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Subjectivity, psychosis and the science of psychiatry.

Louis Sass

World Psychiatry June 1, 2022 DOI: 10.1002/wps.20986 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Theoretical or philosophical paper Peer reviewed
Key points Argues that understanding patients' subjective or "lived" experience is important for psychiatry, contending that curiosity about that experience is likely a prerequisite for trust and therapeutic alliance, that it should inform the development and selection of therapeutic techniques, and that it is relevant to psychopathology as a scientific enterprise.

Abstract

The significance for psychiatry of a patient's subjective or "lived" experience seems obvious even on casual reflection, especially in cases of severe mental illness. It is likely that curiosity and concern about what a patient is experiencing is a prerequisite for building trust or a therapeutic alliance, particularly when the experiences seem highly unsettling and unusual. Few would deny that grasping something of the patient's viewpoint should play a role both in developing and selecting therapeutic techniques. Beyond this, it seems likely that some understanding of patients' subjective life is relevant to psychopathology as a scientific enterprise.

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