition, their ability to make explicit connections between personal events and selfattributes in life narratives was also impaired, but only in the case of past narratives. These results shed new light on the cognitive mechanisms underlying self-disorders in schizophrenia. The clinical and therapeutic implications of these findings are discussed.

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