From Phenomenological Psychopathology to Phenomenological Psychiatry: The Cases of Schizophrenia and Substance Misuse

Author(s):  
Guilherme Messas ◽  
Melissa Tamelini
Author(s):  
Federico Leoni

Psychoanalysis and phenomenological psychopathology mark the beginning of twentieth-century psychiatry. They are two grand experiments against nineteenth-century neurological-criminological alienistics. Psychopathological experiences are not meaningless disfunctions, they both state. But psychoanalysis and phenomenology immediately part ways. Freud’s psychoanalysis reconstructs psychiatry around the idea of the unconscious, phenomenological psychiatry around the idea of consciousness. Psychoanalysis believes in causes, and the first unconscious cause is what Freud called drive, with its adventures and misadventures. Husserl’s phenomenology believes in the transcendental, and what we call psychopathological experiences are nothing other than the fading, the displacement, the fragmentations of the constitutive power of the transcendental.


Author(s):  
Eduardo Iacoponi ◽  
Harvey Wickham

This chapter examines how the phenomenological approach to psychopathology contributes to clinical decision making in psychiatry. It first considers competing forces in psychiatric clinical decision making, focusing in particular on the barriers that patients face in their search for a clinician to make their stories real. It then discusses factors that have contributed to the decline of phenomenological psychopathology, including the increase in importance of diagnostic classifications in psychiatry such as the Diagnostic and Statistical Manual, 3rd edition (American Psychiatric Association 1980); changes in the delivery of public mental health services; and increased attention to risk assessment for severe mental illness. It also describes clinical encounters with two patients that illustrate how phenomenological psychiatry can still contribute to sound clinical decision making.


2011 ◽  
Vol 38 (S 01) ◽  
Author(s):  
S Tosato ◽  
R Mazzoncini ◽  
A Lasalvia ◽  
C Bonetto ◽  
M Bertani ◽  
...  

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