TY - JOUR PY - 2013// TI - Attachment and self-consciousness: A dynamic connection between schizophrenia and panic JO - Medical hypotheses A1 - Veras, Andre B. A1 - Nardi, Antonio E. A1 - Kahn, Jeffrey P. SP - 792 EP - 796 VL - 81 IS - 5 N2 - INTRODUCTION: Attachment theory offers an evolutionary explanation for the occurrence of panic states. The distance between a mother and child causes the sensation of fear. The experience of feared annihilation, an intense fear reaction (panic), is presented as a threat to the individual's cohesiveness, disrupting the mental representation of self-consciousness, specifically self-unity. Alterations in self-consciousness in schizophrenia are so important that they are mostly included among Kurt Schneider's first-ranked symptoms. HYPOTHESES: Based on clinical trials, case reports, and brain imaging and pharmacological studies, a paradigm is proposed to explain the relationship between panic anxiety and psychosis. CONCLUSION: The psychosis-anxiety pathophysiology explanation needs further investigation into the brain areas that integrate self-monitoring with fear areas, but it seems possible to note the importance of the anterior cingulate cortex.

Language: en

LA - en SN - 0306-9877 UR - http://dx.doi.org/10.1016/j.mehy.2013.08.021 ID - ref1 ER -