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Psychopathology

ISSN 1423-033X

63 papers in the library · 525 citations · publishing 1978-2026

Papers

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Self Fragmentation and Position Imbalance: Consciousness Structure Analysis on schizophrenia in Chinese New Generation Patients.

Psychopathology September 9, 2026 Ya-Jing Tang, Wen-Hao Wang, Chen Zhu et al.

Classic models of schizophrenia posit a complete loss of insight during psychotic episodes. However, clinical observations and recent phenomenological research, especially those on double bookkeeping, suggest that some patients retain partial self-observation capacities. This study explores the consciousness structure of schizophrenia, with particular attention to the partial insight phenomena....

Distressing experiences of felt presence in Child and Adolescent Mental Health Services: Early observations from the ChUSE Trial and the challenges of assessment.

Psychopathology August 27, 2026 Sarah Parry, Sarah Carr, Ben Alderson-Day

Felt presence (FP) is an emerging field of clinical research and to our knowledge there are no studies exploring the phenomenon within children and young people. The current study aims to address this by reporting the experiences of FPs from a clinical sample of young people involved in the ChUSE trial, a feasibility and acceptability RCT looking at supporting young people with distressing...

Frozen Instants and Gestalt Words: Toward a Phenomenology of Autistic Language and Temporality.

Psychopathology August 13, 2026 Yiğit Özaydın, Buket Canlan Özaydin

Autistic patterns of language use, including echolalia, gestalt language processing, and formulaic repetition, have been theorized largely within behavioral and developmental frameworks. Such accounts have documented the functional range of these phenomena in valuable detail, yet their experiential structure has received little attention. This paper develops a phenomenological account of...

Depersonalization, Emotion Embodiment, and Alexithymia in the General Population

Psychopathology June 18, 2026 Julia G. Lebovitz, Sohee Park

Introduction: Alterations in emotional experiences have been demonstrated in depersonalization-derealization disorder (DPD), typically highlighting a blunting of emotions and decreased ability to recognize and name emotions (i.e., alexithymia). However, less research has focused on how individuals with depersonalization experiences embody emotion states. Therefore, the present study...

Operationalizing the Whole of Psychic Life: Toward a Structured Framework for Psychopathology.

Psychopathology June 15, 2026 Ary Gadelha, Bernardo Haguiara, Pedro Gabriel Lorencetti et al.

Contemporary psychiatry has advanced by decomposing behavior into discrete constructs, improving reliability but fragmenting conceptual foundations. Excessive comorbidity, blurred diagnostic boundaries, and the reification of operational criteria have created a gap between empirical data and the understanding of mental life as a coherent, lived whole - the modern paradox of "more data, less...

Empirical Phenomenological Psychopathology: Aims, Methods, and Explanatory Relevance.

Psychopathology May 21, 2026 Pavan S Brar, Elizabeth Pienkos, Gil Grunfeld et al.

An important feature of contemporary phenomenological psychopathology is the development of explanatory accounts, constructed at the level of first-person experience, for why certain phenomena appear in a psychiatric condition. Termed phenomenological explanation, this approach to explanation is intended to uniquely contribute to diagnostic classification and etiology. Despite its promise for...

INTEGRATING PHENOMENOLOGICAL PSYCHOPATHOLOGY AND GROUP VISUAL ART THERAPY FOR PATIENTS WITH SCHIZOPHRENIA SPECTRUM DISORDERS.

Psychopathology May 19, 2026 Barbara Kariž, Mads Gram Henriksen, Borut Škodlar

There is a growing need to translate insights from phenomenological psychopathology into psychotherapeutic practice. Phenomenology offers a deeper understanding of the lived experience of psychosis, and this understanding can render psychotherapy more individualized, empathically attuned, and recovery-oriented by attending to experiential dimensions that conventional, symptom-focused approaches...

Islands of Inference: A Neurodevelopmental Architecture for Fixed Delusions.

Psychopathology May 4, 2026 Paul Goldsmith

Delusions can be strikingly selective: individuals may hold highly elaborated, unshakeable beliefs in one domain while remaining otherwise cognitively intact. Models emphasising dopaminergic salience or belief-updating failures account for the intensity and persistence of delusions but struggle to explain their circumscribed nature. This paper develops a conceptual framework that complements...

Can Self-Disorders Be Self-Rated? Theoretical and Empirical Validity of the Inventory of Psychotic-Like Anomalous Self-Experiences.

Psychopathology April 27, 2026 Mads Gram Henriksen, Håvard Hovstad, Helena Cobanovic et al.

The Inventory of Psychotic-Like Anomalous Self-Experiences (IPASE) was developed as an easy-to-use, self-report measure of self-disorders. Self-disorders are subtle, trait-like, non-psychotic anomalous self-experiences that are traditionally assessed by trained raters using a semi-structured clinical interview, such as the Examination of Anomalous Self-Experience (EASE). Whether self-disorders...

Ketamine as a Rapid-Acting Antidepressant: A Scoping Review of Mechanisms and Efficacy in Treatment-Resistant Depression.

Psychopathology March 27, 2026 Xiaoran Ding, Yaping Wu, Juan Yang et al. 1 citation

Ketamine has emerged as a promising rapid-acting antidepressant with distinct advantages for the treatment of treatment-resistant depression (TRD). Its therapeutic effects are mediated through multi-target modulation of the glutamatergic system. Unlike conventional antidepressants, ketamine exerts a markedly faster onset of action; however, its long-term safety profile and potential risk of...

Elements for a Phenomenology of Cultures: Cultural Existentials and the Dialectical Experiential Matrix.

Psychopathology February 2, 2026 Riccardo Poggioli, Giovanni Stanghellini

This paper proposes a critical expansion of phenomenological psychopathology of the individual to explicitly integrate the collective dimension. In order to accurately describe the scenario of collective life, and its relationship with the psychology and psychopathology of individual existences, we propose two moves: (1) A shift of focus from society (which denotes an organized aggregate of...

Phenomenology of Hallucinations in Endogenous and Substance-Related Exogenous Psychoses.

Psychopathology 2026 Valerio Ricci, Massimiliano Aragona, Giuseppe Maina et al. 1 citation

Healthcare professionals encounter challenges in discerning endogenous and exogenous, drug-related, psychopathological phenomena. This study aimed to explore qualitative differences between hallucinations in schizophrenia and two forms of substance-related psychosis. These are substance-induced psychosis (SIP), which has an acute onset and is usually transient, and substance-related persistent...

Visual and Auditory Verbal Hallucinations in Schizophrenia and Their Relation to Self-Disorders.

Psychopathology 2026 Bettina Magnolia Löfs, Andreas Rosén Rasmussen 1 citation

The current definition of hallucinations as perception-like experiences has been criticized for neglecting their experiential character and context. This study examined the phenomenology of auditory verbal hallucinations (AVHs) and visual hallucinations (VHs) in schizophrenia and their relation to other psychopathology, particularly basic self-disorders. Twenty patients with...

Felt Presence and Psychosis Risk in the General Population.

Psychopathology 2026 Tatiana Baxter, Sohee Park 1 citation

Felt presence (FP) is the experience that another entity is present in one's proximal environment, despite no sensory evidence. Occurrence of FP is linked to psychosis risk, but qualities of FP in the context of psychosis are not well understood. We conducted an online, exploratory survey assessing qualities of FP in relation to psychosis risk in the general population. Three hundred and...

Who Are People with Psychosis Delusional about? A Study of Social Agents in the Phenomenology of Delusions.

Psychopathology 2026 Elisavet Pappa, Nichola Raihani, Vaughan Bell

Delusions frequently involve strong beliefs about, or interactions with, illusory social agents. Although such agents have been systematically described in hallucinations, few studies have investigated their nature and identity in delusions. We identified 205 electronic mental health records describing the content of delusions from the Clinical Record Interactive Search platform at South London...

A Phenomenological Reappraisal of Dynamical Systems in Psychopathology.

Psychopathology August 18, 2025 Evan J. Kyzar, George H Denfield, Jasper Feyaerts et al. 1 citation

Dynamical systems theory (DST) has recently gained traction as a framework to describe and predict the progression of psychopathology. However, a number of challenges to the application of DST to psychopathology have arisen, including the heterogeneity of symptom measures and the lack of theoretical underpinnings to describe the temporal unfolding of psychiatric illnesses. In this article, we...

From Experience to Symptoms: A Multilayer Hierarchy of Psychopathological Dimensions in Schizophrenia.

Psychopathology June 30, 2025 Stephan Lechner, Karl Erik Sandsten, Dusan Hirjak et al. 7 citations

The psychopathology of schizophrenia is a complex amalgamation of features that span across different dimensions. These dimensions range from the experience of altered time and space through self-disorders to perceptual, positive, and negative symptoms. The relationship between these different psychopathological dimensions remains unclear. Addressing this gap was the aim of our study. We...

The Embodied Mind as Pharmacological Target: Towards a Phenomenology of Psychopharmacological Interventions.

Psychopathology 2025 Stefan Jerotić, Janko Nešić, Vuk Vuković et al. 3 citations

Psychopharmacology is currently plagued by reductionism since it is understood as the treatment of biological and behavioural symptoms of mental disorders without taking into account the subjective life of the self in relation to others. Psychopharmacological interventions, such as antidepressants and antipsychotics, must be situated and discussed within the embodied context of the...

The Contribution of Phenomenology to the Assessment of Severe Non-Psychotic Forms of Psychopathological Conditions in Transitional Age Youth: Two Case Studies.

Psychopathology 2025 Matteo Ballabio, Giovanni Stanghellini

In recent times, adolescents with severe forms of psychopathology that do not unambiguously fit into a precise diagnostic category have come to clinical observation. The diagnoses attributed to these young patients range from borderline personality disorder, to affective disorders, ADHD, and others. These diagnoses are mainly based on behavioural abnormalities (e.g., social withdrawal,...

Disembodiment and Affective Resonances in Esketamine Treatment of Depersonalized Depression Subtype: Two Case Studies.

Psychopathology 2024 Pietro Sarasso, Martina Billeci, Irene Ronga et al. 18 citations

Dissociative experiences are considered undesirable ketamine's adverse events. However, they might be crucial for ketamine's antidepressant effects, at least in some depression subtypes. Current understandings of ketamine's therapeutic potentials converge on the so-called "relaxed prior hypothesis," suggesting that glutamatergic blockage up-weights bottom-up surprising somatosensory/affective...

Dissociation and Temporality in Substance Abuse: A Clinical Phenomenological Overview.

Psychopathology 2024 Valerio Ricci, Giuseppe Maina, Giovanni Martinotti 11 citations

The term "dissociation" encompasses a wide array of symptoms and phenomena, all sharing the common characteristic of involving altered states of consciousness where an individual temporarily loses the sense of continuity of their own identity. In the context of addiction pathology, however, the dissociative paradigm remains a topic of ongoing debate. It fluctuates between the description of...

The Loss of Spatiality and Temporality in Twilight Consciousness: The Emergence of Exogenous Psychosis Induced by Novel Psychoactive Substances.

Psychopathology 2024 Valerio Ricci, Giuseppe Maina, Giovanni Martinotti 8 citations

The state of twilight consciousness is marked by a focused narrowing of awareness, maintaining vigilance and attention while simultaneously experiencing perceptual shifts in the surrounding environment. It is crucial to recognize that this twilight state represents not just a contraction but also an expansion of conscious experience. Substances of abuse, particularly new psychoactive...

Major Depression as a Disorder of the Narrative Self: A Qualitative Study.

Psychopathology 2024 Milena Mancini, Cecilia Maria Esposito, Andrés Estradé et al. 6 citations

Abnormal self-experiences are a common feature of major depression despite their absence from current diagnostic manuals. Current diagnostic criteria leave us with an impoverished conception of depressive disorders, and they fail to exploit the diverse experiential alterations that might be useful for understanding and diagnosing patients, and last but not least for explaining the aetiology of...