Table 1.
Overview of the most important similarities and differences between schizophrenia and ASD, differentiated according to the three interconnected dimensions of self, intersubjectivity and relation to the life-world.
| Schizophrenia | Autism Spectrum Disorder | |
|---|---|---|
| Self-Constitution | - disorder of the minimal self/impaired basic self-affection | - intact basic self-affection |
| - interpersonal self is reduced - deviations of the interpersonal self are fundamental - there are indications of a narrative self-disorder, but they are not considered central | ||
| Intersubjectivity | Both can be characterized as: 1. a reduced participation in the intersubjectively constituted lifeworld/common sense 2. a diminished interbodily resonance Social understanding in general and the implicit understanding of social cues in particular appear to be more severely reduced in ASD than in schizophrenia. |
|
| Relation to the life-world: to lived space: to time: delusional experience: | 1. patients can lose the sense of a subjective center 2. impairment of bodily/operative intentionality 3. no preference on non-social objects ⇒ relationship with the life-world is fragmented |
1. Patients keep their subjective center 2. no impairment of operative intentionality 3. increased fixation on non-social objects ⇒ relationship with the life-world is stable |
| - objects themselves can be perceived as altered e.g.: micropsia, dysmegalopsia e.g.: sensory hyper- or hyposensitivity | ||
| - fragmentation of the intentional arc/disturbed retentional-protentional structure - no stereotypes |
- intact retentional-protentional structure - implementation of stereotypes so that the present continues unchanged; the flow of time can be interrupted by external changes |
|
| - difficulties in perspective-taking | ||
| - subjectivized perception or “self-centrality” - externalizing attribution bias/minimal self-disorder as influencing factors for delusion ⇒ resulting in persistent delusional experience |
- no subjectivized perception - no externalizing attribution bias/minimal self-disorder ⇒ resulting in short-lasting delusional experience |
|