A growing body of research supports the role of self-disorders as core phenotypic features of schizophrenia-spectrum conditions. Self-disorders comprise various alterations of conscious experience whose theoretical understanding continues to present a challenge. This is the second of two articles that aim to clarify the nature of self-disorders in schizophrenia by considering the currently most influential, phenomenological model of schizophrenia: the basic-self-disturbance or ipseity-disorder model (IDM). The previous paper (article 1) presented a state-of-the-art overview of this model and critically assessed its descriptive adequacy with respect to the clinical heterogeneity and variability of the alterations in self- and world-awareness characteristic of schizophrenia. This paper (article 2) proposes a theoretical revision by considering how hyperreflexivity might form the crucial common thread or generating factor that unifies the heterogeneous, and sometimes even contradictory features of schizophrenic self-disorders. We outline implications of our revised model (IDMrevised) for explanatory research, therapeutic practice, and our general understanding of the abnormalities in question.

中文翻译：

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精神分裂症的自我紊乱：修正的观点（2.理论修正——反射亢进）

越来越多的研究支持自我紊乱作为精神分裂症谱系疾病的核心表型特征的作用。自我障碍包括意识体验的各种改变，其理论理解仍然面临着挑战。这是两篇文章中的第二篇，旨在通过考虑目前最有影响力的精神分裂症现象学模型：基本自我干扰或自在障碍模型（IDM）来阐明精神分裂症中自我紊乱的本质。之前的论文（第 1 篇）对该模型进行了最新概述，并严格评估了其在精神分裂症自我意识和世界意识特征改变的临床异质性和变异性方面的描述充分性。本文（第 2 条）通过考虑超反射性如何形成关键的共同线索或生成因素来统一精神分裂症自我障碍的异质性、有时甚至是矛盾的特征，提出了理论修正。我们概述了修订后的模型（IDMrevised）对解释性研究、治疗实践以及我们对相关异常的一般理解的影响。