Department of Psychiatry, Psychotherapy and Art Therapy, Toulouse University Hospital, Toulouse, France.
Psychopathology. 2017;50(6):401-407. doi: 10.1159/000481516. Epub 2017 Oct 27.
According to Karl Jaspers, psychopathology requires a comprehensive method, understood as a systematic exploration of the first-person perspective of the patient's experience. At the same time, however, schizophrenia for Jaspers is characterized by its radical incomprehensibility. In addition, Rümke's so-called "praecox feeling" paradoxically combines the incomprehensibility of schizophrenic experience and the evidence of its pathological manifestation in the encounter.
Through a re-examination of the notions of affectivity and interaffective contact we propose a coherent theoretical model to explain the clinician's paradoxical understanding of schizophrenia.
Phenomenological tradition regards affectivity as an encompassing phenomenon that connects body, self, world, and others. In our view, only a thorough and systematic link between corporeity and affectivity is able to explain embodied affective resonance as a basis of empathic comprehension. By drawing on the phenomenology of Marc Richir, we will systematically unfold the complex nature of affectivity and lead it back to a twofold constitution of corporeality.
The Richirian account on affectivity can be fruitfully put into discussion with other recent phenomenological models on schizophrenia. It might be able to exhibit affectivity as the operative ground of minimal self-disturbance and thus argue for its intersubjective dimension.
根据卡尔·雅斯贝尔斯的观点,精神病理学需要一种全面的方法,这种方法被理解为对患者体验的第一人称视角进行系统探索。然而,与此同时,雅斯贝尔斯认为精神分裂症的特点是其根本的不可理解性。此外,吕姆克所谓的“早发性感觉”矛盾地结合了精神分裂症体验的不可理解性和其在遭遇中的病理性表现的证据。
通过重新审视情感和相互情感联系的概念,我们提出了一个连贯的理论模型,以解释临床医生对精神分裂症的矛盾理解。
现象学传统将情感性视为一种包罗万象的现象,将身体、自我、世界和他人联系在一起。在我们看来,只有在身体和情感之间进行彻底和系统的联系,才能解释作为同理心理解基础的身体情感共鸣。通过借鉴马克·里奇尔的现象学,我们将系统地展开情感的复杂本质,并将其追溯到身体的双重构成。
里奇的情感理论可以与其他最近的精神分裂症现象学模型进行有益的讨论。它可以将情感性展示为最小自我干扰的作用基础,并因此为其主体间维度辩护。