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Self-images and related autobiographical memories in schizophrenia
Authors:Bennouna-Greene Mehdi  Berna Fabrice  Conway Martin A  Rathbone Clare J  Vidailhet Pierre  Danion Jean-Marie
Institution:1. Hôpitaux Universitaires de Strasbourg, Clinique Psychiatrique, Pôle Psychiatrie et Santé Mentale, Hôpital Civil 1 Place de l’Hôpital, 67091 Strasbourg Cedex, France;2. Université de Strasbourg, Faculté de Médecine, 4 rue Kirchleger, 67000 Strasbourg, France;3. INSERM U666, Physiologie et Psychopathologie Cognitive de la Schizophrénie, Hôpitaux Universitaires de Strasbourg, 1 place de l’Hôpital, BP 426, 67091 Strasbourg Cedex, France;4. The Leeds Memory Group, Institute of Psychological Sciences, University of Leeds, Leeds LS2 9JT, England, United Kingdom;1. Department of Philosophy, Heinrich-Heine-Universität, Düsseldorf, Germany;2. Hertie-Institute for Clinical Brain Research, Tübingen, Germany;1. Hôpitaux Universitaires de Strasbourg, 1 Place de l’Hôpital, Strasbourg Cedex, France;2. INSERM U-1114, 1 Place de l’Hôpital, Clinique Psychiatrique, Strasbourg Cedex, France;3. Université de Strasbourg, Faculté de Médecine, 4 rue Kirchleger, Strasbourg, France;4. FMTS, Fédération de Médecine Translationnelle de Strasbourg, France;5. INTERPSY (EA 4432), Université de Lorraine, 23 Boulevard Albert 1er, Nancy, France;6. PôleHospitalo-Universitaire de Psychiatrie du Grand Nancy, Centre Psychothérapique de Nancy, Laxou, F-54520, France;7. EA 7298, INGRES, Université de Lorraine, Vandoeuvre-lès-Nancy, F-54000, France;8. CHRU Nancy, Maison des Addictions, Nancy, F-54000, France;1. Department of Psychology, Aarhus University, Denmark;2. Center on Autobiographical Memory Research (CON AMORE), Aarhus University, Denmark;3. Aarhus University Hospital Risskov, Psychosis Research Unit, Denmark
Abstract:Schizophrenia is a severe mental illness, which affects sense of identity. While the ability to have a coherent vision of the self (i.e., self-images) relies partly on its reciprocal relationships with autobiographical memories, little is known about how memories ground "self-images" in schizophrenia. Twenty-five patients with schizophrenia and 25 controls were asked to give six autobiographical memories related to four self-statements they considered essential for defining their identity. Results showed that patients' self-images were more passive than those of controls. Autobiographical memories underlying self-images were less thematically linked to these self-images in patients. We also found evidence of a weakened sense of self and a deficient organization of autobiographical memories grounding the self in schizophrenia. These abnormalities may account for the poor cohesiveness of the self in schizophrenia.
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