The Self In Psychopathology

The concept of the self has recently gained increasing attention in psychopathology for mainly two reasons: firstly, major mental disorders such as schizophrenia have been related to disturbances on a prereflective or basic level of self-awareness which has largely escaped the present criteriological diagnostic systems; secondly, the level of the social or narrative self, including aspects such as social identity, self-concept, self-image and self-esteem, is key to understanding a variety of disorders such as depression, obsessive-compulsive disorder, social phobia or borderline personality disorder. Moreover, the concept is suitable for integrating our attempts at describing the lived experience of mental illness which in the analysis always affects the patients in their self-awareness and self-relation. This special topic issue of Psychopathology brings together 10 papers from psychodynamic, cognitive-behavioral, phenomenological, neurocognitive and nosological perspectives that advance the understanding of the role of the self in conceptualization, diagnosis and treatment of psychopathology.

In this profound work, Vittorio Guidano expands upon his earlier seminal contributions on the application of cognitive and developmental principles to individuals struggling with various forms of psychopathology. Here, he fully develops the idea that individuals' experience, both positive and negative, are powerfully influenced by their personal ``psychological organizations.'Focusing primarily on the eating disorders, the phobias (with agoraphobia as the prototype) obsessive-compulsive patterns, and depression, Guidano illustrates how early developmental experiences and ongoing psychological processes may collude to perpetuate dysfunctional patterns and personal distress. The central and perhaps most exciting thesis in this new expression of Guidano's thinking is that the ``deep structure' or ``core organizing processes`` that constrain human psychological experience may be at the heart of successful intervention as well as the classical problems of resistance, relapse, and refractory behaviors. Guidano's contention is at once simple and powerful: those psychological processes involved in the development and maintenance of personal identity, or ``self' that should be the primary foci of research and intervention in psychological disorders. The meaning of Guidano's perspective for clinical practice is perhaps best expressed in the author's own words: ``Knowing the basic elements of the personal cognitive organization that underlie the pattern of disturbed behavior and emotions, the therapist can behave, from the beginning, in such a way as to build a relationship as effective as possible for that particular client. In other words, the therapist should be able to establish a relationship that respects the client's personal identity and systemic coherence and that, at the same time, does not confirm the basic pathogenic assumptions. For example, in working with agoraphobics, the therapist has to respect their self-images centered on the need to be in control. He/she can do this by avoiding any direct attack on their controlling attitudes and by leaving them a wide margin of control in the relationship. At the same time the therapist should avoid confirming their assumptions about the somatic origin of their emotional disturbances or about their inborn fragility. In short, the therapist who can anticipate the models of self and reality tacitly entertained by the client is surely better able to help the development of a cooperative and secure therapeutic relationship than the therapist who cannot make such anticipations. This timely and provocative volume offers exciting new ideas about how to conceptualize and facilitate change in the ``self system.' With the rare combination of his Renaissance intellect and integrative practical expertise, Guidano has been able to draw together many disparate themes from object relations theory, ego psychology, attachment theory, constructivist models of human cognition, and lifespan developmental psychology. It is must reading for the practicing professional, the helping apprentice, and anyone interested in glimpsing the cutting edge at the growing interface between cognitive and clinical science.

A clear and concise guide to help recognise the signs and symptoms of psychiatric illness in clinical care.

"Erosion, Self-Made offers a comprehensive treatment of self-criticism based in philosophy, developmental science, personality and clinical psychology, social theories, and cognitive-affective neuroscience"--

Comparative studies of normal self-development and atypical psychopathological populations contribute to an understanding of normal development of the Self.

A unique exploration of how the 'self' influences psychopathology, psychotherapy, emphasizing the need to integrate self-constructs into evidence-based conceptual models.

This welcome resource traces the evolution of self-concept clarity and brings together diverse strands of research on this important and still-developing construct. Locating self-concept clarity within current models of personality, identity, and the self, expert contributors define the construct and its critical roles in both individual and collective identity and functioning. The book examines commonly-used measures for assessing clarity, particularly in relation to the more widely understood concept of self-esteem, with recommendations for best practices in assessment. In addition, a wealth of current data highlights the links between self-concept clarity and major areas of mental wellness and dysfunction, from adaptation and leadership to body image issues and schizophrenia. Along the way, it outlines important future directions in research on self-concept clarity. Included in the coverage: Situating self-concept clarity in the landscape of personality. Development of self-concept clarity across the lifespan. Self-concept clarity and romantic relationships. Who am I and why does it matter? Linking personal identity and self-concept clarity. Consequences of self-concept clarity for well-being and motivation. Self-concept clarity and psychopathology. Self-Concept Clarity fills varied theoretical, empirical, and practical needs across mental health fields, and will enhance the work of academics, psychologists interested in the construct as an area of research, and clinicians working with clients struggling with developing and improving their self-concept clarity.

The aim of this volume is to discuss recent research into self-experience and its disorders, and to contribute to a better integration of the different empirical and conceptual perspectives. Among the topics discussed are questions like 'What is a self?, ' 'What is the relation between the self-givenness of consciousness and the givenness of the conscious self?', 'How should we understand the self-disorders encountered in schizophrenia?' and 'What general insights into the nature of the self can pathological phenomena provide us with?' Most of the contributions are characterized by a distinct phenomenological approach.The chapters by Butterworth, Strawson, Zahavi, and Marbach are general in nature and address different psychological and philosophical aspects of what it means to be a self. Next Eilan, Parnas, and Sass turn to schizophrenia and ask both how we should approach and understand this disorder, and, more specifically, what we can learn about the nature of selfhood and existence from psychopathology. The chapters by Blakemore and Gallagher present a defense and a criticism of the so-called model of self-monitoring, respectively. The final three chapters by Cutting, Stanghellini, Schwartz and Wiggins represent anthropologically oriented attempts to situate pathologies of self-experience.(Series B)