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The concept of the schizophrenic lifeworld revisited.

Marco Kramer, Paraskevi Mavrogiorgou, Georg Juckel

Frontiers in Psychiatry September 26, 2025 DOI: 10.3389/fpsyt.2025.1625364 (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 Schizophrenia Lifeworld Husserl Phenomenological psychopathology Blankenburg
Key points Argues that schizophrenic lifeworlds are best understood pluralistically, on a spectrum between isolation and participation and between radically anomalous experience and shared lifeworlds, rather than through a single interpretation. Proposes that therapy should build bridges of shared self-evidence, attentive presence, and supportive milieus while respecting the protective and emancipatory functions of private worlds.

Abstract

Disturbances regarding the lifeworlds of patients with mental disorders are recurrently mentioned in psychiatric literature, but the concept often remains poorly defined and unclear. The present article takes the lifeworld in schizophrenia as an example to elucidate this concept. First, the concept "lifeworld" is traced back to its philosophical roots. The classical phenomenology particularly of Edmund Husserl is revisited to establish its general meaning. Secondly, synthesizing classical and current phenomenological-psychopathological literature with empirical findings, we explore different interpretations regarding schizophrenia and their relation to existing theories: (1) a general loss of lifeworld through diminished natural self-evidence, (2) the constitution of an idiosyncratic private world (Eigenwelt), (3) the perception of a strange and alien world (Fremdwelt), and (4) schizophrenia as part of our shared intersubjective lifeworld, albeit with a particular vulnerability to social passivity and exclusion. We argue for a pluralistic understanding that situates schizophrenic lifeworlds on a spectrum between isolation and participation, between radically anomalous experiences and shared lifeworlds. Therapeutically, the analysis highlights the importance of establishing bridges of shared self-evidence, attentive presence, and supportive milieus, while acknowledging the protective and emancipatory functions of private worlds. More broadly, acknowledging schizophrenic lifeworlds as embedded in, yet challenging, our shared world opens new directions for research and calls for a more inclusive psychiatry.

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