Contradictions of Emotion in Schizophrenia
In my talk, I will attempt to explain the “Kretschmerian paradox”, the fact that patients in the schizophrenia spectrum can, at the same time, experience both exaggerated and diminished levels of affective response. Recent research on emotion in schizophrenia is reviewed, including subjective reports as well as psychophysiological measures of arousal or activation, with special attention to flat-affect and negative-symptom patients. After a summary of relevant concepts and vocabulary of emotion (including the notions of “affect,” “emotion,” “mood,” “feelings,” and the “passions”), the need for a phenomenological approach focusing on subjective experience is proposed. Four modes of nonparanoid abnormal experience in schizophrenia are then discussed in light of their implications for affect or emotion : Bodily Alienation (alienation of the lived body), followed by three mutations of the lived world : Disengagement (often called derealization or depersonalization), Unworlding (fragmented perception and loss of affordances), and Subjectivization (preoccupation with a quasi-delusional world created by the self). The paper concludes with phenomenological comparisons among the four modes, and with speculations concerning possible relationships between psychophysiological measures and subjective emotional or affective response. Overall, my paper constitutes an argument in favor of a phenomenologically based, non-Cartesian approach to the study of affect and emotion in schizophrenia, with emphasis on the embodied and embedded nature of human subjectivity.
Le Séminaire d’Epistémologie des Sciences Cognitives bénéficie du soutien du Cluster 14