Evidence map›Paper›PMID 32901298›Full record

ArticleEuropean archives of psychiatry and clinical neuroscience2021

Double bookkeeping and schizophrenia spectrum: divided unified phenomenal consciousness.

Josef Parnas, Annick Urfer-Parnas, Helene Stephensen

Open access · hybridAbstract read
In one paragraph

Article in European archives of psychiatry and clinical neuroscience, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
52.1field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 53 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Poor insight and self-disorders in schizophrenia: an empirical study.European archives of psychiatry and clinical neuroscience · 2026
    Article
  5. Review
  6. Review
  7. Review
  8. Article
  9. Article
  10. Double bookkeeping in schizophrenia spectrum disorder: an empirical-phenomenological study.European archives of psychiatry and clinical neuroscience · 2024
    Article
  11. Review
  12. Article
  13. Article
  14. Review
  15. Review
  16. Article
  17. Article
  18. Delusion and Reason.Schizophrenia bulletin · 2022
    Article
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 1 country.

Josef ParnasCenter for Subjectivity Research, University of Copenhagen, 2300, Copenhagen, Denmark.
Annick Urfer-ParnasMental Health Centre Amager, University Hospital of Copenhagen, 1610, Copenhagen, Denmark.
Helene StephensenCenter for Subjectivity Research, University of Copenhagen, 2300, Copenhagen, Denmark. hst@hum.ku.dk.ORCID http://orcid.org/0000-0002-6531-4954
University of Copenhagen · DKAmager Hospital · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Eugen Bleuler, the founder of the concept of schizophrenia, pointed out that psychotic patients were able to live in two disjoint worlds (namely, the social, intersubjective world and the delusional world). He termed this phenomenon "double bookkeeping," but did not provide any conceptual elaboration of this phenomenon or its possible mechanisms. Double bookkeeping has been neglected in mainstream psychiatry, but it has been addressed in recent theoretical work, however mainly concerned with the issue of delusion. In this article, we present clinical material that supports the view that double bookkeeping manifests itself across various psychotic phenomena and its antecedent may be observed in premorbid (pre-onset) phases as well as in the schizotypal disorder. We try to conceptualize double bookkeeping to concretize an often atmospheric perception of paradoxicality in the encounter with the patient. A phenomenological analysis of double bookkeeping suggests an instability in the affective ("auto-affection") articulation of selfhood. We point to four main implications of our presentation: (1) diagnostic, (2) epistemological, (3) therapeutic and (4) pathogenetic research.

Indexed as

SchizophreniaSchizophrenic PsychologyConsciousnessHumansPsychiatryAuto-affectionConsciousnessDouble bookkeepingSchizophrenia spectrumSelf-disorders

Identifiers

PMID32901298
PMCPMC8563555
OpenAlexW3084151659

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.