Flat affect in schizophrenia does not reflect diminished subjective experience of emotion.
Abstract
Although accorded historical significance, affective features of schizophrenia have only begun to receive systematic empirical attention. Interestingly, both early psychopathology writers and more recent investigators have reported frequent discrepancies between schizophrenics' feelings and outward expressions of emotion. Using a more comprehensive assessment of emotion, the present study examines the relationship between emotional experience and expression in a sample of medication-free schizophrenics. Compared with their normal counterparts, schizophrenics were indeed much less facially expressive of both positive and negative emotions during emotion-eliciting films, yet they reported experiencing as much positive and negative emotion. Therefore, the blunted affect typical of some schizophrenics misrepresents their underlying emotional experience. Future research into an inhibition hypothesis is recommended.
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Individuals with schizophrenia also report similar or heightened subjective emotional experience, including in response to movie clips, pictures, food, and odors.
“However, individuals with schizophrenia also report similar or heightened subjective emotional experience [392], including in response to movie clips [393], pictures [394], food [395], and even odors [396].”
From Reward circuitry dysfunction in psychiatric and neurodevelopmental disorders and genetic syndromes: animal models and clinical findings (2012) · cites this paper as [393]
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Facial expressions of emotion and psychopathology in adolescent boys.
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Affective and social-behavioral correlates of physical and social anhedonia in schizophrenia.
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Emotional processing in schizophrenia
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Emotional Memory in Schizophrenia
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Schizophrenic patients show facial reactions to emotional facial expressions
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Non‐verbal behaviour deficits in schizophrenia: an ethological study of drug‐free patients
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A prospective longitudinal 10-year study of schizophrenia's three major factors and depression
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Stability of emotional responding in schizophrenia
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Negative symptoms, schizophrenia, and the self
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The Fragile Brain: Stress Vulnerability, Negative Affect and GABAergic Neurocircuits in Psychosis
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- Authors
- Kring, A. M., Kerr, S. L., Smith, D. A., & Neale, J. M.
- Affiliations
- Vanderbilt University (US)
- Venue
- Journal of Abnormal Psychology
- Published
- 1993-11
- Volume
- 102
- Issue
- 4
- Pages
- 507-517
- ISSN
- 0021-843X (ISSN-L)
- 1939-1846
- OpenAlex
- W1999187797
- Cited by
- 319
- References
- 54
- Citations by year
- 2026: 4 · 2025: 5 · 2024: 3 · 2023: 5 · 2022: 8 · 2021: 3 · 2020: 5 · 2019: 4 · 2018: 1 · 2017: 7 · 2016: 10 · 2015: 10 · 2014: 13 · 2013: 13 · 2012: 22
- FWCI
- 5.21
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Abnormal Psychology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Mental Health (MH4411602)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Social Sciences › Arts and Humanities › Philosophy › Mental Health and Psychiatry
- Social Sciences › Psychology › Clinical Psychology › Psychopathy, Forensic Psychiatry, Sexual Offending
- Keywords
- schizophrenia, flat affect, blunted affect, emotional experience, emotional facial expressions, subjective emotional experience, medication-free patients
- MeSH terms
- Adult, Affective Symptoms, Emotions, Humans, Male, Personality Assessment, Psychiatric Status Rating Scales, Schizophrenia, Schizophrenic Psychology
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