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沉默、抑郁与身体怀疑:迈向精神病理学中沉默的现象学

Silence, depression, and bodily doubt: toward a phenomenology of silence in psychopathology.

作者信息

Degerman Dan

机构信息

Department of Philosophy, University of Bristol, Bristol, UK.

出版信息

Philos Psychol. 2025 Jan 2;38(1):126-149. doi: 10.1080/09515089.2024.2354447. Epub 2024 May 20.

DOI:10.1080/09515089.2024.2354447
PMID:39651420
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7617022/
Abstract

Despite the relevance of silence in several psychopathologies, first-person perspectives on silence have been largely neglected in the phenomenological scholarship on those conditions. This paper proposes a phenomenological framework for addressing this neglect and demonstrates its usefulness through a case study of empty silence, an experience which can be found in many first-person accounts of depression. The paper begins by surveying research on silence in depression in mental health research and phenomenological psychopathology. Drawing on the thought of Merleau-Ponty, it then outlines a phenomenological framework for explicating the structure of silence experiences in psychopathology. Finally, it applies this framework to articulate the experiential structure and implications of empty silence, with a particular emphasis on the bodily doubt that can flow from repeated experiences of empty silence.

摘要

尽管沉默在多种精神病理学中具有相关性,但在关于这些病症的现象学学术研究中,第一人称视角下的沉默在很大程度上被忽视了。本文提出了一个现象学框架来解决这一忽视问题,并通过对空虚沉默的案例研究展示其效用,空虚沉默这种体验在许多抑郁症的第一人称叙述中都能找到。本文首先综述了心理健康研究和现象学精神病理学中关于抑郁症中沉默的研究。借鉴梅洛 - 庞蒂的思想,接着概述了一个现象学框架,用于阐释精神病理学中沉默体验的结构。最后,运用这个框架来阐明空虚沉默的体验结构及其影响,特别强调了因反复经历空虚沉默而可能产生的身体怀疑。

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Depressive symptoms are specifically related to speech pauses in schizophrenia spectrum disorders.抑郁症状与精神分裂症谱系障碍中的言语停顿有特定关联。
Psychiatry Res. 2023 Mar;321:115079. doi: 10.1016/j.psychres.2023.115079. Epub 2023 Jan 27.
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Functional and cognitive impairment in the first episode of depression: A systematic review.首发抑郁症的功能和认知损害:一项系统综述。
Acta Psychiatr Scand. 2022 Feb;145(2):156-185. doi: 10.1111/acps.13385. Epub 2021 Nov 17.
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Mapping out epistemic justice in the clinical space: using narrative techniques to affirm patients as knowers.在临床空间中描绘认识论正义:使用叙事技巧肯定患者作为知识的主体。
Philos Ethics Humanit Med. 2021 Oct 26;16(1):9. doi: 10.1186/s13010-021-00110-0.
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PLoS One. 2020 Sep 11;15(9):e0238726. doi: 10.1371/journal.pone.0238726. eCollection 2020.
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