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      Temporal structure of consciousness and minimal self in schizophrenia

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          Abstract

          The concept of the minimal self refers to the consciousness of oneself as an immediate subject of experience. According to recent studies, disturbances of the minimal self may be a core feature of schizophrenia. They are emphasized in classical psychiatry literature and in phenomenological work. Impaired minimal self-experience may be defined as a distortion of one’s first-person experiential perspective as, for example, an “altered presence” during which the sense of the experienced self (“mineness”) is subtly affected, or “altered sense of demarcation,” i.e., a difficulty discriminating the self from the non-self. Little is known, however, about the cognitive basis of these disturbances. In fact, recent work indicates that disorders of the self are not correlated with cognitive impairments commonly found in schizophrenia such as working-memory and attention disorders. In addition, a major difficulty with exploring the minimal self experimentally lies in its definition as being non-self-reflexive, and distinct from the verbalized, explicit awareness of an “I.” In this paper, we shall discuss the possibility that disturbances of the minimal self observed in patients with schizophrenia are related to alterations in time processing. We shall review the literature on schizophrenia and time processing that lends support to this possibility. In particular we shall discuss the involvement of temporal integration windows on different time scales (implicit time processing) as well as duration perception disturbances (explicit time processing) in disorders of the minimal self. We argue that a better understanding of the relationship between time and the minimal self as well of issues of embodiment require research that looks more specifically at implicit time processing. Some methodological issues will be discussed.

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          What are the functional consequences of neurocognitive deficits in schizophrenia?

          M. Green (1996)
          It has been well established that schizophrenic patients have neurocognitive deficits, but it is not known how these deficits influence the daily lives of patients. The goal of this review was to determine which, if any, neurocognitive deficits restrict the functioning of schizophrenic patients in the outside world. The author reviewed studies that have evaluated neurocognitive measures as predictors and correlates of functional outcome for schizophrenic patients. The review included 1) studies that have prospectively evaluated specific aspects of neurocognition and community (e.g., social and vocational) functioning (six studies), 2) all known studies of neurocognitive correlates of social problem solving (five studies), and 3) all known studies of neurocognitive correlates and predictors of psychosocial skill acquisition (six studies). Despite wide variation among studies in the selection of neurocognitive measures, some consistencies emerged. The most consistent finding was that verbal memory was associated with all types of functional outcome. Vigilance was related to social problem solving and skill acquisition. Card sorting predicted community functioning but not social problem solving. Negative symptoms were associated with social problem solving but not skill acquisition. Notably, psychotic symptoms were not significantly associated with outcome measures in any of the studies reviewed. Verbal memory and vigilance appear to be necessary for adequate functional outcome. Deficiencies in these areas may prevent patients from attaining optimal adaptation and hence act as "neurocognitive rate-limiting factors." On the basis of this review of the literature, a series of hypotheses are offered for follow-up studies.
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            Interoceptive inference, emotion, and the embodied self.

            The concept of the brain as a prediction machine has enjoyed a resurgence in the context of the Bayesian brain and predictive coding approaches within cognitive science. To date, this perspective has been applied primarily to exteroceptive perception (e.g., vision, audition), and action. Here, I describe a predictive, inferential perspective on interoception: 'interoceptive inference' conceives of subjective feeling states (emotions) as arising from actively-inferred generative (predictive) models of the causes of interoceptive afferents. The model generalizes 'appraisal' theories that view emotions as emerging from cognitive evaluations of physiological changes, and it sheds new light on the neurocognitive mechanisms that underlie the experience of body ownership and conscious selfhood in health and in neuropsychiatric illness. Copyright © 2013 Elsevier Ltd. All rights reserved.
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              Timing and time perception: a review of recent behavioral and neuroscience findings and theoretical directions.

              The aim of the present review article is to guide the reader through portions of the human time perception, or temporal processing, literature. After distinguishing the main contemporary issues related to time perception, the article focuses on the main findings and explanations that are available in the literature on explicit judgments about temporal intervals. The review emphasizes studies that are concerned with the processing of intervals lasting a few milliseconds to several seconds and covers studies issuing from either a behavioral or a neuroscience approach. It also discusses the question of whether there is an internal clock (pacemaker counter or oscillator device) that is dedicated to temporal processing and reports the main hypotheses regarding the involvement of biological structures in time perception.
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                Author and article information

                Contributors
                Journal
                Front Psychol
                Front Psychol
                Front. Psychol.
                Frontiers in Psychology
                Frontiers Media S.A.
                1664-1078
                21 October 2014
                2014
                : 5
                : 1175
                Affiliations
                [1] 1Centre Référent Lyonnais en Réhabilitation et en Remédiation Cognitive - Service Universitaire de Réhabilitation, Hôpital du Vinatier, Université Lyon 1 and UMR 5229 (Centre National de la Recherche Scientifique) , Lyon, France
                [2] 2Institute for Frontier Areas of Psychology and Mental Health, Department of Empirical and Analytical Psychophysics , Freiburg, Germany
                [3] 3Département Universitaire de Psychiatrie, Centre Hospitalier Universitaire Sainte Marguerite and Aix-Marseille Université , Marseille, France
                [4] 4Unité de Neurophysiologie, Psychophysiologie et Neurophénoménologie, UF 4817, Centre Hospitalier Universitaire Sainte Marguerite , Marseille, France
                [5] 5Laboratoire de Neurosciences Cognitives, UMR CNRS 7291 and Aix-Marseille Université, Fédération 3C , Marseille, France
                [6] 6INSERM U1114, Department of Psychiatry, Fédération de Médecine Translationnelle de Strasbourg, University Hospital of Strasbourg, University of Strasbourg , Strasbourg, France
                Author notes

                Edited by: Simon Grondin, Université Laval, Canada

                Reviewed by: Mark Elliott, National University of Ireland Galway, Ireland; Giovanna Mioni, Université Laval, Canada

                *Correspondence: Anne Giersch, INSERM U1114, Department of Psychiatry, Fédération de Médecine Translationnelle de Strasbourg, University Hospital of Strasbourg, University of Strasbourg, 1 place de l’Hôpital, 67000 Strasbourg, France e-mail: giersch@ 123456unistra.fr

                This article was submitted to Perception Science, a section of the journal Frontiers in Psychology.

                Article
                10.3389/fpsyg.2014.01175
                4212287
                25400597
                88b31d04-4333-4279-b8f9-4df6953bb372
                Copyright © 2014 Martin, Wittmann, Franck, Cermolacce, Berna and Giersch.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 25 June 2014
                : 26 September 2014
                Page count
                Figures: 1, Tables: 1, Equations: 0, References: 103, Pages: 12, Words: 11382
                Categories
                Psychology
                Hypothesis & Theory Article

                Clinical Psychology & Psychiatry
                schizophrenia,time perception,self-concept,consciousness,psychology of the self,psychopathology,experimental psychology

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