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The contribution of existential phenomenology in the recovery-oriented care of patients with severe mental disorders.

Philippe Huguelet

The Journal of medicine and philosophy August 2014 DOI: 10.1093/jmp/jhu023 (opens in new tab)

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Characteristics Theoretical or philosophical paper Peer reviewed
Topics Philosophy of mind
Keywords Existential phenomenology Psychosis Recovery
Key points Argues that existential phenomenology and existential psychotherapy can illuminate the psychotherapeutic aspects of recovery in severe mental disorders such as psychosis. The authors propose that themes such as death anxiety, isolation, responsibility, and meaning offer clinicians useful discussion points for helping patients gain meaning and hope, and that existential psychotherapy supports a recovery-oriented attitude.

Abstract

Promoting recovery has become more and more important in the care of patients with severe mental disorders such as psychosis. Recovery is a personal process of growth involving hope, self-identity, meaning in life, and responsibility. Obviously, these components pertain, at least in part, to a psychotherapeutic care perspective. Yet, up to now, recovery has mainly been taken into account in transforming health services and as a general framework for supportive therapy. Existential phenomenology abdicates a theoretical stance and considers issues such as death anxiety, isolation, responsibility, and meaning. Thus, it is likely to provide some insight into the psychotherapeutic aspects of recovery. Furthermore, existential psychotherapy allows powerful insights for adopting a recovery-oriented attitude and to provide useful themes for discussing issues allowing patients to gain meaning and hope. This paper describes these elements to give clinicians insights into this complex topic.

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