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哪种身体出现在“心理”病理中?对被扰乱的自我本质的现象学洞察。

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

机构信息

Husserl Archives, Catholic University of Leuven, Leuven, Belgium.

出版信息

J Med Philos. 2023 Apr 20;48(2):116-127. doi: 10.1093/jmp/jhad008.

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.

摘要

受现象学观点的启发,本文旨在说明肉体意识的存在,临床医生不仅应在处理身体病理问题时,更应在处理精神障碍问题时考虑到这一点。首先,我将重点介绍三个案例:精神分裂症、抑郁症和自闭症谱系障碍。然后,我将展示这些案例如何对应三种不同类型的肉体存在:脱体(精神分裂症的情况)、肉身化(忧郁症的情况)和不同步(自闭症谱系障碍的情况)。最后,我将论证医患之间存在“表达性共同环境”的重要性,他们是两个不同的、具有肉体意识的主体,相互共鸣。在这种观点中,治疗过程的主要目标似乎是发展对患者生活世界的共同理解,而这种理解主要通过被扰乱的身体表达出来。

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