Messas Guilherme, Fernandez Anthony Vincent
Santa Casa de São Paulo School of Medical Sciences, São Paulo, Brazil.
Collaborating Centre for Values-Based Practice in Health and Social Care, St. Catherine's College, University of Oxford, Oxford, United Kingdom.
Front Psychiatry. 2022 Oct 21;13:1035967. doi: 10.3389/fpsyt.2022.1035967. eCollection 2022.
Recently, there have been calls to develop a more contextual approach to phenomenological psychopathology-an approach that attends to the socio-cultural as well as personal and biographical factors that shape experiences of mental illness. In this Perspective article, we argue that to develop this contextual approach, phenomenological psychopathology should adopt a new paradigm case. For decades, schizophrenia has served as the paradigmatic example of a condition that can be better understood through phenomenological investigation. And recent calls for a contextual approach continue to use schizophrenia as their primary example. We argue, in contrast, that substance misuse provides a better paradigm case around which to develop a contextually sensitive phenomenological psychopathology. After providing a brief vignette and analysis of a case of substance misuse, we explain why this kind of condition requires considerable sensitivity and attention to context, better motivating the incorporation and development of new contextually sensitive approaches.
最近，有人呼吁发展一种更具情境性的现象学精神病理学研究方法——这种方法要关注塑造精神疾病体验的社会文化因素以及个人和传记因素。在这篇观点文章中，我们认为，为了发展这种情境性方法，现象学精神病理学应采用一个新的范例。几十年来，精神分裂症一直是一种通过现象学研究能得到更好理解的病症的典型例子。而且最近对情境性方法的呼吁仍继续将精神分裂症作为其主要例子。相比之下，我们认为物质滥用提供了一个更好的范例，围绕它可以发展出对情境敏感的现象学精神病理学。在提供了一个物质滥用案例的简短案例描述和分析之后，我们解释了为什么这种病症需要对情境有相当的敏感性和关注，这能更好地推动新的情境敏感方法的纳入和发展。
