Phenomenology of Intuitive Judgment: Praecox-Feeling in the Diagnosis of Schizophrenia
Marcin Moskalewicz, Michael Alan Schwartz, Tudi Gozé
Avant September 30, 2018 DOI: 10.26913/avant.2018.02.04 (opens in new tab)
Study at a glance
AI-extracted from the abstract| Characteristics | Theoretical or philosophical paper Peer reviewed |
|---|---|
| Topics | Philosophy of mind |
| Citations | 18 |
| Key points | Argues that intuitive judgment remains part of schizophrenia diagnosis despite operational methods, and proposes that the "praecox feeling" is a typification operating at an implicit level, situated in the in-between of the clinical interaction, and temporally extended and partly reflective rather than a momentary subjective feeling. Suggests psychiatrists critically test such intuitions through reflective operations to confirm or falsify them. |
Abstract
This paper argues that intuition plays a role in the diagnosis of schizophrenia and presents its phenomenological rationale.A discussion of self-assessment questionnaires and empirical studies in the clinical setting provides evidence that despite the prevalence of operational diagnosis, the intuitive judgment of schizophrenia continues to take place.Two related notions of intuitive diagnosis are presented: Minkowski's diagnostic by penetration and Rümke's praecox feeling.Further on, the paper explores and clarifies the phenomenology behind the praecox feeling.First, it is argued, intuitive diagnosis is neither a feeling nor an experience, but a typification operating at an implicit level.Second, it is not simply subjective as spatially it takes place in the in-between of the clinical interaction.Finally, it is not just momentary, but temporally extended, and, hence, partly reflective.The paper suggests that intuitive diagnosis requires critical testing on the side of the psychiatrist to either confirm or falsify it through reflective operations.In conclusion, the merits and shortcomings of intuitive vs. operational diagnosis are presented.
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 3
- Enactivism, other minds, and mental disorders Synthese 2021
- Close, yet so far away: a phenomenology of the praecox feeling in the diagnosis of schizophrenia as intercorporeal alienness Frontiers in Psychiatry October 2, 2024
- How to Teach/Learn Praecox Feeling? Through Phenomenology to Medical Education. Frontiers in Psychiatry March 18, 2022
Cites 4
- New Insight into Affectivity in Schizophrenia: from the Phenomenology of Marc Richir. Psychopathology 2017
- A disappearing heritage: the clinical core of schizophrenia. Schizophrenia Bulletin July 19, 2011
- The "minimal self" in psychopathology: re-examining the self-disorders in the schizophrenia spectrum September 1, 2007
- Schizophrenia, consciousness, and the self. Schizophrenia Bulletin 2003