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SCHIZOPHRENIA AS DIALOGUE AT THE ENDS OF ITS TETHER: THE RELATIONSHIP OF DISRUPTIONS IN IDENTITY WITH POSITIVE AND NEGATIVE SYMPTOMS

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It has been widely observed that schizophrenia brings an experience of self-disintegration. Yet is this related to clinical manifestations of the disorder? It is extremely unlikely that one simply causes the other or that they are unrelated. We theorize that the experience of self-disintegration reflects a collapse of the capacity to maintain ongoing dialogue within and between persons and that two major symptom dimensions, positive and negative symptoms, may create or be exacerbated by diminishments in dialogical capacity. Thus, symptoms and disruptions in self-experience may be distinct in schizophrenia but also mutually affect one another via the thread of dialogical disturbance.
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Document Type: Research Article

Affiliations: 1: Roudebush VA Medical Center and the Psychiatry Department, Indiana University School of Medicine, Indianapolis, Indiana, USA 2: Department of Philosophy, University of Oregon, Eugene, Oregon, USA

Publication date: April 1, 2004

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