Dialectics of addiction: a psychopathologically-enriched comprehension of the clinical care of the addicted person

IF 2 1区 哲学 0 PHILOSOPHY Phenomenology and the Cognitive Sciences Pub Date : 2024-02-27 DOI:10.1007/s11097-024-09969-8
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Abstract

The problem of addiction to psychoactive substances, such as alcohol and other drugs, has been addressed in psychiatry traditionally from the perspective of a mechanistic-reductionist epistemological model, whose main focus in clinical care is to avoid or suppress the use of these substances, rather than understanding the meaning of a treatment and the meaning of the alterations of consciousness produced by these addictive substances. This paper attempts to contribute towards overcoming this epistemological perspective from the perspective of phenomenological psychopathology. In the first part of the article, the main characteristics of phenomenology and its incorporation into the field of mental health will be presented. Then the issue of addiction will be analysed from two ways of understanding it: the mechanistic-reductionist model and the phenomenological dialectical model. Finally, the pragmatic consequences of the dialectical perspective of phenomenology, called Dialectical Phenomenology (DPh), which seeks to enrich the diagnostic process in the mental health clinic, allowing scientific diagnoses to approach the complexities of clinical reality, will be presented.

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成瘾的辩证法:对成瘾者临床治疗的心理病理学丰富理解
摘要 精神病学传统上是从机械还原论认识论模式的角度来探讨酒精和其他药物等精神活性物质成瘾问题的,其临床护理的主要重点是避免或抑制这些物质的使用,而不是理解治疗的意义以及这些成瘾物质所产生的意识改变的意义。本文试图从现象学精神病理学的角度出发,为克服这种认识论观点做出贡献。文章的第一部分将介绍现象学的主要特点及其在精神健康领域的应用。然后,将从两种理解方式分析成瘾问题:机械还原论模式和现象学辩证模式。最后,将介绍现象学辩证视角的实用后果,即辩证现象学(DPh),它旨在丰富精神健康诊所的诊断过程,使科学诊断接近临床现实的复杂性。
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来源期刊
CiteScore
5.00
自引率
8.70%
发文量
72
期刊介绍: Phenomenology and the Cognitive Sciences is an interdisciplinary, international journal that serves as a forum to explore the intersections between phenomenology, empirical science, and analytic philosophy of mind. The journal represents an attempt to build bridges between continental phenomenological approaches (in the tradition following Husserl) and disciplines that have not always been open to or aware of phenomenological contributions to understanding cognition and related topics. The journal welcomes contributions by phenomenologists, scientists, and philosophers who study cognition, broadly defined to include issues that are open to both phenomenological and empirical investigation, including perception, emotion, language, and so forth. In addition the journal welcomes discussions of methodological issues that involve the variety of approaches appropriate for addressing these problems.    Phenomenology and the Cognitive Sciences also publishes critical review articles that address recent work in areas relevant to the connection between empirical results in experimental science and first-person perspective.Double-blind review procedure The journal follows a double-blind reviewing procedure. Authors are therefore requested to place their name and affiliation on a separate page. Self-identifying citations and references in the article text should either be avoided or left blank when manuscripts are first submitted. Authors are responsible for reinserting self-identifying citations and references when manuscripts are prepared for final submission.
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