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Schizophrenia Bulletin Advance Access originally published online on August 29, 2006
Schizophrenia Bulletin 2007 33(1):131-141; doi:10.1093/schbul/sbl036
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© The Author 2006. Published by Oxford University Press on behalf of the Maryland Psychiatric Research Center. All rights reserved. For permissions, please email: journals.permissions@oxfordjournals.org.

Values in Persons With Schizophrenia

Giovanni Stanghellini1,2 and Massimo Ballerini3
2 Chair of Dynamic Psychology, Department of Biomedical Sciences, University of Chieti, Italy
3 Department of Mental Health, Florence, Italy

1 To whom correspondence should be addressed; Viale Don Minzoni 45, I-50129 Florence, Italy, tel: +39-347-379-0707, fax: +39-055-6577279, e-mail: giostan{at}libero.it.

This is an explorative study on the values of persons with schizophrenia based on transcripts of individual therapy sessions conducted for 40 persons with chart diagnoses of schizophrenia or schizotypal disorder. Values are action-guiding attitudes that subject human activities to be worthy of praise or blame. The schizophrenic value system conveys an overall crisis of common sense. The outcome of this has been designated as antagonomia and idionomia. Antagonomia reflects the choice to take an eccentric stand in the face of commonly shared assumptions and the here and now "other." Idionomia reflects the feeling of the radical uniqueness and exceptionality of one's being with respect to common sense and the other human beings. This sentiment of radical exceptionality is felt as a "gift," often in view of an eschatological mission or a vocation to a superior, novel, metaphysical understanding of the world. The aim of this study is neither establishing new diagnostic criteria nor suggesting that values play an etio-pathogenetical role in the development of schizophrenia but improving our understanding of the "meaning" of schizophrenic experiences and beliefs, and by doing so reducing stigmatization, and enhancing the specificity and validity of "psychotic symptoms" (especially bizarre delusions) and of "social and occupational dysfunction" through a detailed description of the anthropological and existential matrix they arise from.

Keywords: bizarre delusions / ethics / phenomenology / schizophrenia / social dysfunction / values


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