Gonçalves Jorge
Universidade Nova de Lisboa, Faculdade de Ciencias Sociais e Humanas, IFILNOVA, Lisboa, Portugal.
J Eval Clin Pract. 2017 Oct;23(5):1013-1019. doi: 10.1111/jep.12608. Epub 2016 Aug 4.
Identified as a mental disorder by Emil Kraepelin and Eugen Bleuler (1858-1939), schizophrenia has been subject to various criticisms, on both political and scientific grounds. Still, until the latest edition of the Diagnostic and Statistical Manual of Mental Disorders, DSM-5, as the'Spectrum of Schizophrenia and Other Psychotic Disorders'. In this article, we will assume a neutral conception of 'mental disorder' and describe schizophrenia broadly as a kind of altered state of consciousness. The alteration is so radical that some authors argue schizophrenia resists any attempt at being comprehended and that the only possible explanation for its occurrence is causal-mechanical. This idea that schizophrenia does not allow for any degree of understanding goes back to Jaspers, the founder of Psychopathology. The aim of this article is to show that, although emerging from the same line of thought of Jaspers, the more recent phenomenologists who revisit classical Phenomenology, overcome the barrier between explaining and understanding. The argument here is that schizophrenia can be at least partially understood if we maintain an open mind towards people who do not share part of our world.
精神分裂症由埃米尔·克雷佩林和尤金·布勒(1858 - 1939)认定为一种精神障碍,一直受到来自政治和科学方面的各种批评。尽管如此,直到最新版的《精神疾病诊断与统计手册》(DSM - 5),它仍被列为“精神分裂症及其他精神病性障碍谱”。在本文中,我们将采用对“精神障碍”的中立概念,并大致将精神分裂症描述为一种意识改变状态。这种改变非常彻底,以至于一些作者认为精神分裂症抗拒任何理解它的尝试,其发生的唯一可能解释是因果机械论的。精神分裂症不允许有任何程度理解的这种观点可以追溯到精神病理学的创始人雅斯贝尔斯。本文的目的是表明,尽管源于雅斯贝尔斯相同的思想脉络,但那些重新审视经典现象学的当代现象学家克服了解释与理解之间的障碍。这里的论点是,如果我们对那些与我们部分世界观不同的人保持开放的心态,精神分裂症至少可以得到部分理解。