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Arguments for a Phenomenologically Informed Clinical Approach to Autism Spectrum Disorder.

Maria Nilsson, Peter Handest, Lena Nylander, Lennart Pedersen, Jessica Carlsson, Sidse Arnfred

Psychopathology 2019 DOI: 10.1159/000500294 (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 Autism spectrum disorder First-person experience Psychopathology
Key points Argues that a phenomenologically informed clinical approach focusing on the form and structure of subjective experience, including self-experience in ASD, is needed because current conceptualizations neglect the first-person perspective. Contends that such an approach could yield new insights for clinically differentiating ASD from schizophrenia spectrum disorder.

Abstract

The aim of this paper is to provide arguments for a phenomenologically informed clinical approach to autism spectrum disorder (ASD), including a plea for clinical attention to the self in ASD. Central concepts of continental phenomenology, phenomenological psychopathology, and the phenomenological interview are presented, with an emphasis on the potential unifying qualities of an approach which includes the exploration of subjective and intersubjective experience. These phenomenological concepts and methods are contrasted with the current conceptualization of ASD, where the first-person perspective is not in focus. Contemporary phenomenological papers on ASD address key concepts like intersubjectivity, intercorporeality, and intentionality. However, insights from this theoretical field have not been followed up in clinical research and practice. Consequently, there is (to our knowledge) still a lack of phenomenologically informed clinical explorations of experience of self, others, and the world in ASD. A phenomenologically informed focus on the form and structure of subjective experience, including a focus on self-experience in ASD, can lead to new and important insights in relation to clinical differentiation between ASD and schizophrenia spectrum disorder.

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