2020-03Thematic Section
Interpersonal Experience and Psychopathology

Abstract:

The article deals with relational aspects of mental disorders. The author takes into account the influence of mental illness on intersubjectivity and interpersonal relations in three aspects: (1) “attitude to the illness,” that is, changes in the functioning of the subject and difficulties in dealing with the experience of mental illness; (2) “dialogical relationship” in the form of difficulties in maintaining social cognition and entering into relationships with others; (3) “social consensus,” that is, difficulties in adapting to the social world and a common sense deficit. The analysis is made with reference to phenomenological research in contemporary philosophy of psychiatry. The result of this study is a reconstruction of a “different existence,” in other words, presentation of the transformation of the life-world and the specific way of inhabiting the world of a person in a mental crisis. Symptoms and experience of the illness are presented in the light of human possibilities of transformation. The analysis emphasizes the role of patients’ subjectivity and their efforts to find the meaning of a painful situation. The study of subjective aspects of disorders aims to reveal their consequences for understanding how to deal with mental crisis and to understand the positive aspects of the recovery process.

Keywords:

experience of mental illness, phenomenological psychopathology, intersubjectivity, social cognition, common sense, recovery process

How to cite:

Kapusta, Andrzej. “Interpersonal Experience and Psychopathology.” Eidos. A Journal for Philosophy of Culture 4, no. 3 (2020):  48-64. https://doi.org/10.14394/eidos.jpc.2020.0030.

Author:

Andrzej Kapusta
Institute of Philosophy, Maria Curie-Skłodowska University
pl. Marii Curie-Skłodowskiej 4, 20-031 Lublin, Poland
andrzej.kapusta@poczta.umcs.lublin.pl
https://orcid.org/0000-0002-9748-7729

References:

American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders (Fifth Edition). Arlington, VA: American Psychiatric Association, 2013. https://doi.org/10.1176/appi.books.9780890425596.

Bayne, Tim, and Elisabeth Pacherie. “In defense of the doxastic conception of delusions.” Mind and Language 20, no. 2 (March 2005):163-88. https://doi.org/10.1111/j.0268-1064.2005.00281.x.

Biringer, Eva, Larry Davidson, Bengt Sundfør, Haldis Ø. Lier, and Marit Borg. “Coping with mental health issues: subjective experiences of self-help and helpful contextual factors at the start of mental health treatment.” Journal of Mental Health 25, no. 1 (Jan. 2016): 23–27. https://doi.org/10.3109/09638237.2015.1078883.

Blankenburg, Wolfgang.  “Anthropological and Ontoanalytical Aspects of Delusions.” Journal of Phenomenological Psychology 11, no. 1 (1980): 97–110. https://doi.org/10.1163/156916280X00138.

Blankenburg Wolfgang, and Aaron L. Mishara. “First Steps Toward a Psychopathology of ‛Common Sense’.” Philosophy, Psychiatry & Psychology 8, no. 4 (Dec. 2001): 303–15. https://doi.org/10.1353/ppp.2002.0014.

Corin, Ellen, and Gilles Lauzon. “From symptoms to phenomena: The articulation of experience in schizophrenia.” Journal of Phenomenological Psychology 25, no. 1 (Jan 1994): 3–50. https://doi.org/10.1163/156916294X00106.

Davidson, Larry. Living Outside Mental Illness: Qualitative Studies of Recovery Schizophrenia. New York–London: New York University Press, 2003.

Fuchs Thomas. “Existential Vulnerability: Toward a Psychopathology of Limit Situations.” Psychopathology 46, no. 5 (2013): 301-8. https://doi.org/10.1159/000351838.

Fuchs Thomas. “The Intersubjectivity of Delusions.” World Psychiatry 14, no. 2 (June 2015): 178–179. https://doi.org/10.1002/wps.20209.

Gallagher, Shaun. “Delusional realities.” In Psychiatry as Cognitive Neuroscience: Philosophical Perspectives, edited by Matthew Broome and Lisa Bortolotti, 245-66. United Kingdom: Oxford University Press, 2009. https://doi.org/10.1093/med/9780199238033.003.0014.

Gallagher, Shaun. “Two Problems of Intersubjectivity.” Journal of Consciousness Studies 16, no. 6-8 (2009): 289-308.

Gallagher, Shaun, and Somogy Varga. “Social Cognition and Psychopathology: A Critical Overview.” World Psychiatry 14, no. 1 (Feb 2015): 5–14. https://doi.org/10.1002/wps.20173.

Husserl, Edmund. Ideas Pertaining to a Pure Phenomenology and a Phenomenological Philosophy: Second Book: Studies in the Phenomenology of Constitution. Translated by Richard Rojcewicz and André Schuwer. Dordrecht: Kluwer Academic Publishers, 1989.

Irarrázaval, Leonor. “Phenomenological Paradigm for Empirical Research in Psychiatry and Psychology: Open Questions.” Frontiers in Psychology, 25, June 2020. https://doi.org/10.3389/fpsyg.2020.01399.

Jaspers, Karl. General Psychopathology. Manchester: Manchester University Press, 1913/1963.

Kapusta, Andrzej. “Experience, Depression and Decision-Making.” Eidos. A Journal for Philosophy of Culture 2, no.  (2)4 (2018): 15-26.

Kapusta, Andrzej. “Karl Jaspers’ Psychopathology and contemporary psychiatry.” Postępy Psychiatrii i Neurologii, 23, no. 4 (October–December 2014): 169–78. https://doi.org/10.1016/j.pin.2014.11.001.

Kapusta, Andrzej. “Psychiatria oparta na wartościach – teoria czy praktyka?” Etyka 54, (2017): 29-40. https://doi.org/10.14394/etyka.501.

Kapusta, Andrzej. Szaleństwo i metoda: granice rozumienia w filozofii i psychiatrii. [Madness and Method. The Limits of Understanding in Philosophy and Psychiatry.] Lublin: Wydawnictwo UMCS, 2010.

Kapusta, Andrzej. Transformative experience and psychopathology, [in print].

Kępiński, Antoni. Poznanie chorego. Warszawa: PZWL, 1978.

Kępiński, Antoni. Rytm życia. Kraków: Wydawnictwo Lekarskie: 2002.

Marková, Ivana S. Insight in Psychiatry.  Cambridge: Cambridge University Press, 2005. https://doi.org/10.1017/CBO9780511543999.

Marková, Ivana, and German E. Berrios. “Epistemology of Mental Symptoms.” Psychopathology 42, no. 6 (2009): 343–49. https://doi.org/10.1159/000236905.

Matthews, Eric. Body-Subjects and Disordered Minds: Treating the Whole Person in Psychiatry. Oxford: Oxford University Press, 2009.

Moskalewicz, Jacek, Andrzej Kiejna, and Bogdan Wojtyniak, eds. “Kondycja psychiczna mieszkańców polski. Raport z  badań ‘Epidemiologia zaburzeń psychiatrycznych i  dostęp do psychiatrycznej opieki zdrowotnej – EZOP Polska. ’” Warszawa: Instytut Psychiatrii i Neurologii, 2012.

Parnas, Josef, and Dan Zahavi. “The Role of Phenomenology in Psychiatric Diagnosis and Classification.” In Psychiatric Diagnosis and Classification, edited by Mario Maj, Wolfgang Gaebel, Juan Jose López-Ibor, and Norman Sartorius, 137–62. John Wiley & Sons Ltd., 2002.

Parzuchowska, Katarzyna. “Standards of Psychiatric Care – Because it’s Worth Asking About.” Advances in Psychiatry and Neurology/Postępy Psychiatrii i Neurologii 27, no. 4 (2018): 259-60. https://doi.org/10.5114/ppn.2018.80879.

Plessner, Helmuth. Levels of Organic Life and the Human: An Introduction to Philosophical Anthropology. Fordham University Press, 2019. https://doi.org/10.5422/fordham/9780823283996.001.0001.

Ratcliffe, Matthew. “Depression, Self-Regulation, and Intersubjectivity.” In Discipline Filosofiche 28, no. 2 (September 2018): 21-41.

Ratcliffe, Matthew. Experiences of Depression: A Study in Phenomenology. Oxford: Oxford University Press, 2015.

Ratcliffe, Matthew. Feelings of Being: Phenomenology, Psychiatry and the Sense of Reality. Oxford: Oxford University Press, (2008). https://doi.org/10.1093/med/9780199206469.001.0001.

Ratcliffe, Matthew. “The interpersonal world of psychosis.” World Psychiatry 14, no. 2 (June 2015): 176–78. https://doi.org/10.1002/wps.20208.

Ratcliffe, Matthew. “Understanding Existential Changes in Psychiatric Illness: The Indispensability of Phenomenology.” In Psychiatry as Cognitive Neuroscience, edited by Matthew Broome and Lisa Bortolotti, 223-44. Oxford: Oxford University Press, 2009. https://doi.org/10.1093/med/9780199238033.003.0013.

Ratcliffe, Matthew. Real Hallucinations: Psychiatric Illness, Intentionality, and the Interpersonal World. London, England: The MIT Press, 2017. https://doi.org/10.7551/mitpress/10594.001.0001.

Schlimme, Jann E., and Michael Schwartz. “In Recovery from Schizophrenia: Regaining Social Cover – A Phenomenological Investigation.” Psychopathology 46, no. 2 (January 2013): 102–10. https://doi.org/10.1159/000339384.

Sechehaye, Marguerite. Autobiography of a Schizophrenic Girl. New York: New American Library, 1970.

Stanghellini, Giovanni. Lost in Dialogue: Anthropology, Psychopathology, and Care. Oxford: Oxford University Press, 2016. https://doi.org/10.1093/med/9780198792062.001.0001.

Stephensen, Helene, and Mads Gram Henriksen. “Not Being Oneself: A Critical Perspective on ‘Inauthenticity’ in Schizophrenia.” Journal of Phenomenological Psychology 48, no. 1 (May 2017): 63–82. https://doi.org/10.1163/15691624-12341322.

Szawarski, Zbigniew. Mądrość i sztuka leczenia. Gdańsk: Wydawnictwo Słowo/Obraz Terytoria, 2005.

Thoma, Samuel, and Thomas Fuchs. “Inhabiting the Shared World: Phenomenological Considerations on Sensus Communis, Social Space and Schizophrenia.” In Schizophrenia and Common Sense: Explaining the Relation Between Madness and Social Values, 19-37, edited by Inês Hipólito, Jorge Gonçalves, and João G. Pereira. Cham: Springer, 2018. https://doi.org/10.1007/978-3-319-73993-9_2.

Van den Berg, Jan H. A Different Existence: Principles of Phenomenological Psychopathology. Duquesne U. Press, 1977.

Walsh, Dale. “A Journey Toward Recovery: From the Inside Out.” Psychiatric Rehabilitation Journal 20, no. 2 (1996): 85–90. https://doi.org/10.1037/h0095378.

Warner, Margaret S. “Toward an Integrated Person-Centered Theory of Wellness and Psychopathology.” Person-Centered and Experiential Psychotherapies 5, no. 1 (August 2011): 4-20. https://doi.org/10.1080/14779757.2006.9688389.

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