Abstract

There has recently been a resurgence of philosophical and scientific interest in the foundations of self-consciousness, with particular focus on its altered, anomalous forms. This paper looks at the altered forms of self-awareness in Depersonalization Disorder (DPD), a condition in which people feel detached from their self, their body and the world (Derealisation). Building upon the phenomenological distinction between reflective and pre-reflective self-consciousness, we argue that DPD may alter the transparency of basic embodied forms of pre-reflective self-consciousness, as well as the capacity to flexibly modulate and switch between the reflective and pre-reflective facets of self-awareness. Empirical evidence will be invoked in support of the idea that impaired processing of bodily signals is characteristic of the condition. We provide first-hand subjective reports describing the experience of self-detachment or fracture between an observing and an observed self. This split is compared with similar self-detachment phenomena reported in certain Buddhist-derived meditative practices. We suggest that these alterations and changes may reveal the underlying and tacit transparency that characterises the embodied and basic pre-reflective forms of self-consciousness, in the same way that a crack in a transparent glass may indicate the presence of an unnoticed window.

Highlights

  • There has been a resurgence of philosophical and scientific interest in the foundations of self-consciousness1, with particular focus on its altered, anomalous forms

  • Altered forms of self-consciousness have been frequently examined in relation to clinical conditions such as: (i) schizophrenia (Parnas and Sass 2001; Fuchs 2015); (ii) psychosis (Sass and Parnas 2003); and (iii) Depersonalisation Disorder (Sierra and David 2011; Seth et al 2012; Medford et al 2016; Billon 2017a,b; Gerrans 2018)

  • In this paper we look at altered forms of self-awareness in Depersonalization Disorder (DPD ), a relatively neglected condition

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Summary

Introduction

There has been a resurgence of philosophical and scientific interest in the foundations of self-consciousness, with particular focus on its altered, anomalous forms. The key idea is that DPD, profoundly alters the embodied pre-reflective roots of selfawareness, and may reveals its tacit, transparent and taken for granted presence in our everyday life, in the same way that a crack in a transparent glass reveals the presence of an unnoticed window These alterations increase the incidence of compensatory hyper-reflective mentalistic forms of self-awareness, with consequent self-opacity, and lack of immersiveness into the world (Fuchs 2005), which is often described by DPD patients via metaphors such as being ‘trapped’ inside one’s head (mind) and outside one’s body, ‘living in a bubble’ or being ‘a floating head’ disconnected from the body (**Author, Simeon and Abugel 2006). In the remainder of this paper we put forward the hypothesis that both DPD alterations and Buddhist-based meditative changes in one’s sense of self play a role in revealing the underlying transparency of basic, embodied forms of self-awareness, which typically go unnoticed and are taken for granted, in our everyday life

When the window cracks: the transparent bodily roots of the sense of self
Conclusion
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