Spatial disruptions and the embodied Self in schizophrenia: toward a developmental framework.

IF 4.1 Q2 PSYCHIATRY
Andrea Raballo, Antonio Preti, Michele Poletti
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Abstract

Converging evidence indicates that schizophrenia reshapes the embodied structure of subjectivity, profoundly altering how individuals experience their bodies and surrounding space. This Perspective proposes a neurodevelopmental framework linking measurable distortions of personal space (PS) and peripersonal space (PPS) to deeper phenomenological disruptions of lived spatiality. Experimental findings consistently show an enlarged PS and a contracted PPS, maybe reflecting an excessive feeling of overexposure as well as a diminished sense of possible spatial enactment of bodily capacities. These anomalies likely stem from early neurodevelopmental disturbances in multisensory integration and sensorimotor learning. Phenomenological psychopathology further reveals how such spatial disorganization manifests as instability in self-world boundaries and a pervasive sense of altered atmosphere. Integrating neurodevelopmental, cognitive, and experiential dimensions provides a unified account of how schizotaxic vulnerability unfolds into spatial and Self-disturbances. This approach reframes embodiment and spatiality as developmental interfaces between neural processes and subjective transformation in schizophrenia.

精神分裂症的空间干扰与具身自我:走向发展框架。
越来越多的证据表明,精神分裂症重塑了主体性的具体化结构,深刻地改变了个体体验身体和周围空间的方式。这一观点提出了一个神经发育框架,将个人空间(PS)和周围个人空间(PPS)的可测量扭曲与生活空间的更深层次现象学中断联系起来。实验结果一致地显示出一个增大的PPS和一个收缩的PPS,这可能反映了过度暴露的过度感觉以及身体能力可能的空间表现的减弱。这些异常可能源于早期多感觉统合和感觉运动学习的神经发育障碍。现象学精神病理学进一步揭示了这种空间混乱如何表现为自我世界边界的不稳定和普遍的氛围改变感。整合神经发育、认知和经验维度提供了分裂性脆弱性如何展现为空间和自我干扰的统一解释。这种方法将体现和空间性重新定义为精神分裂症中神经过程和主观转化之间的发展接口。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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