Situating Phenomenological Psychopathology Subjective Experience Within The World

vThe discipline of phenomenological psychopathology has historically focused on elucidating the ways in which persons with psychiatric illnesses experience themselves and the world. Early pioneers in this field were aware of the impact of uncontrollable life events on the onset and course of severe illness, such as Jaspers’ recognition that environmental events may stimulate or enhance certain “innate potentialities” for the development of a disorder. Furthermore, the role of environment and life events in the development and onset of psychiatric illness has been well-documented. For example, there is a clear relationship between the development of psychotic symptoms and life stressors including adverse childhood events, urban living, and migration. However, relatively little attention (with some notable exceptions) has been devoted to exploring the features of those experienced worlds and how they may impact the trajectory of severe illnesses such as schizophrenia, depression, and personality disorders.

The field of phenomenological psychopathology (PP) is concerned with exploring and describing the individual experience of those suffering from mental disorders. Whilst there is often an understandable emphasis within psychiatry on diagnosis and treatment, the subjective experience of the individual is frequently overlooked. Yet a patient's own account of how their illness affects their thoughts, values, consciousness, and sense of self, can provide important insights into their condition - insights that can complement the more empirical findings from studies of brain function or behaviour. The Oxford Handbook of Phenomenological Psychopathology is the first ever comprehensive review of the field. It considers the history of PP, its methodology, key concepts, and includes a section exploring individual experiences within schizophrenia, depression, borderline personality disorder, OCD, and phobia. In addition it includes chapters on some of the leading figures throughout the history of this field. Bringing together chapters from a global team of leading academics, researchers and practitioners, the book will be valuable for those within the fields of psychiatry, clinical psychology, and philosophy.

This book introduces the reader to a clear and consistent method for in-depth exploration of subjective psychopathological experiences with the aim of helping to restore the ability within psychiatry and clinical psychology to draw qualitative distinctions between mental symptoms that are only apparently similar, thereby promoting a more precise characterization of experiential phenotypes. A wide range of mental disorders are considered in the book, each portrayed by a distinguished clinician. Each chapter begins with the description of a paradigmatic case study in order to introduce the reader directly to the patient’s lived world. The first-person perspective of the patient is the principal focus of attention. The essential, defining features of each psychopathological phenomenon and the meaning that the patient attaches to it are carefully analyzed in order to “make sense” of the patient’s apparently nonsensical experiences. In the second part of each chapter, the case study is discussed within the context of relevant literature and a detailed picture of the state of the art concerning the psychopathological understanding of the phenomenon at issue is provided. An Experiential Approach to Psychopathology, and the method it proposes, may be considered the result of convergence of classic phenomenological psychopathological concepts and updated clinical insights into patients’ lived experiences. It endorses three key principles: subjective phenomena are the quintessential feature of mental disorders; their qualitative study is mandatory; phenomenology has developed a rigorous method to grasp “what it is like” to be a person experiencing psychopathological phenomena. While the book is highly relevant for expert clinical phenomenologists, it is written in a way that will be readily understandable for trainees and young clinicians.

Exploring phenomenological philosophy as it relates to psychiatry and the social world, this book establishes a common language between psychiatrists, anti-psychiatrists, psychologists and social workers. Phenomenology and the Social Context of Psychiatry is an inter-disciplinary work by phenomenological philosophers, psychiatrists, and psychologists to discover the essence and foundations of social psychiatry. Using the phenomenology of Husserl as a point of departure, the meanings of empathy, interpersonal understanding, we-intentionality, ethics, citizenship and social inclusion are investigated in relation to psychopathology, nosology, and clinical research. This work, drawing upon the rich classical and contemporary phenomenological tradition, touching on a broad range of thinkers such as Deleuze, Levinas, and R.D. Laing, also explicates how phenomenology is a method capable of capturing the human condition and its intricate relation to the social world and mental illness

Feelings of Being is the first ever account of the nature, role and variety of 'existential feelings' in psychiatric illness and in everyday life. There is a great deal of current philosophical and scientific interest in emotional feelings. However, many of the feelings that people struggle to express in their everyday lives do not appear on standard lists of emotions. For example, there are feelings of unreality, surreality, unfamiliarity, estrangement, heightened existence, isolation, emptiness, belonging, significance, insignificance, and the list goes on. Ratcliffe refers to such feelings as 'existential' because they comprise a changeable sense of being part of a world In this book, Ratcliffe argues that existential feelings form a distinctive group by virtue of three characteristics: they are bodily feelings, they constitute ways of relating to the world as a whole, and they are responsible for our sense of reality. He explains how something can be a bodily feeling and, at the same time, a sense of reality and belonging. He then explores the role of altered feeling in psychiatric illness, showing how an account of existential feeling can help us to understand experiential changes that occur in a range of conditions, including depression, circumscribed delusions, depersonalisation and schizophrenia. The book also addresses the contribution made by existential feelings to religious experience and to philosophical thought.

Schizophrenia has been investigated predominantly from psychological, psychiatric and neurobiological perspectives. This text examines it from a philosophical point of view.