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The phenomenology of the intersubjective impairment.

Inês Hipólito

Journal of Evaluation in Clinical Practice August 1, 2016 DOI: 10.1111/jep.12560 (opens in new tab)

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AI-extracted from the abstract
Characteristics Theoretical or philosophical paper Peer reviewed
Topics Philosophy of mind
Keywords Clinical care Knowledge Medical epistemology Schizophrenia Self Space Subjectivity Time
Citations 6
Key points Proposes that the second-person perspective can serve as a congruence point between objective processes and subjective experience, offering a framework to understand schizophrenia as a self-related deficit.

Abstract

Several studies suggest that the disorders of the self include a disturbance of the most elementary component of self - the minimal self. Characterizing these disorders and understanding the mechanisms involved remain a challenge to medical epistemology and health care professionals. In the present work, I bring together concepts of different fields, such as neuroscience, epistemology and phenomenology. The main goal is to show that the second-person perspective can be used to point out particular features of social cognition and its related psychopathology. Taking the hypothesis that the second-person perspective is the congruence point between an objective process and the subjective experience, I will attempt to explain schizophrenia as a self-related deficit, first in the light of the first-person and the third-person perspective and afterward, in the light of the poorly less understood second-person perspective. On the one hand, the first-person experience is correlated both with space and time. In fact, psychiatric patients report subjective experiences that can be understood within research on the bodily self, such as (1) spatially incongruent proprioception and (2) impaired sense of time as the basic mechanism that allows conscious experience. On the other hand, the second-person approach has already begun to prove productive within social cognition research, pointing out the importance of experiencing and interacting with others as our primarily way well-being. I will phenomenological analyse subjective and intersubjective experience in the disorders of the self and derive practical consequences to evidence-based medicine.

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