Theoretical models of schizophrenia have traditionally emphasized the biological social, and environmental forces that lead to the dysfunction that characterizes this disorder. However important these aspects may be, an understanding of schizophrenia is incomplete without attention to the first-person perspective of those who continue to struggle to find meaning and security in the midst of this disorder. Encouragingly, an interest has grown steadily in recent years in understanding subjective experience in schizophrenia, and can be found within a range of bodies (...) of research, including.. (shrink)

In our original piece, we suggested that contemporary phenomenological models of schizophrenia such as the ipseity-disturbance model emphasize perceptual and cognitive elements of self-disturbances, potentially neglecting the presence and central importance of painful affect in the experience of schizophrenia. We concluded that integrating affect within developing phenomenological models would offer not only a theoretical advance but also a possible path to more effective recovery-oriented treatment. In response, Phillips agrees there is incontrovertible evidence of painful affect central to the experience of (...) schizophrenia. He expresses concerns though about a danger in falsely reducing.. (shrink)