First-rank Symptoms in Schizophrenia: Reexamining Mechanisms of Self-recognition

Overview

Journal Schizophr Bull

Publisher Oxford University Press

Specialty Psychiatry

Date 2008 Aug 30

PMID 18753307

Citations 32

Authors

Flavie A V Waters

Johanna C Badcock

Affiliations

Soon will be listed here.

Abstract

Disturbances of self are a common feature of schizophrenic psychopathology, with patients reporting that their thoughts and actions are controlled by external forces, as shown in first-rank symptoms (FRS). One widely accepted explanatory model of FRS suggests a deficiency in the internal forward model system. Recent studies in the field of cognitive sciences, however, have generated new insights into how complex sensory and motor systems contribute to the sense of self-recognition, and it is becoming clear that the forward model conceptualization does not have unique access to representations about the self. We briefly evaluate the forward model explanation of FRS, reassess the distinction made between the sense of agency and body ownership, and outline recent developments in 4 domains of sensory-motor control that have supplemented our understanding of the processes underlying the sense of self-recognition. The application of these findings to FRS will open up new research directions into the processes underlying these symptoms.

Citing Articles

Imitative inhibitory control is associated with psychotic experiences in a sample from the general population.

Ulloa J, Nunez D, Gaspar P, Brass M Front Psychiatry. 2024; 15:1470030.

PMID: 39588543 PMC: 11586380. DOI: 10.3389/fpsyt.2024.1470030.

Associations between early experiences of thought interference and auditory-verbal hallucinations with first-rank symptoms and suicidality in adulthood.

Gofton H, Rodriguez H, Sheridan-Guest T, Baker D, Humpston C BJPsych Open. 2024; 10(5):e157.

PMID: 39297337 PMC: 11457199. DOI: 10.1192/bjo.2024.784.

Co-occurring psychotic and eating disorders in England: findings from the 2014 Adult Psychiatric Morbidity Survey.

Rodgers E, Marwaha S, Humpston C J Eat Disord. 2022; 10(1):150.

PMID: 36258254 PMC: 9578255. DOI: 10.1186/s40337-022-00664-0.

I overthink-Therefore I am not: An active inference account of altered sense of self and agency in depersonalisation disorder.

Ciaunica A, Seth A, Limanowski J, Hesp C, Friston K Conscious Cogn. 2022; 101:103320.

PMID: 35490544 PMC: 9130736. DOI: 10.1016/j.concog.2022.103320.

Embodied Predictions, Agency, and Psychosis.

Leptourgos P, Corlett P Front Big Data. 2021; 3:27.

PMID: 33693400 PMC: 7931869. DOI: 10.3389/fdata.2020.00027.

References

Franck N, Farrer C, Georgieff N, Marie-Cardine M, Dalery J, DAmato T . Defective recognition of one's own actions in patients with schizophrenia. Am J Psychiatry. 2001; 158(3):454-9. DOI: 10.1176/appi.ajp.158.3.454. View

Waters F, Jablensky A . Time discrimination deficits in schizophrenia patients with first-rank (passivity) symptoms. Psychiatry Res. 2009; 167(1-2):12-20. DOI: 10.1016/j.psychres.2008.04.004. View

Tsakiris M, Schutz-Bosbach S, Gallagher S . On agency and body-ownership: phenomenological and neurocognitive reflections. Conscious Cogn. 2007; 16(3):645-60. DOI: 10.1016/j.concog.2007.05.012. View

Parnas J, Handest P . Phenomenology of anomalous self-experience in early schizophrenia. Compr Psychiatry. 2003; 44(2):121-34. DOI: 10.1053/comp.2003.50017. View

Daprati E, Franck N, Georgieff N, Proust J, Pacherie E, Dalery J . Looking for the agent: an investigation into consciousness of action and self-consciousness in schizophrenic patients. Cognition. 1998; 65(1):71-86. DOI: 10.1016/s0010-0277(97)00039-5. View

Sato A, Yasuda A . Illusion of sense of self-agency: discrepancy between the predicted and actual sensory consequences of actions modulates the sense of self-agency, but not the sense of self-ownership. Cognition. 2004; 94(3):241-55. DOI: 10.1016/j.cognition.2004.04.003. View

Keefe R, Arnold M, Bayen U, McEvoy J, Wilson W . Source-monitoring deficits for self-generated stimuli in schizophrenia: multinomial modeling of data from three sources. Schizophr Res. 2002; 57(1):51-67. DOI: 10.1016/s0920-9964(01)00306-1. View

Wegner D . The mind's best trick: how we experience conscious will. Trends Cogn Sci. 2003; 7(2):65-69. DOI: 10.1016/s1364-6613(03)00002-0. View

Peled A, Ritsner M, Hirschmann S, Geva A, Modai I . Touch feel illusion in schizophrenic patients. Biol Psychiatry. 2000; 48(11):1105-8. DOI: 10.1016/s0006-3223(00)00947-1. View

10.

Ceccherini-Nelli A, Turpin-Crowther K, Crow T . Schneider's first rank symptoms and continuous performance disturbance as indices of dysconnectivity of left- and right-hemispheric components of language in schizophrenia. Schizophr Res. 2006; 90(1-3):203-13. DOI: 10.1016/j.schres.2006.09.017. View

11.

Danckert J, Saoud M, Maruff P . Attention, motor control and motor imagery in schizophrenia: implications for the role of the parietal cortex. Schizophr Res. 2004; 70(2-3):241-61. DOI: 10.1016/j.schres.2003.12.007. View

12.

Jeannerod M . The mechanism of self-recognition in humans. Behav Brain Res. 2003; 142(1-2):1-15. DOI: 10.1016/s0166-4328(02)00384-4. View

13.

Woodward T, Menon M, Hu X, Keefe R . Optimization of a multinomial model for investigating hallucinations and delusions with source monitoring. Schizophr Res. 2006; 85(1-3):106-12. DOI: 10.1016/j.schres.2006.03.008. View

14.

Pacherie E, Green M, Bayne T . Phenomenology and delusions: who put the 'alien' in alien control?. Conscious Cogn. 2006; 15(3):566-77. DOI: 10.1016/j.concog.2005.11.008. View

15.

Bulot V, Thomas P, Delevoye-Turrell Y . [Sense of agency: experiencing is not judging]. Encephale. 2007; 33(4 Pt 1):603-8. DOI: 10.1016/s0013-7006(07)92060-6. View

16.

Ehrsson H . The experimental induction of out-of-body experiences. Science. 2007; 317(5841):1048. DOI: 10.1126/science.1142175. View

17.

Balslev D, Cole J, Miall R . Proprioception contributes to the sense of agency during visual observation of hand movements: evidence from temporal judgments of action. J Cogn Neurosci. 2007; 19(9):1535-41. PMC: 2570482. DOI: 10.1162/jocn.2007.19.9.1535. View

18.

Farrer C, Franck N . [Sense of body in schizophrenia]. Encephale. 2009; 35(1):43-51. DOI: 10.1016/j.encep.2007.08.011. View

19.

Blakemore S, Frith C . The role of motor contagion in the prediction of action. Neuropsychologia. 2005; 43(2):260-7. DOI: 10.1016/j.neuropsychologia.2004.11.012. View

20.

Tsakiris M, Haggard P . Experimenting with the acting self. Cogn Neuropsychol. 2010; 22(3):387-407. DOI: 10.1080/02643290442000158. View