Schizophrenia and Selfhood

Abstract

This chapter introduces some of the central concepts, themes, and issues addressed in the book. First of all, it discusses the concept of ‘minimal self’ and its recent application to schizophrenia and auditory verbal hallucination (AVH). Then it raises the question of whether minimal self includes only the sense of having some kind of experience or, in addition, a more specific sense of the type of intentional state one is in. A refined account of minimal self is proposed, according to which it centrally involves the latter: a grasp of the modalities of intentionality. It is further argued that certain anomalous experiences centrally involve disturbances of modal structure. Following this, the chapter considers an alternative account of AVHs, according to which they are diagnostically non-specific, meaningful symptoms of interpersonal trauma. In so doing, it stresses the need to place more emphasis on the interpersonal aspects of psychiatric illness, and shows how minimal self, as conceived of here, could turn out to be both developmentally and constitutively dependent on ways of relating to other people.