Disturbance of self is a core feature of schizophrenia. In this article, we argue that a nuanced appreciation of self is necessary to understand the relation between the self and its disruption. After discussing evidence for the fractionation of self into several functionally independent yet normally interacting systems of knowledge, we focus on a specific self-system: trait self-knowledge. This system has proven robust in the presence of a host of cognitive and neural impairments rendering other systems of self dysfunctional. Little, however, is known about how this system is affected by schizophrenia. Our findings indicate that, in accord with previous investigations demonstrating the resilience of trait self-knowledge, schizophrenic patients maintain both highly reliable and moderately accurate trait self-knowledge.
AmadorX. F.StraussD. H.YaleS. A.FlaummM. M.EndicottJ.GormanJ. M. (1993). The assessment of insight in psychosis. American Journal of Psychiatry, 150, 873–879.
2.
American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.
3.
AndersonN. H. (1968). Likeableness ratings of 555 personality-trait words. Journal of Personality and Social Psychology, 9, 272–279.
4.
AndreasenN. C.CarpenterW. T.KaneJ. M.LasserR. A.MarderS. R.WeinbergerD. R. (2005). Remission in schizophrenia: Proposed criteria and rationale for consensus. American Journal of Psychiatry, 162, 441–449.
5.
BabeyS. H.QuellerS.KleinS. B. (1998). The role of expectancy violating behaviors in the representation of trait-knowledge: A summary-plus-exception model of social memory. Social Cognition, 16, 287–339.
6.
BakerL. R. (2010). Temporal reality. In CampbellJ. K.O’RourkeM.SiversteinH. S. (Eds.), Time and identity (pp. 27–47). Cambridge, MA: MIT Press.
7.
BeckA. T.BaruchE.BatlerJ. M.SteerR. A.WarmanD. M. (2004). A new instrument for measuring insight: The Beck Cognitive Insight Scale. Schizophrenic Bulletin, 68, 319–329.
8.
Bennouna-GreeneM.BernaF.ConwayM. A.RathboneC. J.VidailhetP.DanionJ.-M. (2012). Self-images and related autobiographical memories in schizophrenia. Consciousness and Cognition, 21, 247–257.
9.
BleulerE. (1950). Dementia praecox or the group of schizophrenias (ZinkinJ., Trans.). New York, NY: International University Press. (Original work published 1911)
10.
BoraE.YucelM.PantelisC. (2009). Theory of mind impairment in schizophrenia: Meta-analysis. Schizophrenia Research, 109, 1–9.
11.
CermolacceM.NaudinJ.ParnasJ. (2007). The “minimal self” in psychopathology: Re-examining the self-disorders in the schizophrenic spectrum. Consciousness and Cognition, 16, 703–714.
12.
ChenE. Y. H.WilkinsA. J.McKennaP. J. (1994). Semantic memory is both impaired and anomalous in schizophrenia. Psychological Medicine, 24, 193–202.
13.
ConwayM. A. (2005). Memory and the self. Journal of Memory and Language, 53, 594–628.
14.
Cuervo-LombardC.JoveninN.HedelinG.Rizzo-PeterL.ConwayM. A.DanionJ.-M. (2007). Autobiographical memory of adolescence and early adulthood events: An investigation in schizophrenia. Journal of the International Neuropsychological Society, 13, 335–243.
15.
CuestaM. J.PeraltaV.ZarzuelaA. (2000). Reapprising insight in psychosis: A multi-scale longitudinal study. British Journal of Psychiatry, 117, 233–240.
16.
DaintonB. (2008). The phenomenal self. New York, NY: Oxford University Press.
17.
DamasioA. R. (1999). The feeling of what happens: Body and emotion in the making of consciousness. Orlando, FL: Harcourt.
18.
DanionJ.-M.HuronC.VidailhetP.BernaF. (2007). Functional mechanisms of episodic memory impairment in schizophrenia. Canadian Journal of Psychiatry, 52, 693–701.
19.
de WaalF. (1982). Chimpanzee politics: Power and sex among apes. New York, NY: Harper & Row.
20.
de WaalF.LantingF. (1997). Bonobo: The forgotten ape. Berkeley: University of California Press.
21.
DoughtyO. J.DoneD. J.LawrenceV. A.Al-MousawiA.AshayeK. (2008). Semantic memory impairment in schizophrenia: Deficit in storage or access of knowledge?Schizophrenia Research, 105, 40–48.
22.
DuffyL.O’CarrollR. (1994). Memory impairment in schizophrenia: A comparison with that observed in the alcoholic Korsakoff syndrome. Psychological Medicine, 24, 155–165.
23.
DuvalC.DesgrangesB.deLaSayetteV.BelliardS.EustacheF.PiolinoP. (2012). What happens to personal identity when semantic knowledge degrades? A study of the self and autobiographical memory in semantic dementia. Neuropsychologia, 50, 254–265.
24.
EarleW. E. (1972). The autobiographical consciousness. Chicago, IL: Quadrangle Books.
25.
EdwardsA. L. (1970). The measurement of personality traits by scales and inventories. New York, NY: Holt, Rinehart & Winston.
26.
EricssonK. A.SimonH. A. (1984). Protocol analysis: Verbal reports as data. Cambridge, MA: MIT Press.
27.
EstroffS. E. (1989). Self, identity, and subjective experiences of schizophrenia: In search of the subject. Schizophrenia Bulletin, 15, 189–196.
28.
FazioS.MitchellD. B. (2009). Persistence of self in individuals with Alzheimer’s disease. Dementia, 8, 39–59.
29.
FeinsteinA.GoldbergT. E.NowlinB.WeinbergerD. R. (1998). Types and characteristics of remote memory impairment in schizophrenia. Schizophrenia Research, 30, 155– 163.
30.
FirstM. B.SpitzerR. I.GibbonM.WilliamsJ. B. W. (1995). Structured Clinical Interview for DSM-IV axis I disorders (SCIDIV). New York, NY: State Psychiatric Institute, Biometrics Research.
31.
FrithC. D. (1992). The cognitive neuropsychology of schizophrenia. East Sussex, England: Erlbaum / Taylor & Francis.
32.
FunderD. (1995). On the accuracy of personality judgment: A realistic approach. Psychological Review, 102, 652–670.
33.
FunderD.SneedC. (1993). Behavioral manifestations of personality: An ecological approach to judgmental accuracy. Journal of Personality and Social Psychology, 64, 479–490.
34.
GallagherS. (2000). Philosophical conceptions of the self: Implications for cognitive science. Trends in Cognitive Sciences, 4, 14–21.
35.
GergenK. J. (1971). The concept of self. New York, NY: Holt, Rinehart, & Winston.
36.
GillihanS. J.FarahM. J. (2005). Is self special? A critical review of evidence from experimental psychology and cognitive neuroscience. Psychological Bulletin, 131, 76–97.
37.
HarveyP.-O.LeeJ.HoranW. P.OchsnerK.GreenM. F. (2011). Do patients with schizophrenia benefit from a self-referential memory bias?Schizophrenia Research, 127, 171–177.
38.
HaslamC.JettenJ.HaslamS. A.PuglieseC.TonksJ. (2010). “I remember therefore I am, and I am therefore I remember”: Exploring the contributions of episodic and semantic self-knowledge to strength of identity. British Journal of Psychology, 102, 184–203.
39.
HehmanJ.GermanT. P.KleinS. B. (2005). Impaired self-recognition from recent photographs in a case of late-stage Alzheimer’s disease. Social Cognition, 23, 116–121.
40.
HemsleyD. R. (1998). The disruption of the “sense of self” in schizophrenia: Potential links with disturbances of information processing. British Journal of Medical Psychology, 71, 115–124.
41.
HurleyN. C.MaguireE. A.Vargha-KhademF. (2011). Patient HC with developmental amnesia can construct future scenarios. Neuropsychologia, 49, 3620–3628.
42.
JamesW. (1890). Principles of psychology (Vol. 1). New York, NY: Henry Holt.
43.
JonesS. H.ThornicroftG.CoffeyM.DunnG. (1995). A brief mental health outcome scale. British Journal of Psychiatry, 166, 654–659.
44.
KayS. R.FiszbeinA.OplerL. A. (1987). The Positive and Negative Syndrome Scale (PANSS) for schizophrenia. Schizophrenia Bulletin, 13, 261–276.
45.
KirbyD. M.GardnerR. C. (1972). Ethnic stereotypes: Norms on 208 words typically used in their assessment. Canadian Journal of Psychology, 26, 140–154.
46.
KleinS. B. (2001). A self to remember: A cognitive neuropsychological perspective on how self creates memory and memory creates self. In SedikidesC.BrewerM. B. (Eds.), Individual self, relational self, and collective self (pp. 25–46). Philadelphia, PA: Psychology Press.
47.
KleinS. B. (2004). The cognitive neuroscience of knowing one’s self. In GazzanigaM. A. (Ed.), The Cognitive Neurosciences III (pp. 1007–1089). Cambridge, MA: MIT Press.
48.
KleinS. B. (2010). The self: As a construct in psychology and neuropsychological evidence for its multiplicity. WIREs Cognitive Science, 1, 172–183.
49.
KleinS. B. (2012a). The self and its brain. Social Cognition30, 474–516.
50.
KleinS. B. (2012b). Self, memory, and the self-reference effect: An examination of conceptual and methodological issues. Personality and Social Psychology Review, 16, 283–300.
51.
KleinS. B. (2012c). The self and science: Time for a new approach to the study of human experience. Current Directions in Psychological Science, 20, 253–257.
52.
KleinS. B.ChanR. L.LoftusJ. (1999). Independence of episodic and semantic self-knowledge: The case from autism. Social Cognition, 17, 413–436.
53.
KleinS. B.CosmidesL.CostabileK. (2003). Preserved knowledge of self in a case of Alzheimer’s dementia. Social Cognition, 21, 157–165.
54.
KleinS. B.CosmidesL.CostabileK. A.MeiL. (2002). Is there something special about the self? A neuropsychological case study. Journal of Research in Personality, 36, 490–506.
55.
KleinS. B.CosmidesL.MurrayE. M.ToobyJ. (2004). On the acquisition of knowledge about personality traits: Does learning about the self engage different mechanisms than learning about other?Social Cognition, 22, 367–390.
56.
KleinS. B.CosmidesL.ToobyJ.ChanceS. (2001). Priming exceptions: A test of the scope hypothesis in naturalistic trait judgments. Social Cognition, 19, 443–468.
57.
KleinS. B.CosmidesL.ToobyJ.ChanceS. (2002). Decisions and the evolution of memory: Multiple systems, multiple functions. Psychological Review, 109, 306–329.
58.
KleinS. B.GabrielR. H.GangiC. E.RobertsonT. E. (2008). Reflection on the self: A case study of a prosopagnosic patient. Social Cognition, 26, 766–777.
59.
KleinS. B.GangiC. E. (2010). The multiplicity of self: Neuropsychological evidence and its implications for the self as a construct in psychological research. Year in Cognitive Neuroscience 2010: Annals of the New York Academy of Sciences, 1191, 1–15.
60.
KleinS. B.GermanT. P.CosmidesL.GabrielR. (2004). A theory of autobiographical memory: Necessary components and disorders resulting from their loss. Social Cognition, 22, 460–490.
61.
KleinS. B.LaxM. L. (2010). The unanticipated resilience of trait self-knowledge in the face of neural damage. Memory, 18, 918–948.
62.
KleinS. B.LaxM. L.GangiC. E. (2010). A call for an inclusive approach to the social cognitive neurosciences. Social Cognition, 28, 747–755.
63.
KleinS. B.LoftusJ. (1988). The nature of self-referent encoding: The contributions of elaborative and organizational processes. Journal of Personality and Social Psychology, 55, 5–11.
64.
KleinS. B.LoftusJ. (1993). The mental representation of trait and autobiographical knowledge about the self. In SrullT. K.WyerR. S. (Eds.), Advances in social cognition (Vol. 5, pp. 1–49). Hillsdale, NJ: Erlbaum.
65.
KleinS. B.LoftusJ.BurtonH. A. (1989). Two self-reference effects: The importance of distinguishing between self-descriptiveness judgments and autobiographical retrieval in self-referent encoding. Journal of Personality and Social Psychology, 56, 853–865.
66.
KleinS. B.LoftusJ.KihlstromJ. F. (1996). Self-knowledge of an amnesic patient: Toward a neuropsychology of personality and social psychology. Journal of Experimental Psychology: General, 125, 250–260.
67.
KleinS. B.LoftusJ.KihlstromJ. F. (2002). Memory and temporal experience: The effects of episodic memory loss on an amnesic patient’s ability to remember the past and imagine the future. Social Cognition, 20, 353–379.
68.
KleinS. B.LoftusJ.TraftonR. G.FuhrmanR. W. (1992). The use of exemplars and abstractions in trait judgments: A model of trait knowledge about the self and others. Journal of Personality and Social Psychology, 63, 739–753.
69.
KleinS. B.NelsonC. R. (in press). The effects of self-reference on memory: A conceptual and methodological review of inferences warranted by the self-reference effect. In PerfectT.LindsayS. (Eds.), The Sage Handbook of Applied Memory. Thousand Oaks, CA: Sage.
70.
KleinS. B.NicholsS. (2012). Memory and the sense of personal identity. Mind, 121, 677–702.
71.
KleinS. B.RobertsonT. E.GangiC. E.LoftusJ. (2008). The functional independence of trait self-knowledge: Commentary on Sakaki (2007). Memory, 16, 556–565.
72.
KleinS. B.RozendalK.CosmidesL. (2002). A social-cognitive neuroscience analysis of the self. Social Cognition, 20, 105–135.
73.
KleinS. B.ShermanJ. W.LoftusJ. (1996). The role of episodic and semantic memory in the development of trait self-knowledge. Social Cognition, 14, 277–291.
74.
KolarDFunderD.ColvinC. (1996). Comparing the accuracy of personality judgments by the self and knowledgeable others. Journal of Personality, 64, 311–337.
LeeA.HobsonP. R. (1998). On developing self-concepts: A controlled study of children and adolescents with autism. Journal of Child Psychology and Psychiatry, 39, 1131–1144.
77.
LegrandD.RubyP. (2009). What is self-specific? Theoretical investigation and critical review of neuroimaging results. Psychological Review, 116, 252–282.
78.
LepageM.SergerieK.PelletierM.HarveryP.-O. (2007). Episodic memory bias and the symptoms of schizophrenia. Canadian Journal of Psychiatry, 52, 702–708.
79.
LiZ. (2005). Chinese associations about mother differ from those of Americans: Evidence from the scope hypothesis. Acta Scientiarum Naturalium Universitatis Pekinensis, 41, 11–20.
80.
LysakerJ.LysakerP. (2005). Being interrupted: The self and schizophrenia. Journal of Speculative Philosophy, 19, 1–21.
81.
LysakerP.LysakerJ. (2008a). Schizophrenia and alterations in self experience: A comparison of six perspectives. Schizophrenia Bulletin, 36, 331–340.
82.
LysakerP.LysakerJ. (2008b). Schizophrenia and the fate of the self. New York: NY: Oxford University Press.
83.
MartinelliP.SperdutiM.PiolinoP. (in press). Neural substrates of the self-memory system: New insights from a meta-analysis. Human Brain Mapping.
84.
MarwickK.HallJ. (2008). Social cognition in schizophrenia: A review of face processing. British Medical Bulletin, 88, 43–58.
85.
MatsuiM.YuukiH.KatoK.KurachiM. (2006). Impairment of memory organization in patients with schizophrenia or schizotypical disorder. Journal of the International Neuropsychological Society, 12, 750–754.
86.
MayerJ. D.LinS. C.KorogodskyM. (2011). Exploring the universality of personality judgments: Evidence from the great transformation (1000 BCE–200 BCE). Review of General Psychology, 15, 65–76.
87.
McCraeR. R. (1982). Consensual validation of personality traits: Evidence from self-reports and ratings. Journal of Personality and Social Psychology, 43, 293–303.
88.
MillsM. A. (1998). Narrative identity and dementia. Aldershot, England: Ashgate.
89.
MisharaA. L. (2007). Is minimal self preserved in schizophrenia? A subcomponents view. Consciousness and Cognition, 16, 715–721.
90.
MograbiD. C.BrownR. G.MorrisR. G. (2009). Anosognosia in Alzheimer’s disease: The petrified self. Consciousness and Cognition, 18, 989–1003.
91.
MosolovS. N.PotapovA. V.UshakovU. V. (2012). Remission in schizophrenia: Results of cross-sectional with 6-month follow-up period and 1-year observational therapeutic studies in an outpatient population. Annals of General Psychiatry, 11, 2–10.
92.
NeisserU. (1988). Five kinds of self-knowledge. Philosophical Psychology, 1, 35–59.
93.
NettleD. (2006). The evolution of personality variation in humans and other animals. American Psychologist, 61, 622–631.
94.
NieznanskiM. (2003). The self and schizophrenia: A cognitive approach. Swiss Journal of Psychology, 62, 45–51.
95.
NorthoffG.HeinzelA.de GreckM.BermpohlF.DobrowolnyH.PankseppJ. (2005). Self-referential processing in our brain: A meta-analysis of imaging studies on the self. NeuroImage, 31, 440–457.
96.
ParnasJ.RaballoA.HandestP.JannsonL.Vollmar-LarsenA.SaebyeD. (2011). Self-experience in the early phases of schizophrenia: 5-year follow-up of the Copenhagen Prodromal Study. World Psychiatry, 10, 200–204.
97.
PaulyK.KircherT.WeberJ.SchneiderF.HabelU. (2011). Self-concept, emotion and memory performance in schizophrenia. Psychiatry Research, 186, 11–17.
98.
RaballoA.SaebyeD.ParnasJ. (2009). Looking at the schizophrenia spectrum through the prism of self-disorders: An empirical study. Schizophrenia Bulletin, 37, 344–351.
99.
RaffardS.D’ArgembeauA.LardiC.BayardS.BoulengerJ.-P.Van Der LindenM. (2009). Exploring self-defining memories in schizophrenia. Memory, 17, 26–38.
100.
RankinK. P.BaldwinE.Pace-SavitskyC.KramerJ. H.MillerB. L. (2005). Self awareness and personality change in dementia. Journal of Neurology, Neurosurgery, and Psychiatry, 76, 632–639.
101.
RathboneC. J.MoulinC. J. A.ConwayM. A. (2009). Autobiographical memory and amnesia: Using conceptual knowledge to ground the self. Neurocase, 15, 405–418.
102.
RossellS. L.DavidA. S. (2006). Are semantic deficits in schizophrenia due to problems with access or storage?Schizophrenia Research, 82, 121–134.
103.
RubyP.LegrandD. (2007). Neuroimaging the self? In HaggardP.RossettiY.KawatoM. (Eds.), Sensorimotor foundations of higher cognition: Attention and performance XXII(pp. 293–318). New York, NY: Oxford University Press.
104.
SassL. A.ParnasJ. (2003). Schizophrenia, consciousness, and the self. Schizophrenia Bulletin, 29, 427–444.
105.
SassL. A.ParnasJ.ZahaviD. (2011). Phenomenological psychopathology and schizophrenia: Contemporary approaches and misunderstandings. Philosophy, Psychiatry, and Psychology, 18, 1–23.
106.
SieglerI. C.DawsonD. V.WelshK. A. (1994). Caregiver ratings of personality change in Alzheimer’s disease patients: A replication. Psychology and Aging, 9, 464–466.
107.
SorabjiR. (2006). Self: Ancient and modern insights about individuality, life, and death. Chicago, IL: University of Chicago Press.
108.
SprongM.SchothorstP.VosE.HoxJ.van EnglandH. (2007). Theory of mind in schizophrenia: Meta-analysis. British Journal of Psychiatry, 191, 5–13.
109.
SternD. (1985). The interpersonal world of the infant. New York, NY: Basic Books.
110.
StrawsonG. (2009). Selves: An essay in revisionary metaphysics. New York, NY: Oxford University Press.
111.
StussD. T. (1991). Self, awareness and the frontal lobes: A neuropsychological perspective. In StraussJ.GoethalsG. R. (Eds.), The self; Interdisciplinary approaches (pp. 255–278). New York, NY: Springer-Verlag.
112.
StussD. T.GuzmanD. A. (1988). Severe remote memory loss with minimal anterograde amnesia: A clinical note. Brain and Cognition, 8, 21–30.
113.
TulvingE. (1993). Self-knowledge of an amnesic individual is represented abstractly. In SrullT. K.WyerR. S. (Eds.), Advances in social cognition (Vol. 5, pp. 147–156). Hillsdale, NJ: Erlbaum.
114.
UttalW. R. (2001). The new phrenology. Cambridge, MA: MIT Press.
115.
UttalW. R. (2009). Distributed neural systems. Cormwall-on-Hudson, NY: Sloan.
116.
WeiskrantzL. (1997). Consciousness lost and found. New York, NY: Oxford University Press.
117.
WhiteS. L. (1991). The unity of the self. Cambridge, MA: MIT Press.
118.
WigginsJ. S. (1973). Personality and prediction: Principles of personality assessment. Reading, MA: Addison-Wesley.
119.
WoodF. B.BrownI. S.FeltonR. H. (1989). Long-term follow-up of a childhood amnesic syndrome. Brain & Cognition, 10, 76–86.
120.
WoodN.BrewinC. R.McLeodH. J. (2006). Autobiographical memory deficits in schizophrenia. Cognition and Emotion, 20, 536–547.
121.
YoungK.SaverJ. L. (2001). The neurology of narrative. Substance, 30, 72–84.
122.
ZahaviD. (2005). Subjectivity of selfhood: Investigating the first-person Perspective. Cambridge, MA: MIT Press.
