Which Kind of Body in "Mental" Pathologies? Phenomenological Insights on the Nature of the Disrupted Self.

IF 1.3 3区 哲学 Q3 ETHICS Journal of Medicine and Philosophy Pub Date : 2023-04-20 DOI:10.1093/jmp/jhad008
Valeria Bizzari
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Abstract

Guided by a phenomenological perspective, this paper aims to account for the existence of a corporeal consciousness-something that clinicians should take into account, not merely in the case of physical pathologies but especially in the case of mental disorders. Firstly, I will highlight three cases: schizophrenia, depression, and autism spectrum disorder. Then, I will show how these cases correspond to three different kinds of bodily existence: disembodiment (in the case of schizophrenia), chrematization (in melancholic depression), and dyssynchrony (in the autism spectrum disorder). Finally, I will argue for the importance of an "expressive common environment" between the patient and the clinician, who are two distinct, embodied conscious subjects resonating with one another. In this view, the primary goal of the therapeutic process seems to develop a shared understanding of the patient's life-world, which finds its main expression through the disrupted body.

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精神 "病症中的哪种身体?关于 "混乱的自我 "本质的现象学见解。
在现象学视角的指导下,本文旨在解释肉体意识的存在--临床医生应该考虑到这一点,不仅是在身体病变的情况下,尤其是在精神失常的情况下。首先,我将重点介绍三个病例:精神分裂症、抑郁症和自闭症谱系障碍。然后,我将说明这些病例是如何与三种不同的身体存在相对应的:非实体化(精神分裂症的病例)、躯体化(忧郁抑郁症的病例)和非同步化(自闭症谱系障碍的病例)。最后,我将论证患者与临床医生之间 "表达性共同环境 "的重要性,他们是两个不同的、具身的意识主体,彼此产生共鸣。根据这一观点,治疗过程的首要目标似乎是对患者的生活世界形成共同的理解,而这种理解主要是通过被打乱的身体表现出来的。
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来源期刊
CiteScore
2.90
自引率
6.20%
发文量
30
期刊介绍: This bimonthly publication explores the shared themes and concerns of philosophy and the medical sciences. Central issues in medical research and practice have important philosophical dimensions, for, in treating disease and promoting health, medicine involves presuppositions about human goals and values. Conversely, the concerns of philosophy often significantly relate to those of medicine, as philosophers seek to understand the nature of medical knowledge and the human condition in the modern world. In addition, recent developments in medical technology and treatment create moral problems that raise important philosophical questions. The Journal of Medicine and Philosophy aims to provide an ongoing forum for the discussion of such themes and issues.
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