Dong, Audrey
(2025)
Self and Other in Schizophrenia: A Structural Analysis of Delusion.
[Preprint]
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Abstract
This article draws from phenomenological authors such as Sartre to investigate pathogenetic issues in psychopathology from a first-person perspective. Psychosis is a “total experience” that points to orientating changes in subjectivity, supported by evidence regarding self-disorders in the schizophrenia spectrum. This article proposes that schizophrenia is essentially characterized (and therefore distinguished) by specific structural alterations of (inter)subjectivity around the relationship between self and Other, which all its seemingly disparate signs and symptoms eventually point to. Two reciprocal distortions are present in psychotic schizophrenia patients: (A) an encroaching and substantialized Other, and (B) a self transformed into being-for-the-Other. Under the altered conditions of (A & B), delusional mood is the presence but inaccessibility of the Other; a delusional perception is an eruption or surfacing of objectification of self by Other; a delusion is an experience of the Other, which fulfills certainty, incorrigibility, and potentially falsehood. Theoretical arguments show how (A & B) leads to delusions as meeting Jaspers’ criteria, and clinical examples throughout show the phenomenological accuracy of the theory.
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