Towards a Phenomenology of Self-Patterns in Psychopathological Diagnosis and Therapy.
Psychopathology April 24, 2019 DOI: 10.1159/000499315 (opens in new tab)
Study at a glance
AI-extracted from the abstract| Characteristics | Theoretical or philosophical paper Peer reviewed |
|---|---|
| Topics | Philosophy of mind |
| Keywords | Humans Mental disorders Psychopathology Comorbidity Therapy Psychiatric diagnosis Narrative Phenomenological interview |
| Key points | Argues that categorization-based psychiatric diagnosis is inadequate for diagnostic accuracy, comorbidity demarcation, symptom amplification, and stigmatization, and that reifying categories has harmed patients. Proposes a complementary framework combining descriptive symptom-based classification, phenomenological interview methods, and narrative with the pattern theory of self to resolve diagnostic problems and support more effective therapy. |
Abstract
Categorization-based diagnosis, which endeavors to be consistent with the third-person, objective measures of science, is not always adequate with respect to problems concerning diagnostic accuracy, demarcation problems when there are comorbidities, well-documented problems of symptom amplification, and complications of stigmatization and looping effects. While psychiatric categories have proved useful and convenient for clinicians in identifying a recognizable constellation of symptoms typical for a particular disorder for the purposes of communication and eligibility for treatment regimes, the reification of these categories has without doubt had negative consequences for the patient and also for the general understanding of psychiatric disorders. We argue that a complementary, integrated framework that focuses on descriptive symptom-based classifications (drawing on phenomenological interview methods and narrative) combined with a more comprehensive conception of the human subject (found in the pattern theory of self), can not only offer a solution to some of the vexed issues of psychiatric diagnosis but also support more efficacious therapeutic interventions.
Comparable studies
Other theoretical and historical papers on philosophy of mind, most cited first.
| Study | Year | Design | Participants |
|---|---|---|---|
| Psychosis as a state of aberrant salience: a framework linking biology, phenomenology, and pharmacology in schizophrenia. | 2003 | Theoretical or philosophical paper | |
| From dopamine to salience to psychosis--linking biology, pharmacology and phenomenology of psychosis. | 2005 | Theoretical or philosophical paper | |
| How do the brain's time and space mediate consciousness and its different dimensions? Temporo-spatial theory of consciousness (TTC). | 2017 | Theoretical or philosophical paper | |
| The phenomenology of deep brain stimulation-induced changes in OCD: an enactive affordance-based model. | 2013 | Theoretical or philosophical paper | |
| Looking for the Self: Phenomenology, Neurophysiology and Philosophical Significance of Drug-induced Ego Dissolution | 2017 | Theoretical or philosophical paper |
Citations in the library
Cited by 7
- The (In)flexible self: Psychopathology, mindfulness, and neuroscience. International journal of clinical and health psychology : IJCHP 2023
- Examination of self patterns: framing an alternative phenomenological interview for use in mental health research and clinical practice. Frontiers in Psychology 2024
- Autobiographical Memory and Mindfulness: a Critical Review with a Systematic Search Mindfulness May 23, 2022
- Let's Get Personal, Let's Get Physical: Approaching the Bodily Self in Clinical Interactions. Psychopathology 2022
- The Nested States Model: A Phenomenologically-Grounded Model of the Mind. Psychopathology 2024
and 2 more in the library
Cites 11
- Guiding the study of brain dynamics by using first-person data: Synchrony patterns correlate with ongoing conscious states during a simple visual task Proceedings of the National Academy of Sciences January 22, 2002
- The phenomenology of deep brain stimulation-induced changes in OCD: an enactive affordance-based model. Frontiers in Human Neuroscience 2013
- Abnormal Time Experiences in Major Depression: An Empirical Qualitative Study Psychopathology December 15, 2016
- Dynamical Relations in the Self-Pattern Frontiers in Psychology May 11, 2018
- Neurophenomenology revisited: second-person methods for the study of human consciousness. Frontiers in Psychology 2015
and 6 more in the library