Perspectives of phenomenological approach in psychiatry: the problem of patient’s understanding

Abstract

The problem of understanding of patients in modern psychiatry is discussed. Nowadays patient’s subjective experience is almost entirely excluded from psychiatric manuals that brings risk of ignoring holistic patient’s experience. This experience can be shared by psychiatrist only in context of mutual trust. The latter as an approach to communication requires certain theoretical background which differs from the current one in modern psychiatry. The phenomenological approach is seen as promising for evolution of psychiatry because this approach was made in the 20^th century to descript pathological and everyday experience. We reveal importance of patient’s subjective experience to diagnostics and description of mental illnesses according to current literature in the field. We also suggest original research of need for understanding in Russian psychiatry professionals.

Keywords

phenomenological approach / perspective of Russian psychiatry

References

[1] Kennedy B.M., Rehman М., Johnson W.D. et al. Healthcare providers versus patients’ understanding of health beliefs and values. J. Patient Experience. 2017; 4 (3): 29–37.

[2] Fink M., Shorter E., Tailor M.A. Catatonia is not schizophrenia: Kraepelin’s error and the need to recognize catatonia as an independent syndrome in medical nomenclature. Schizophrenia Bull. 2009; 36 (2): 314–320. DOI: 10.1093/schbul/sbp059.

[3] Northoff G. Catatonia-phenomenology, psychopathology, and pathophysiology. In: Stanghellini G., Aragona M. (eds.) An experiential approach to psychopathology. Springer, Cham. 2016: 337–335. DOI: 10.1007/978-3-319-29945-7_18.

[4] Stanghellini G., Aragona M. Phenomenological psychopathology: Toward a person-centered hermeneutic approach in the clinical encounter. In: Stanghellini G., Aragona M. (eds.) An experiential approach to psychopathology. Springer, Cham. 2016: 1–43. DOI: 10.1007/978-3-319-29945-7_18.

[5] Ясперс К. Феноменологическое направление исследований в психопатологии. Собр. соч. по психопатологии. М., СПб.: Академия, Белый кролик. 1996 [1911]; 2: 91–111. [Jaspers K. Fenomenologicheskoe napravlenie issledovaniy v psikhopatologii. (The phenomenological approach in psychopathology.) Sobr. soch. po psikhopatologii. Moscow, SPb.: Akademiya publ. 1996 [1911]; 2: 91–111.] (In Russ.)

[6] Messas G., Tamelini M., Mancini M., Stanghellini G. New perspectives in phenomenological psychopathology: Its use in psychiatric treatment. Front. Psychiatry. 2018; 9: 466. DOI: 10.3389 / fpsyt.2018.00466.

[7] Stanghellini G., Mancini M. The therapeutic interview in mental health: A values-based and person-centered approach. Cambridge: Cambridge University Press. 2016; 192 р. DOI 10.1017/9781316181973.

[8] Colombetti G., Ratcliffe M. Bodily feeling in depersonalization: A phenomenological account. Emotion Rev. 2012; 4 (2): 145–150. DOI: 10.1177/1754073911430131.

[9] Tzur B.D., Grossman G., Alon G. et al. Attitudes of mental health clinicians toward perceived inaccuracy of a schizophrenia diagnosis in routine clinical practice. BMC Psychiatry. 2018; 18 (1): 317. DOI: https://doi.org/10.1186/s12888-018-1897-2.

RIGHTS & PERMISSIONS

Kropocheva N.V., Lebedeva A.A.