思覺失調症之身體意象

Body Image in Schizophrenia

思覺失調症初期會出現不安的自我感覺，自我感覺脆弱或異常是早期思覺失調症理論的觀察核心。不同於憂鬱症或厭食症身體意象，思覺失調症病人身體經驗的紊亂為導致身體意象的主因，此概念於近年的研究被陸續探討。本文將介紹身體自我模式、討論思覺失調症狀影響身體經驗紊亂及降低身體自我功能、身體認同感和身體意象關係之實證研究。對於改善思覺失調症病人身體意象問題，需從身體經驗紊亂，提升身體認同感來開始進行評估和介入。

Schizophrenia is a basic self-disturbance that in its early stages causes the sufferer discomfort toward feelings of self. Therefore, fragility or abnormality with regard to sense of self was a core observation of early schizophrenia theory. Rather than body-image-related depression or anorexia, disturbed body experience is the main factor affecting body image in patients with schizophrenia. This is a concept that has been discussed in the literature in recent years. This article will introduce the body self model, discuss the schizophrenic symptoms that influence experienced body disturbances and reduce body self-functions, and explore the relationship between body identity and body image. In order to improve the body image of patients with schizophrenia, it is necessary to conduct assessments and interventions that enhance the sense of body identity.