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Abnormal (disturbed) self-experiences in schizophrenia spectrum disorders: the qualitative aspect

Marco Fierro1, Abel Guerrero2, Juan Toro3

  • 1MD. Mg. Filosofía. Departamento de psiquiatría, Facultad de Medicina, Universidad Unisanitas. Bogotá, Colombia.. abel.guerrero@urosario.edu.co.

Vertex (Buenos Aires, Argentina)
|July 14, 2026
PubMed
Summary

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This review explores the basic self, a fundamental sense of being present, and its disruptions in schizophrenia spectrum disorders. Understanding these self disturbances is key to diagnosing and treating psychosis.

Area of Science:

  • Psychopathology
  • Phenomenology
  • Neuroscience

Background:

  • Growing interest in the self and its alterations from a phenomenological perspective.
  • Limited Spanish-language publications on psychopathology and schizophrenia.
  • Need for a review of basic self concept and its disturbances in schizophrenia.

Purpose of the Study:

  • To provide a narrative review of the basic self concept.
  • To examine qualitative aspects of basic self alterations in schizophrenia spectrum disorders and prodrome.

Main Methods:

  • Narrative review of existing literature.
  • Focus on phenomenological and qualitative aspects of self experience.

Main Results:

  • The basic self is an implicit sense of self-presence, prereflective and fundamental to experience.
Keywords:
schizophreniaselfself-disordersanomalous self-experiencesschizophrenia prodromephenomenology

Related Experiment Videos

  • Alterations in the basic self are central phenotypic features of schizophrenia spectrum disorders.
  • These alterations involve distortions in the first-person perspective and sense of agency.

    • Conclusions:

    • The basic self is a universal, prereflective sense of being.
    • Self-anomalous experiences are core to schizophrenia spectrum disorders.
    • Further research into these disturbances is crucial for understanding psychosis.