Schizophrenia, Subjectivity, and Mindreading
Open accessAbstract
A number of recent articles, many appearing in Schizophrenia Bulletin, signal a renewed interest in phenomenological approaches to our understanding of schizophrenia. These approaches conceptualize schizophrenia as a disorder of altered self-awareness and decreased prereflective social attunement, which may manifest as an impaired understanding of self, others, and the physical world. Phenomenological approaches to psychopathology are sometimes construed as being incompatible with the reductionistic methodology of contemporary neuroscience. In this article, we re-examine findings from the phenomenological investigation of schizophrenia in light of an influential neurocomputational account of mindreading, which postulates that understanding of others is subserved by coherent internal self-models. We argue that the phenomenological approach to schizophrenia is not incompatible with a neurocomputational account of mindreading, and that the 2 approaches should instead be viewed as existing in a relationship of mutual constraint and enlightenment. Our hypothesis, while speculative, is an attempt to marry the phenomenological and neuronal realities of schizophrenia. Furthermore, it has implications for psychotherapeutic interventions and future research.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
This process, sometimes called desubjectivation, weakens the basic sense of being present to oneself and makes experience lose its immediacy.
“This process, sometimes called desubjectivation (or de-embodiment of subjectivity), weakens the basic sense of being present to oneself and makes experience lose its immediacy [2,3].”
From Delusional Experiences Emerging From AI Chatbot Interactions or “AI Psychosis” (2025) · cites this paper as [3]
Cites
The free-energy principle: a unified brain theory?
Friston, K. (2010) · Nature Reviews Neuroscience · doi:10.1038/nrn2787 · Cited by 8,120 · see citing works
Whatever next? Predictive brains, situated agents, and the future of cognitive science
Clark, A. (2013) · Behavioral and Brain Sciences · doi:10.1017/s0140525x12000477 · Cited by 5,924 · see citing works
A theory of cortical responses.
Friston, K. (2005) · Philosophical Transactions of the Royal Society B: Biological Sciences · doi:10.1098/rstb.2005.1622 · Cited by 4,578 · see citing works
Dementia Praecox or the Group of Schizophrenias
(1951) · Journal of the American Medical Association · doi:10.1001/jama.1951.02920270079043 · Cited by 4,407 · see citing works
The cognitive neuropsychology of schizophrenia
(1993) · Choice Reviews Online · doi:10.5860/choice.31-0601 · Cited by 1,901 · see citing works
Gallagher, S., & Zahavi, D. (2007) · doi:10.4324/9780203086599 · Cited by 1,512 · see citing works
Toward a second-person neuroscience
Schilbach, L., Timmermans, B., Reddy, V., Costall, A., Bente, G., Schlicht, T., & Vogeley, K. (2013) · Behavioral and Brain Sciences · doi:10.1017/s0140525x12000660 · Cited by 1,510 · see citing works
The Divided Self: An Existential Study in Sanity and Madness
(1966) · The Medical Journal of Australia · doi:10.5694/j.1326-5377.1966.tb19657.x · Cited by 1,463 · see citing works
James, W. (n.d.) · University of Michigan Library Repository · Cited by 1,439 · see citing works
(1996) · Journal of Consciousness Studies · Cited by 1,338 · see citing works
Schizophrenia, consciousness, and the self
Sass, L. A., & Parnas, J. (2003) · Schizophrenia Bulletin · doi:10.1093/oxfordjournals.schbul.a007017 · Cited by 1,324 · see citing works
A unifying computational framework for motor control and social interaction
Wolpert, D. M., Doya, K., & Kawato, M. (2003) · Philosophical Transactions of the Royal Society of London. Series B: Biological Sciences · doi:10.1098/rstb.2002.1238 · Cited by 1,228 · see citing works
Predictive coding: an account of the mirror neuron system
Kilner, J. M., Friston, K. J., & Frith, C. D. (2007) · Cognitive Processing · doi:10.1007/s10339-007-0170-2 · Cited by 1,134 · see citing works
The cognitive neuropsychology of schizophrenia
Garety, P. A. (1993) · Personality and Individual Differences · doi:10.1016/0191-8869(93)90350-c · Cited by 833 · see citing works
Theory of mind impairment in schizophrenia: meta-analysis
Bora, E., Yucel, M., & Pantelis, C. (2009) · Schizophrenia Research · doi:10.1016/j.schres.2008.12.020 · Cited by 797 · see citing works
James, W. (1892) · Macmillan eBooks · doi:10.1037/11630-000 · Cited by 725 · see citing works
Learning and inference in the brain
Friston, K. (2003) · Neural Networks · doi:10.1016/j.neunet.2003.06.005 · Cited by 724 · see citing works
Jaspers, K. (1997) · Johns Hopkins University Press eBooks · doi:10.56021/9780801858154 · Cited by 639 · see citing works
Lysaker, P. H., Carcione, A., Dimaggio, G., Johannesen, J., Nicolò, G., Procacci, M., & Semerari, A. (2005) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.2005.00514.x · Cited by 528 · see citing works
Moller, P., & Husby, R. (2000) · Schizophrenia Bulletin · doi:10.1093/oxfordjournals.schbul.a033442 · Cited by 464 · see citing works
Antoine Lutz, A., & Thompson, E. T. (2003) · Journal of Consciousness Studies · Cited by 403 · see citing works
Bora, E., & Pantelis, C. (2013) · Schizophrenia Research · doi:10.1016/j.schres.2012.12.013 · Cited by 351 · see citing works
A Disappearing Heritage: The Clinical Core of Schizophrenia
Parnas, J. (2011) · Schizophrenia Bulletin · doi:10.1093/schbul/sbr081 · Cited by 270 · see citing works
Metacognitive Capacities for Reflection in Schizophrenia: Implications for Developing Treatments
Lysaker, P. H., & Dimaggio, G. (2014) · Schizophrenia Bulletin · doi:10.1093/schbul/sbu038 · Cited by 244 · see citing works
Simulation, projection and empathy
Zahavi, D. (2008) · Consciousness and Cognition · doi:10.1016/j.concog.2008.03.010 · Cited by 237 · see citing works
CyberChild - A simulation test-bed for consciousness studies
COTTERILL, R. M. J. (2003) · Technical University of Denmark, DTU Orbit (Technical University of Denmark, DTU) · Cited by 236 · see citing works
Narrative Structure in Psychosis
Lysaker, P. H., & Lysaker, J. T. (2002) · Theory & Psychology · doi:10.1177/0959354302012002630 · Cited by 235 · see citing works
Dimaggio, G., Lysaker, P. H., Carcione, A., Nicolò, G., & Semerari, A. (2008) · Consciousness and Cognition · doi:10.1016/j.concog.2008.02.005 · Cited by 232 · see citing works
Self and narrative in schizophrenia: time to author a new story
Roe, D., & Davidson, L. (2005) · Medical Humanities · doi:10.1136/jmh.2005.000214 · Cited by 212 · see citing works
STANGHELLINI, G. (2009) · World Psychiatry · doi:10.1002/j.2051-5545.2009.tb00212.x · Cited by 191 · see citing works
Moskowitz, A., & Heim, G. (2011) · Schizophrenia Bulletin · doi:10.1093/schbul/sbr016 · Cited by 182 · see citing works
Self-disorders and the Schizophrenia Spectrum: A Study of 100 First Hospital Admissions
Nordgaard, J., & Parnas, J. (2014) · Schizophrenia Bulletin · doi:10.1093/schbul/sbt239 · Cited by 182 · see citing works
First Steps Toward a Psychopathology of "Common Sense"
Blankenburg, W., & Mishara, A. L. (2001) · Philosophy, psychiatry & psychology · doi:10.1353/ppp.2002.0014 · Cited by 178 · see citing works
Lysaker, P. H., Dimaggio, G., Buck, K. D., Carcione, A., & Nicolò, G. (2007) · Schizophrenia Research · doi:10.1016/j.schres.2007.02.016 · Cited by 175 · see citing works
Parnas, J., Handest, P., Jansson, L., & Sæbye, D. (2005) · Psychopathology · doi:10.1159/000088442 · Cited by 171 · see citing works
The Diagnostic Status of First-Rank Symptoms
Nordgaard, J., Arnfred, S. M., Handest, P., & Parnas, J. (2007) · Schizophrenia Bulletin · doi:10.1093/schbul/sbm044 · Cited by 157 · see citing works
Autism in schizophrenia revisited
Parnas, J., & Bovet, P. (1991) · Comprehensive Psychiatry · doi:10.1016/0010-440x(91)90065-k · Cited by 151 · see citing works
Phenomenology and Experimental Design: Toward a Phenomenologically Enlightened Experimental Science.
Gallagher, S. (2003) · Journal of International Crisis and Risk Communication Research · Cited by 148 · see citing works
The Silent Side of the Spectrum: Schizotypy and the Schizotaxic Self
Raballo, A., & Parnas, J. (2010) · Schizophrenia Bulletin · doi:10.1093/schbul/sbq008 · Cited by 145 · see citing works
Social cognition and quality of life in schizophrenia
Maat, A., Fett, A.-K. J., & Derks, E. M. (2012) · Schizophrenia Research · doi:10.1016/j.schres.2012.02.017 · Cited by 144 · see citing works
Bayesian inferences about the self (and others): a review.
Moutoussis, M., Fearon, P., El-Deredy, W., Dolan, R. J., & Friston, K. J. (2014) · Consciousness and Cognition · doi:10.1016/j.concog.2014.01.009 · Cited by 141 · see citing works
Lysaker, P. H., Buck, K. D., & Ringer, J. M. (2007) · Psychotherapy Research · doi:10.1080/10503300701255932 · Cited by 126 · see citing works
Phenomenological Psychopathology and Schizophrenia: Contemporary Approaches and Misunderstandings
Sass, L. A., Parnas, J., & Zahavi, D. (2011) · Philosophy, psychiatry & psychology · doi:10.1353/ppp.2011.0008 · Cited by 123 · see citing works
Stanghellini, G., & Lysaker, P. H. (2007) · American Journal of Psychotherapy · doi:10.1176/appi.psychotherapy.2007.61.2.163 · Cited by 116 · see citing works
The “minimal self” in psychopathology: Re-examining the self-disorders in the schizophrenia spectrum
Cermolacce, M., Naudin, J., & Parnas, J. (2007) · Consciousness and Cognition · doi:10.1016/j.concog.2007.05.013 · Cited by 113 · see citing works
Selective Aggregation of Self-Disorders in First-Treatment DSM-IV Schizophrenia Spectrum Disorders
Haug, E., Lien, L., Raballo, A., Bratlien, U., Øie, M. G., Andreassen, O. A., Melle, I. S., & Møller, P. (2012) · The Journal of Nervous and Mental Disease · doi:10.1097/nmd.0b013e31825bfd6f · Cited by 108 · see citing works
Neuropsychoanalysis in practice
Northoff, G. (2011) · Oxford University Press eBooks · doi:10.1093/med/9780199599691.001.0001 · Cited by 108 · see citing works
Psychopathology as the basic science of psychiatry
Stanghellini, G., & Broome, M. R. (2014) · The British Journal of Psychiatry · doi:10.1192/bjp.bp.113.138974 · Cited by 102 · see citing works
Vulnerability to Schizophrenia and Lack of Common Sense
Stanghellini, G. (2000) · Schizophrenia Bulletin · doi:10.1093/oxfordjournals.schbul.a033493 · Cited by 102 · see citing works
Lysaker, P. H., Davis, L. W., Eckert, G. J., Strasburger, A. M., Hunter, N. L., & Buck, K. D. (2005) · Clinical Psychology & Psychotherapy · doi:10.1002/cpp.457 · Cited by 101 · see citing works
The Maudsley Reader in Phenomenological Psychiatry
Broome, M. R., Harland, R., Owen, G. S., & Stringaris, A. K. (2012) · Research Portal (King's College London) · Cited by 96 · see citing works
The Challenge of Neuroscience: Psychiatry and Phenomenology Today
Fuchs, T. A. E. (2002) · Psychopathology · doi:10.1159/000068593 · Cited by 89 · see citing works
Clinical manifestations of self-disorders and the gestalt of schizophrenia
Henriksen, M. G., & Parnas, J. (2012) · Schizophrenia Bulletin · doi:10.1093/schbul/sbs033 · Cited by 78 · see citing works
REWRITING SELF-NARRATIVES: THE THERAPEUTIC PROCESS
Dimaggio, G., Salvatore, G., Azzara, C., & Catania, D. (2003) · Journal of Constructivist Psychology · doi:10.1080/10720530390117920 · Cited by 74 · see citing works
Psychopathology of Common Sense
Stanghellini, G. (2001) · Philosophy, psychiatry & psychology · doi:10.1353/ppp.2001.0018 · Cited by 73 · see citing works
Personal narratives as the highest level of cognitive integration
Hirsh, J. B., Mar, R. A., & Peterson, J. B. (2013) · Behavioral and Brain Sciences · doi:10.1017/s0140525x12002269 · Cited by 68 · see citing works
Comparison of Bayesian and empirical ranking approaches to visual perception
Howe, C. Q., Lotto, R. B., & Purves, D. (2006) · Journal of Theoretical Biology · doi:10.1016/j.jtbi.2006.01.017 · Cited by 64 · see citing works
Nelson, B., Sass, L. A., Thompson, A. D., Yung, A. R., Francey, S. M., Amminger, G. P., & McGorry, P. D. (2009) · Early Intervention in Psychiatry · doi:10.1111/j.1751-7893.2009.00112.x · Cited by 61 · see citing works
Stanghellini, G., & Ballerini, M. (2011) · Psychopathology · doi:10.1159/000322638 · Cited by 59 · see citing works
Schizophrenia and the experience of intersubjectivity as threat
Lysaker, P. H., Johannesen, J., & Lysaker, J. T. (2005) · Phenomenology and the Cognitive Sciences · doi:10.1007/s11097-005-4067-1 · Cited by 55 · see citing works
Dis-sociality: the phenomenological approach to social dysfunction in schizophrenia.
Stanghellini, G., & Ballerini, M. (2002) · PubMed · Cited by 54 · see citing works
The relationship between insight and theory of mind in schizophrenia
Konstantakopoulos, G., Ploumpidis, D. N., Oulis, P., Patrikelis, P., Nikitopoulou, S., Papadimitriou, G. N., & David, A. S. (2013) · Schizophrenia Research · doi:10.1016/j.schres.2013.11.022 · Cited by 52 · see citing works
Stanghellini, G., & Rossi, R. (2014) · Current Opinion in Psychiatry · doi:10.1097/yco.0000000000000059 · Cited by 51 · see citing works
Neuropsychoanalysis in Practice: Brain, Self and Objects
Northoff, G. (2011) · Cited by 50 · see citing works
Stanghellini, G., & Ballerini, M. (2011) · Psychopathology · doi:10.1159/000322637 · Cited by 48 · see citing works
Recent developments in philosophy of psychopathology
Parnas, J., Sass, L. A., & Zahavi, D. (2008) · Current Opinion in Psychiatry · doi:10.1097/yco.0b013e32830e4610 · Cited by 45 · see citing works
Lysaker, P. H., Buck, K. D., & Roe, D. (2007) · Psychological Services · doi:10.1037/1541-1559.4.1.28 · Cited by 45 · see citing works
Self-disorders and the experiential core of schizophrenia spectrum vulnerability.
Raballo, A. (2012) · PubMed · Cited by 42 · see citing works
The dialogical self in psychotherapy for persons with schizophrenia: A case study
Lysaker, P. H., & Hermans, H. J. M. (2006) · Journal of Clinical Psychology · doi:10.1002/jclp.20336 · Cited by 30 · see citing works
The essential disorder underlying schizophrenia and schizophrenic thought.
Minkowski, E. (1987) · Cited by 29 · see citing works
Neurobiology of self-awareness deficits in schizophrenia: A hypothetical model.
Shad, M., Brent, B., & Keshavan, M. (2011) · Asian Journal of Psychiatry · doi:10.1016/j.ajp.2011.09.002 · Cited by 17 · see citing works
Lysaker, P. H., & Roe, D. (2012) · Journal of Psychotherapy Integration · doi:10.1037/a0029581 · Cited by 16 · see citing works
Flagged first, then by citations
3 of the 75 references couldn’t be matched to a known paper.
Cited by
Sorted by citations
Ego-dissolution and psychedelics: validation of the ego-dissolution inventory (EDI).
Nour, M. M., Evans, L., Nutt, D., & Carhart-Harris, R. L. (2016) · Frontiers in Human Neuroscience · doi:10.3389/fnhum.2016.00269 · Cited by 470 · see citing works
Self-citationMillière, R. (2017) · Frontiers in Human Neuroscience · doi:10.3389/fnhum.2017.00245 · Cited by 206 · see citing works
Psychedelics and the science of self-experience
Nour, M. M., & Carhart-Harris, R. L. (2017) · British Journal of Psychiatry · doi:10.1192/bjp.bp.116.194738 · Cited by 87 · see citing works
Self-citationDelusional Experiences Emerging From AI Chatbot Interactions or “AI Psychosis”
Hudon, A., & Stip, E. (2025) · JMIR Mental Health · doi:10.2196/85799 · Cited by 88 · see citing works
“This process, sometimes called desubjectivation (or de-embodiment of subjectivity), weakens the basic sense of being present to oneself and makes experience lose its immediacy [2,3].”
The Intersubjective Dimension of Schizophrenia
Duppen, Z. V. (2017) · Philosophy, psychiatry & psychology · doi:10.1353/ppp.2017.0058 · Cited by 64 · see citing works
Thinking, believing, and hallucinating self in schizophrenia
Humpston, C. S., & Broome, M. R. (2020) · The Lancet Psychiatry · doi:10.1016/s2215-0366(20)30007-9 · Cited by 40 · see citing works
Schizophrenia Research Under the Framework of Predictive Coding: Body, Language, and Others
Li, L., & Li, C. (2025) · Wiley Interdisciplinary Reviews Cognitive Science · doi:10.1002/wcs.70013 · Cited by 3 · see citing works
Thinking in schizophrenia and the social phenomenology of thought insertion
López‐Silva, P. (2024) · Philosophical Psychology · doi:10.1080/09515089.2024.2334720 · Cited by 3 · see citing works
Laurence Michael Dillon of Lismullen: World's first transsexual man
Collins, A. (2017) · The British Journal of Psychiatry · doi:10.1192/bjp.bp.116.196642
From Ego to Death: Validation of the Ego-Dissolution Scale (EDS)
Senanayake, R. (2022) · doi:10.26686/wgtn.20380158
- Authors
- Nour, M. M., & Barrera, A.
- Affiliations
- King's College London (GB)
- Corresponding author
- Nour, Matthew M.
- ORCID
- Nour, Matthew M.
- Venue
- Schizophrenia Bulletin
- Publisher
- Oxford University Press (OUP)
- Published
- 2015-04-05
- Volume
- 41
- Issue
- 6
- Pages
- 1214-1219
- ISSN
- 0586-7614 (ISSN-L)
- 1745-1701
- PMC
- PMC4601706
- OpenAlex
- W1976096291
- Cited by
- 10
- References
- 75
- Citations by year
- 2025: 2 · 2024: 1 · 2022: 1 · 2020: 1 · 2017: 4 · 2016: 1
- FWCI
- 5.14
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Schizophrenia Bulletin (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Topics
- Social Sciences › Arts and Humanities › Philosophy › Mental Health and Psychiatry
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Life Sciences › Neuroscience › Cognitive Neuroscience › Embodied and Extended Cognition
- Keywords
- schizophrenia, phenomenology of schizophrenia
- MeSH terms
- Humans, Schizophrenia, Self Concept, Social Perception, Theory of Mind
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review