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Schizophrenia Bulletin Advance Access originally published online on February 16, 2005
Schizophrenia Bulletin 2005 31(1):43-53; doi:10.1093/schbul/sbi003
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Schizophrenia Bulletin vol. 31 no. 1 © The Author 2005. Published by Oxford University Press, on behalf of the Maryland Psychiatric Research Center. All rights reserved. For Permissions, please email: journals.permissions@oupjournals.org

The Schizophrenic Experience: Taken Out of Context?

David R Hemsley, M.A., M.Phil, Ph.D.
Professor of Abnormal Psychology, Institute of Psychiatry, King's College, London, U.K

Send reprint requests to Professor D.R. Hemsley, Psychology Department, PO77, Henry Wellcome Building, Institute of Psychiatry, Denmark Hill, London SE5 8AF, U.K.; D.Hemsley{at}iop.kcl.ac.uk.

A currently favored cognitive model of the abnormal behaviors and experiences characteristic of schizophrenia suggests that they may be linked to a disturbance in the effects of context. The present article reviews some of the relevant literature, noting the wide range of experimental paradigms that have been employed. This range of paradigms is both a strength and a potential weakness of the literature because it raises complex issues of definition and the need to distinguish the various ways that context may influence behaviors. This influence may be crucially dependent on specific task parameters. Despite this, a number of phenomena can be plausibly related to changes in the way that context operates: delusions, disorganization, hallucinations, and the loss of a sense of personal identity. Potential links with the neural bases of the disorder are indicated.

Keywords: Schizophrenia / context / information processing


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