Subjectivity and Intersubjectivity in Psychiatric Diagnosis
The establishment of criteriological diagnostic systems since the 1980s has increased the reliability of psychiatric diagnosis. On the other hand, the limits of this approach for clinicians and researchers are becoming increasingly apparent. In particular, the assessment of subjective experience is...
Saved in:
| Published in | Psychopathology Vol. 43; no. 4; pp. 268 - 274 |
|---|---|
| Main Author | |
| Format | Journal Article |
| Language | English |
| Published |
Basel, Switzerland
S. Karger AG
01.01.2010
|
| Subjects | |
| Online Access | Get full text |
| ISSN | 0254-4962 1423-033X 1423-033X |
| DOI | 10.1159/000315126 |
Cover
| Abstract | The establishment of criteriological diagnostic systems since the 1980s has increased the reliability of psychiatric diagnosis. On the other hand, the limits of this approach for clinicians and researchers are becoming increasingly apparent. In particular, the assessment of subjective experience is nearly excluded on the theoretical level and undervalued on the pragmatic level, with detrimental consequences for the validity of psychiatric diagnosis, empirical research and therapeutic purposes. To correct this unfavourable development, three major approaches to the assessment of mental illness should be equally taken into account: (1) the positivistic, objectifying or 3rd-person approach as endorsed by DSM-IV and ICD-10, focusing mainly on observable behavioural symptoms; (2) the phenomenological, subject-oriented or 1st-person approach, focusing on the patient’s self-experience and exploring its basic structures, and (3) the hermeneutic, intersubjective or 2nd-person approach, mainly aiming at the co-construction of narratives and interpretations regarding the patient’s self-concept, relationships and conflicts. These three approaches will be compared regarding their respective values for psychopathological description, diagnosis, research and therapeutic purposes. |
|---|---|
| AbstractList | The establishment of criteriological diagnostic systems since the 1980s has increased the reliability of psychiatric diagnosis. On the other hand, the limits of this approach for clinicians and researchers are becoming increasingly apparent. In particular, the assessment of subjective experience is nearly excluded on the theoretical level and undervalued on the pragmatic level, with detrimental consequences for the validity of psychiatric diagnosis, empirical research and therapeutic purposes. To correct this unfavourable development, three major approaches to the assessment of mental illness should be equally taken into account: (1) the positivistic, objectifying or 3rd-person approach as endorsed by DSM-IV and ICD-10, focusing mainly on observable behavioural symptoms; (2) the phenomenological, subject-oriented or 1st-person approach, focusing on the patient's self-experience and exploring its basic structures, and (3) the hermeneutic, intersubjective or 2nd-person approach, mainly aiming at the co-construction of narratives and interpretations regarding the patient's self-concept, relationships and conflicts. These three approaches will be compared regarding their respective values for psychopathological description, diagnosis, research and therapeutic purposes. Copyright [copy 2010 S. Karger AG, Basel The establishment of criteriological diagnostic systems since the 1980s has increased the reliability of psychiatric diagnosis. On the other hand, the limits of this approach for clinicians and researchers are becoming increasingly apparent. In particular, the assessment of subjective experience is nearly excluded on the theoretical level and undervalued on the pragmatic level, with detrimental consequences for the validity of psychiatric diagnosis, empirical research and therapeutic purposes. To correct this unfavourable development, three major approaches to the assessment of mental illness should be equally taken into account: (1) the positivistic, objectifying or 3rd-person approach as endorsed by DSM-IV and ICD-10, focusing mainly on observable behavioural symptoms; (2) the phenomenological, subject-oriented or 1st-person approach, focusing on the patient’s self-experience and exploring its basic structures, and (3) the hermeneutic, intersubjective or 2nd-person approach, mainly aiming at the co-construction of narratives and interpretations regarding the patient’s self-concept, relationships and conflicts. These three approaches will be compared regarding their respective values for psychopathological description, diagnosis, research and therapeutic purposes. The establishment of criteriological diagnostic systems since the 1980s has increased the reliability of psychiatric diagnosis. On the other hand, the limits of this approach for clinicians and researchers are becoming increasingly apparent. In particular, the assessment of subjective experience is nearly excluded on the theoretical level and undervalued on the pragmatic level, with detrimental consequences for the validity of psychiatric diagnosis, empirical research and therapeutic purposes. To correct this unfavourable development, three major approaches to the assessment of mental illness should be equally taken into account: (1) the positivistic, objectifying or 3rd-person approach as endorsed by DSM-IV and ICD-10, focusing mainly on observable behavioural symptoms; (2) the phenomenological, subject-oriented or 1st-person approach, focusing on the patient's self-experience and exploring its basic structures, and (3) the hermeneutic, intersubjective or 2nd-person approach, mainly aiming at the co-construction of narratives and interpretations regarding the patient's self-concept, relationships and conflicts. These three approaches will be compared regarding their respective values for psychopathological description, diagnosis, research and therapeutic purposes. [PUBLICATION ABSTRACT] The establishment of criteriological diagnostic systems since the 1980s has increased the reliability of psychiatric diagnosis. On the other hand, the limits of this approach for clinicians and researchers are becoming increasingly apparent. In particular, the assessment of subjective experience is nearly excluded on the theoretical level and undervalued on the pragmatic level, with detrimental consequences for the validity of psychiatric diagnosis, empirical research and therapeutic purposes. To correct this unfavourable development, three major approaches to the assessment of mental illness should be equally taken into account: (1) the positivistic, objectifying or 3rd-person approach as endorsed by DSM-IV and ICD-10, focusing mainly on observable behavioural symptoms; (2) the phenomenological, subject-oriented or 1st-person approach, focusing on the patient's self-experience and exploring its basic structures, and (3) the hermeneutic, intersubjective or 2nd-person approach, mainly aiming at the co-construction of narratives and interpretations regarding the patient's self-concept, relationships and conflicts. These three approaches will be compared regarding their respective values for psychopathological description, diagnosis, research and therapeutic purposes.The establishment of criteriological diagnostic systems since the 1980s has increased the reliability of psychiatric diagnosis. On the other hand, the limits of this approach for clinicians and researchers are becoming increasingly apparent. In particular, the assessment of subjective experience is nearly excluded on the theoretical level and undervalued on the pragmatic level, with detrimental consequences for the validity of psychiatric diagnosis, empirical research and therapeutic purposes. To correct this unfavourable development, three major approaches to the assessment of mental illness should be equally taken into account: (1) the positivistic, objectifying or 3rd-person approach as endorsed by DSM-IV and ICD-10, focusing mainly on observable behavioural symptoms; (2) the phenomenological, subject-oriented or 1st-person approach, focusing on the patient's self-experience and exploring its basic structures, and (3) the hermeneutic, intersubjective or 2nd-person approach, mainly aiming at the co-construction of narratives and interpretations regarding the patient's self-concept, relationships and conflicts. These three approaches will be compared regarding their respective values for psychopathological description, diagnosis, research and therapeutic purposes. |
| Author | Fuchs, Thomas |
| Author_xml | – sequence: 1 givenname: Thomas surname: Fuchs fullname: Fuchs, Thomas |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/20516753$$D View this record in MEDLINE/PubMed |
| BookMark | eNqF0UtLAzEQAOAgFVsfB-8ixYt4WJ28drN4Ep8FQUEFb0s2O1tT26wmWaH_3pXWIiJ4Gmbmm4FkNknPNQ4J2aVwTKnMTwCAU0lZukYGVDCeAOfPPTIAJkUi8pT1yWYIEwDaJekG6TOQNM0kH5DTh7acoIn2w8b5ULtqOHIRffhZtW54H-bmxerorRleWD12TbBhm6zXehpwZxm3yNPV5eP5TXJ7dz06P7tNDE9FTFTG0FS0riXjCDnqvBKGKjCKcswVZqVhQmdYSgEVz2tVMczTKis5q42uNN8ih4u9b755bzHEYmaDwelUO2zaUGQiBSWEYv9LzrlkKodOHvySk6b1rntGkUkQLM1AdWh_idpyhlXx5u1M-3nx_X0dOFoA45sQPNYrQqH4Ok2xOk1nT35ZY6OOtnHRazv9c2JvMfGq_Rj9avey_Ql9VZc5 |
| CitedBy_id | crossref_primary_10_1159_000513769 crossref_primary_10_3389_fpsyt_2021_605760 crossref_primary_10_1159_000494088 crossref_primary_10_1159_000351589 crossref_primary_10_1159_000444506 crossref_primary_10_35699_1676_1669_2020_14703 crossref_primary_10_1111_papt_12122 crossref_primary_10_3389_fpsyg_2023_1225108 crossref_primary_10_1007_s11019_016_9710_9 crossref_primary_10_1016_j_aip_2022_101917 crossref_primary_10_1159_000520334 crossref_primary_10_1016_j_amp_2024_11_001 crossref_primary_10_1159_000502266 crossref_primary_10_1016_j_pec_2013_12_018 crossref_primary_10_1371_journal_pone_0073662 crossref_primary_10_1016_j_psychres_2017_08_079 crossref_primary_10_3174_ajnr_A3713 crossref_primary_10_1111_etho_12070 crossref_primary_10_30773_pi_2022_0349 crossref_primary_10_3389_fpsyg_2019_02528 crossref_primary_10_3389_fpsyg_2023_1144826 crossref_primary_10_1371_journal_pone_0255039 crossref_primary_10_1186_s12913_023_09367_x crossref_primary_10_1136_bmjopen_2023_080306 crossref_primary_10_1159_000500294 crossref_primary_10_1016_j_pnpbp_2019_109664 crossref_primary_10_1016_S2215_0366_22_00156_0 crossref_primary_10_1080_10503307_2017_1359426 crossref_primary_10_1159_000509489 crossref_primary_10_1016_j_schres_2024_03_006 crossref_primary_10_1007_s11097_021_09798_z crossref_primary_10_1521_prev_2018_105_2_209 crossref_primary_10_3390_healthcare12111078 crossref_primary_10_2217_pgs_2022_0131 crossref_primary_10_3389_fpsyt_2015_00009 crossref_primary_10_1891_1559_4343_15_2_120 crossref_primary_10_3166_pson_2019_0061 crossref_primary_10_18261_fokus_51_2_6 crossref_primary_10_1155_2024_7739939 crossref_primary_10_3389_fpsyg_2014_01150 crossref_primary_10_1038_s41562_023_01560_6 crossref_primary_10_1093_schbul_sby172 crossref_primary_10_3389_fcimb_2023_1257073 crossref_primary_10_3389_fpsyt_2024_1352601 crossref_primary_10_1159_000538458 crossref_primary_10_1016_j_mehy_2022_110915 crossref_primary_10_1136_medhum_2023_012790 crossref_primary_10_1007_s11097_021_09729_y crossref_primary_10_1007_s00115_017_0317_z crossref_primary_10_3389_fpsyg_2020_01989 crossref_primary_10_3917_inpsy_8710_0781 crossref_primary_10_1186_1747_5341_9_6 crossref_primary_10_1371_journal_pone_0127359 crossref_primary_10_1093_schizbullopen_sgae017 crossref_primary_10_3389_fpsyg_2020_01399 crossref_primary_10_3389_fpsyt_2021_642322 crossref_primary_10_1038_s41598_019_57033_2 crossref_primary_10_1051_ppsy_2015543214 crossref_primary_10_1093_schbul_sbz036 crossref_primary_10_1159_000431258 |
| Cites_doi | 10.1192%2Fbjp.187.48.s49 10.1007%2Fs10202-008-0068-9 10.1521%2Fpedi.2006.20.2.126 10.3109%2F15622970009150565 10.1016%2F0165-1781%2890%2990053-8 10.1159%2F000086090 10.1159%2F000086096 10.1159%2F000088440 10.1007%2Fs00406-008-5007-1 10.1034%2Fj.1600-0447.2003.00105.x 10.1159%2F000098486 10.1053%2Fcomp.2003.50017 10.1093%2Fptr%2F12.2.159 10.1086%2F286983 10.1192%2Fbjp.154.4.459 10.1159%2F000101363 10.1093%2Fschbul%2Fsbl054 |
| ContentType | Journal Article |
| Copyright | 2010 S. Karger AG, Basel Copyright (c) 2010 S. Karger AG, Basel. Copyright (c) 2010 S. Karger AG, Basel Copyright (c) 2010 S. Karger AG, Basel. |
| Copyright_xml | – notice: 2010 S. Karger AG, Basel – notice: Copyright (c) 2010 S. Karger AG, Basel. – notice: Copyright (c) 2010 S. Karger AG, Basel – notice: Copyright (c) 2010 S. Karger AG, Basel. |
| DBID | AAYXX CITATION CGR CUY CVF ECM EIF NPM 0-V 3V. 7TK 7X7 7XB 88E 88G 88I 8AF 8AM 8AO 8FI 8FJ 8FK ABUWG AFKRA ALSLI AZQEC BENPR BGRYB CCPQU DWQXO FYUFA GHDGH GNUQQ HCIFZ K7. K9. M0O M0S M1P M2M M2P PHGZM PHGZT PJZUB PKEHL PPXIY PQEST PQQKQ PQUKI PRINS PRQQA PSYQQ Q9U S0X 7X8 |
| DOI | 10.1159/000315126 |
| DatabaseName | CrossRef Medline MEDLINE MEDLINE (Ovid) MEDLINE MEDLINE PubMed ProQuest Social Sciences Premium Collection【Remote access available】 ProQuest Central (Corporate) Neurosciences Abstracts Health & Medical Collection ProQuest Central (purchase pre-March 2016) Medical Database (Alumni Edition) Psychology Database (Alumni) Science Database (Alumni Edition) STEM Database Criminal Justice Database (Alumni Edition) ProQuest Pharma Collection ProQuest Hospital Collection Hospital Premium Collection (Alumni Edition) ProQuest Central (Alumni) (purchase pre-March 2016) ProQuest Central (Alumni) ProQuest Central UK/Ireland Social Science Premium Collection ProQuest Central Essentials ProQuest Central Criminology Collection ProQuest One Community College ProQuest Central Korea Proquest Health Research Premium Collection Health Research Premium Collection (Alumni) ProQuest Central Student SciTech Premium Collection ProQuest Criminal Justice (Alumni) ProQuest Health & Medical Complete (Alumni) Criminal Justice Database Health & Medical Collection (Alumni) Medical Database Psychology Database Science Database ProQuest Central Premium ProQuest One Academic (New) ProQuest Health & Medical Research Collection ProQuest One Academic Middle East (New) ProQuest One Health & Nursing ProQuest One Academic Eastern Edition (DO NOT USE) ProQuest One Academic ProQuest One Academic UKI Edition ProQuest Central China ProQuest One Social Sciences ProQuest One Psychology ProQuest Central Basic SIRS Editorial MEDLINE - Academic |
| DatabaseTitle | CrossRef MEDLINE Medline Complete MEDLINE with Full Text PubMed MEDLINE (Ovid) ProQuest One Psychology ProQuest Central Student ProQuest One Academic Middle East (New) ProQuest Central Essentials SIRS Editorial ProQuest Health & Medical Complete (Alumni) ProQuest AP Science ProQuest Central (Alumni Edition) SciTech Premium Collection ProQuest One Community College ProQuest One Health & Nursing ProQuest Pharma Collection ProQuest Central China ProQuest Central ProQuest Health & Medical Research Collection Health Research Premium Collection ProQuest Criminal Justice Health and Medicine Complete (Alumni Edition) ProQuest Central Korea Health & Medical Research Collection ProQuest Central (New) ProQuest Medical Library (Alumni) Social Science Premium Collection ProQuest Science Journals (Alumni Edition) ProQuest One Social Sciences ProQuest Central Basic ProQuest Science Journals ProQuest One Academic Eastern Edition ProQuest Hospital Collection Health Research Premium Collection (Alumni) ProQuest Psychology Journals (Alumni) Neurosciences Abstracts ProQuest Hospital Collection (Alumni) Criminology Collection ProQuest Health & Medical Complete ProQuest Criminal Justice (Alumni) Criminal Justice Periodicals (Alumni Edition) ProQuest Medical Library ProQuest Psychology Journals ProQuest Social Sciences Premium Collection ProQuest One Academic UKI Edition ProQuest One Academic ProQuest One Academic (New) ProQuest Central (Alumni) MEDLINE - Academic |
| DatabaseTitleList | Neurosciences Abstracts CrossRef ProQuest One Psychology MEDLINE - Academic MEDLINE |
| Database_xml | – sequence: 1 dbid: NPM name: PubMed url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 2 dbid: EIF name: MEDLINE url: https://proxy.k.utb.cz/login?url=https://www.webofscience.com/wos/medline/basic-search sourceTypes: Index Database – sequence: 3 dbid: BENPR name: ProQuest Central url: https://www.proquest.com/central sourceTypes: Aggregation Database |
| DeliveryMethod | fulltext_linktorsrc |
| Discipline | Medicine |
| EISSN | 1423-033X |
| EndPage | 274 |
| ExternalDocumentID | 2137428401 20516753 10_1159_000315126 315126 |
| Genre | Journal Article Review |
| GroupedDBID | --- .GJ 0-V 0R~ 0~5 0~B 123 29P 30W 329 34G 39C 3O. 3V. 4.4 53G 5RE 7X7 88E 88I 8AF 8AO 8FI 8FJ 8UI AALGM AAYIC ABDBF ABIVO ABJNI ABPAZ ABUWG ACGFS ACGOD ACHQT ACPRK ACPSR ADAGL AENEX AEYAO AFJJK AFKRA AHMBA ALDHI ALIPV ALMA_UNASSIGNED_HOLDINGS ALSLI ARALO AZPMC AZQEC BENPR BGRYB BPHCQ BVXVI CAG CCPQU COF CS3 CYUIP DU5 DWQXO E0A EBS EJD F5P FB. FYUFA GNUQQ HCIFZ HMCUK HZ~ IY7 M0O M1P M2M M2P N9A O1H O9- OVD P2P PQQKQ PROAC PSQYO PSYQQ RIG RKO RXVBD S0X TEORI UAP UJ6 UKHRP UKR YNT ZGI ZXP AAYXX ABBTS ABWCG ACQXL ACUHS AFSIO AHFRZ CITATION PHGZM PHGZT CGR CUY CVF ECM EIF NPM PJZUB PPXIY PRQQA 7TK 7XB 8FK K7. K9. PKEHL PQEST PQUKI PRINS PUEGO Q9U 7X8 |
| ID | FETCH-LOGICAL-c364t-872ecd1ff523e09ea9d4c180c813e98e7bc24a7eb540d39f8d2e96d7b32fcada3 |
| IEDL.DBID | 7X7 |
| ISSN | 0254-4962 1423-033X |
| IngestDate | Sun Aug 24 03:38:41 EDT 2025 Fri Sep 05 04:55:32 EDT 2025 Sat Aug 23 14:19:08 EDT 2025 Mon Jul 21 05:42:00 EDT 2025 Thu Apr 24 23:12:00 EDT 2025 Tue Jul 01 05:03:51 EDT 2025 Thu Aug 29 12:04:42 EDT 2024 |
| IsPeerReviewed | true |
| IsScholarly | true |
| Issue | 4 |
| Keywords | Phenomenology Intersubjectivity Psychiatric diagnosis Subjectivity |
| Language | English |
| License | Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher. https://www.karger.com/Services/SiteLicenses Copyright (c) 2010 S. Karger AG, Basel. |
| LinkModel | DirectLink |
| MergedId | FETCHMERGED-LOGICAL-c364t-872ecd1ff523e09ea9d4c180c813e98e7bc24a7eb540d39f8d2e96d7b32fcada3 |
| Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 14 ObjectType-Review-3 content type line 23 ObjectType-Article-2 ObjectType-Feature-1 |
| PMID | 20516753 |
| PQID | 750426708 |
| PQPubID | 24790 |
| PageCount | 7 |
| ParticipantIDs | crossref_citationtrail_10_1159_000315126 pubmed_primary_20516753 proquest_miscellaneous_746084482 proquest_journals_750426708 karger_primary_315126 proquest_miscellaneous_733352890 crossref_primary_10_1159_000315126 |
| ProviderPackageCode | CITATION AAYXX |
| PublicationCentury | 2000 |
| PublicationDate | 2010-01-01 |
| PublicationDateYYYYMMDD | 2010-01-01 |
| PublicationDate_xml | – month: 01 year: 2010 text: 2010-01-01 day: 01 |
| PublicationDecade | 2010 |
| PublicationPlace | Basel, Switzerland |
| PublicationPlace_xml | – name: Basel, Switzerland – name: Switzerland – name: Basel |
| PublicationTitle | Psychopathology |
| PublicationTitleAlternate | Psychopathology |
| PublicationYear | 2010 |
| Publisher | S. Karger AG |
| Publisher_xml | – name: S. Karger AG |
| References | Cierpka M, Grande T, Rudolf G, von der Tann M, Stasch M, the OPD Task Force: The Operationalized Psychodynamic Diagnostics System: clinical relevance, reliability and validity. Psychopathology 2007;40:209–220.1739604710.1159%2F000101363 Parnas J: Self and schizophrenia: a phenomenological perspective; in Kircher T, David A (eds): The Self in Neuroscience and Psychiatry. Cambridge, Cambridge University Press, 2003, pp 127–141. Mezzich JE: Psychiatry for the person: articulating medicine’s science and humanism. World Psychiatry 2007;6:1–3.17342211 Parnas J, Zahavi D: The role of phenomenology in psychiatric diagnosis and classification; in Maj M, Gaebel W, López-Ibor JJ, Sartorius N (eds): Psychiatric Diagnosis and Classification. London, Wiley, 2002, pp 137–162. Handest P, Parnas J: Clinical characteristics of 50 first-admitted ICD-10 schizotypal patients. Br J Psychiatry 2005;187(suppl):49–54.10.1192%2Fbjp.187.48.s49 Umiltà C: Modularity in neural systems and localization of function; in Nadel L (ed): Encyclopedia of Cognitive Science. London, Nature/Macmillan, 2003, vol 3, pp 71–74. Sass LA, Parnas J: Schizophrenia, consciousness, and the self. Schizophr Bull 2003;29:427–444.14609238 Insel TR, Quirion R: Psychiatry as a clinical neuroscience discipline. 2007. www.nimh.nih.gov/about/director/publications/psychiatry-as-a-clinical-neuroscience-discipline.shtml. Stanghellini G: The grammar of the psychiatric interview. Psychopathology 2007;40:69–74.1721559210.1159%2F000098486 Glas G: Person, personality, self, and identity: a philosophically informed conceptual analysis. J Pers Disord 2006;20:126–138.10.1521%2Fpedi.2006.20.2.126 Tellenbach H: Melancholy. History of the Problem, Endogeneity, Typology, Pathogenesis, Clinical Considerations. Pittsburgh, Duquesne University Press, 1980. Andreasen NC: DSM and the death of phenomenology in America: an example of unintended consequences. Schizophr Bull 2007;33:108–112.1715819110.1093%2Fschbul%2Fsbl054 Kraus A: How can the phenomenological-anthropological approach contribute to diagnosis and classification in psychiatry?; in Fulford KWM, Morris KJ, Sadler JZ (eds): Nature and Narrative. Oxford, Oxford University Press, 2003, pp 199–216. Hempel CG, Oppenheim P: Studies in the logic of explanation. Philos Sci 1948;15:135–175.10.1086%2F286983 Jaspers K: General Psychopathology. Manchester, Manchester University Press, 1963. van Praag HM: Two-tier diagnosing in psychiatry. Psychiatry Res 1990;34:1–11.198001610.1016%2F0165-1781%2890%2990053-8 Gadamer HG: Truth and Method, ed 2 (transl Weinsheimer J, Marshall DG). New York, Crossroad, 1989. Musalek M, Scheibenhagen O: From categorical to dimensional diagnostics. Deficiency-oriented versus person-centred diagnostics. Eur Arch Psychiatry Clin Neurosci 2008;258(suppl 5):18–21.1898528910.1007%2Fs00406-008-5007-1 Parnas J, Moeller P, Kircher T, Thalbitzer J, Jannson L, Handest P, Zahavi D: EASE: Examination of Anomalous Self-Experience. Psychopathology 2005;38:236–258. Schneider G, Lange C, Heuft G: Operationalized psychodynamic diagnostics and differential therapy indication in routine diagnostics at a psychosomatic outpatient department. Psychother Res 2002;12:159–178.10.1093%2Fptr%2F12.2.159 Mundt C: Anomalous self-experience: a plea for phenomenology. Psychopathology 2005;38:231–235.1617981010.1159%2F000088440 Parnas J, Handest P, Sæbye D, Jansson L: Anomalies of subjective experience in schizophrenia and psychotic bipolar illness. Acta Psychiatr Scand 2003;108:126–133.1282316910.1034%2Fj.1600-0447.2003.00105.x Parnas J, Sass L: Varieties of ‘phenomenology’: on description, understanding, and explanation in psychiatry; in Kendler K, Parnas J (eds): Philosophical Issues in Psychiatry: Explanation, Phenomenology and Nosology. New York, Johns Hopkins University Press 2008, pp 239–277. Mezzich JE: Institutional consolidation and global impact: towards a psychiatry of the person. World Psychiatry 2006;5:65–66.16946936 Nemiah JC: The varieties of human experience. Br J Psychiatry 1989;154:459–466.259077610.1192%2Fbjp.154.4.459 Kirmayer LJ: Culture, context and experience in psychiatric diagnosis. Psychopathology 2005;38:192–196.1614527310.1159%2F000086090 Hojaij CR: Reappraisal of dementia praecox: focus on clinical psychopathology. World J Biol Psychiatry 2000;1:43–54.1260723210.3109%2F15622970009150565 Fuchs T: Embodied cognitive neuroscience and its consequences for psychiatry. Poiesis Praxis 2009;6:219–233.10.1007%2Fs10202-008-0068-9 Wittgenstein L: Tractatus Logico-Philosophicus. London, Routledge and Kegan Paul, 1961. Mundt C, Backenstrass M: Psychotherapy and classification: psychological, psychodynamic, and cognitive aspects. Psychopathology 2005;38:219–222.1614527910.1159%2F000086096 Fuchs T: Psychotherapy of the lived space. A phenomenological and ecological concept. Am J Psychother 2007;61:432–439. Parnas J, Handest P: Phenomenology of anomalous self-experience in early schizophrenia. Compr Psychiatry 2003;44:121–134.1265862110.1053%2Fcomp.2003.50017 ref13 ref12 ref15 ref14 ref11 ref10 ref2 ref1 ref17 ref16 ref8 ref7 ref9 ref4 ref3 ref6 ref5 |
| References_xml | – reference: Wittgenstein L: Tractatus Logico-Philosophicus. London, Routledge and Kegan Paul, 1961. – reference: Parnas J, Sass L: Varieties of ‘phenomenology’: on description, understanding, and explanation in psychiatry; in Kendler K, Parnas J (eds): Philosophical Issues in Psychiatry: Explanation, Phenomenology and Nosology. New York, Johns Hopkins University Press 2008, pp 239–277. – reference: Parnas J, Zahavi D: The role of phenomenology in psychiatric diagnosis and classification; in Maj M, Gaebel W, López-Ibor JJ, Sartorius N (eds): Psychiatric Diagnosis and Classification. London, Wiley, 2002, pp 137–162. – reference: Parnas J, Handest P: Phenomenology of anomalous self-experience in early schizophrenia. Compr Psychiatry 2003;44:121–134.1265862110.1053%2Fcomp.2003.50017 – reference: Cierpka M, Grande T, Rudolf G, von der Tann M, Stasch M, the OPD Task Force: The Operationalized Psychodynamic Diagnostics System: clinical relevance, reliability and validity. Psychopathology 2007;40:209–220.1739604710.1159%2F000101363 – reference: Sass LA, Parnas J: Schizophrenia, consciousness, and the self. Schizophr Bull 2003;29:427–444.14609238 – reference: Fuchs T: Psychotherapy of the lived space. A phenomenological and ecological concept. Am J Psychother 2007;61:432–439. – reference: Parnas J: Self and schizophrenia: a phenomenological perspective; in Kircher T, David A (eds): The Self in Neuroscience and Psychiatry. Cambridge, Cambridge University Press, 2003, pp 127–141. – reference: Musalek M, Scheibenhagen O: From categorical to dimensional diagnostics. Deficiency-oriented versus person-centred diagnostics. Eur Arch Psychiatry Clin Neurosci 2008;258(suppl 5):18–21.1898528910.1007%2Fs00406-008-5007-1 – reference: Gadamer HG: Truth and Method, ed 2 (transl Weinsheimer J, Marshall DG). New York, Crossroad, 1989. – reference: Parnas J, Handest P, Sæbye D, Jansson L: Anomalies of subjective experience in schizophrenia and psychotic bipolar illness. Acta Psychiatr Scand 2003;108:126–133.1282316910.1034%2Fj.1600-0447.2003.00105.x – reference: Glas G: Person, personality, self, and identity: a philosophically informed conceptual analysis. J Pers Disord 2006;20:126–138.10.1521%2Fpedi.2006.20.2.126 – reference: Andreasen NC: DSM and the death of phenomenology in America: an example of unintended consequences. Schizophr Bull 2007;33:108–112.1715819110.1093%2Fschbul%2Fsbl054 – reference: Mundt C, Backenstrass M: Psychotherapy and classification: psychological, psychodynamic, and cognitive aspects. Psychopathology 2005;38:219–222.1614527910.1159%2F000086096 – reference: Hojaij CR: Reappraisal of dementia praecox: focus on clinical psychopathology. World J Biol Psychiatry 2000;1:43–54.1260723210.3109%2F15622970009150565 – reference: Kraus A: How can the phenomenological-anthropological approach contribute to diagnosis and classification in psychiatry?; in Fulford KWM, Morris KJ, Sadler JZ (eds): Nature and Narrative. Oxford, Oxford University Press, 2003, pp 199–216. – reference: Jaspers K: General Psychopathology. Manchester, Manchester University Press, 1963. – reference: Mundt C: Anomalous self-experience: a plea for phenomenology. Psychopathology 2005;38:231–235.1617981010.1159%2F000088440 – reference: Schneider G, Lange C, Heuft G: Operationalized psychodynamic diagnostics and differential therapy indication in routine diagnostics at a psychosomatic outpatient department. Psychother Res 2002;12:159–178.10.1093%2Fptr%2F12.2.159 – reference: Handest P, Parnas J: Clinical characteristics of 50 first-admitted ICD-10 schizotypal patients. Br J Psychiatry 2005;187(suppl):49–54.10.1192%2Fbjp.187.48.s49 – reference: Kirmayer LJ: Culture, context and experience in psychiatric diagnosis. Psychopathology 2005;38:192–196.1614527310.1159%2F000086090 – reference: Tellenbach H: Melancholy. History of the Problem, Endogeneity, Typology, Pathogenesis, Clinical Considerations. Pittsburgh, Duquesne University Press, 1980. – reference: Fuchs T: Embodied cognitive neuroscience and its consequences for psychiatry. Poiesis Praxis 2009;6:219–233.10.1007%2Fs10202-008-0068-9 – reference: Umiltà C: Modularity in neural systems and localization of function; in Nadel L (ed): Encyclopedia of Cognitive Science. London, Nature/Macmillan, 2003, vol 3, pp 71–74. – reference: Parnas J, Moeller P, Kircher T, Thalbitzer J, Jannson L, Handest P, Zahavi D: EASE: Examination of Anomalous Self-Experience. Psychopathology 2005;38:236–258. – reference: Mezzich JE: Psychiatry for the person: articulating medicine’s science and humanism. World Psychiatry 2007;6:1–3.17342211 – reference: Mezzich JE: Institutional consolidation and global impact: towards a psychiatry of the person. World Psychiatry 2006;5:65–66.16946936 – reference: Hempel CG, Oppenheim P: Studies in the logic of explanation. Philos Sci 1948;15:135–175.10.1086%2F286983 – reference: Stanghellini G: The grammar of the psychiatric interview. Psychopathology 2007;40:69–74.1721559210.1159%2F000098486 – reference: van Praag HM: Two-tier diagnosing in psychiatry. Psychiatry Res 1990;34:1–11.198001610.1016%2F0165-1781%2890%2990053-8 – reference: Insel TR, Quirion R: Psychiatry as a clinical neuroscience discipline. 2007. www.nimh.nih.gov/about/director/publications/psychiatry-as-a-clinical-neuroscience-discipline.shtml. – reference: Nemiah JC: The varieties of human experience. Br J Psychiatry 1989;154:459–466.259077610.1192%2Fbjp.154.4.459 – ident: ref10 doi: 10.1192%2Fbjp.187.48.s49 – ident: ref7 doi: 10.1007%2Fs10202-008-0068-9 – ident: ref15 doi: 10.1521%2Fpedi.2006.20.2.126 – ident: ref3 doi: 10.3109%2F15622970009150565 – ident: ref6 doi: 10.1016%2F0165-1781%2890%2990053-8 – ident: ref14 doi: 10.1159%2F000086090 – ident: ref8 doi: 10.1159%2F000086096 – ident: ref13 doi: 10.1159%2F000088440 – ident: ref4 doi: 10.1007%2Fs00406-008-5007-1 – ident: ref11 doi: 10.1034%2Fj.1600-0447.2003.00105.x – ident: ref9 doi: 10.1159%2F000098486 – ident: ref12 doi: 10.1053%2Fcomp.2003.50017 – ident: ref16 doi: 10.1093%2Fptr%2F12.2.159 – ident: ref5 doi: 10.1086%2F286983 – ident: ref17 doi: 10.1192%2Fbjp.154.4.459 – ident: ref2 doi: 10.1159%2F000101363 – ident: ref1 doi: 10.1093%2Fschbul%2Fsbl054 |
| SSID | ssj0014966 |
| Score | 2.159716 |
| SecondaryResourceType | review_article |
| Snippet | The establishment of criteriological diagnostic systems since the 1980s has increased the reliability of psychiatric diagnosis. On the other hand, the limits... |
| SourceID | proquest pubmed crossref karger |
| SourceType | Aggregation Database Index Database Enrichment Source Publisher |
| StartPage | 268 |
| SubjectTerms | Comparative studies Criteria Diagnostic and Statistical Manual of Mental Disorders Humans International Classification of Diseases Medical diagnosis Mental Disorders - diagnosis Psychiatry Special Topic Section: Classification and Psychopathology. Editor: C. Mundt. Original Paper Theory |
| Title | Subjectivity and Intersubjectivity in Psychiatric Diagnosis |
| URI | https://karger.com/doi/10.1159/000315126 https://www.ncbi.nlm.nih.gov/pubmed/20516753 https://www.proquest.com/docview/750426708 https://www.proquest.com/docview/733352890 https://www.proquest.com/docview/746084482 |
| Volume | 43 |
| hasFullText | 1 |
| inHoldings | 1 |
| isFullTextHit | |
| isPrint | |
| link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwfV3dS8MwED90ivgifkydXxTxwZdim3Rpgg_i1CGCY4jC3krzUZhKN9ft__fSpkVB99SSHg1ckvv85Q7gQkrFJAsyn8Us8lEfC19SJnzNRGZYikrJlGiLAXt8i55G3ZHD5hQOVlnLxFJQ64myMfIrW4acsDjgN9Mv3zaNsslV10FjFdbKymW4neNR42-h7V-lKtEH8vGduMJCqMDt_QVqdR37pY7WPyz6eva_sVkqnf42bDlr0butlncHVky-CxvPLh--B9d47t9LkYXGtJfm2isjfMXP0XHuDWtI81h59xW2bly04a3_8Hr36Lt2CL6iLJqj3CJG6TDL0Hc0gTCp0JEKeaB4SI3gJpaKRGlsJBphmoqMa2IE07GkJFOpTuk-tPJJbg7BU4oERPGu5JRH-ENhQkKECk0WsYwHrAOXNVcS5WqF25YVn0npM3RF0jCwA-cN6bQqkPEXUbtibUNSjx_XnE7c2SmSZqU74DVfcdPbTEaam8kCSai9KsZFsIQkYgFH35N04KBawmZugoII_SR6tHT2Y9iskAI23HICrflsYU7RAJnLs3KbncHabe--18dn72EwfPkGiMPaeQ |
| linkProvider | ProQuest |
| linkToHtml | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwtR1da9sw8MiSsfVlrFvapu1aMzbYi5ktKbLEKKVbE5KmDWGk0DfP-jBkG05bp5T-qP3HnfzFBlve-mbkQ0Kn033rDuCdUporHqQ-jzjzUR5LX1EufcNlanmCQskW2RZTPrpkZ1f9qxb8qt_CuLTKmicWjNostfORf3RlyAmPAnF8feO7plEuuFp30CipYmIf7tFiy4_Gp3i87wkZDuZfRn7VVMDXlLMV3n5itQnTFC0wG0ibSMN0KAItQmqlsJHShCWRVajKGCpTYYiV3ESKklQnJqE47xPouF3129D5PJjOvjZhCybL4ChaXT5-k6qUEaoM7sUEddKV_yUAn_5w-d63_1dvCzE3fAkvKv3UOykJahNaNnsFzy6qCPxr-ISc5nvBJFF995LMeIVPMf9zdJF5szqJeqG90zKbb5F34fJRcLUF7WyZ2R3wtCYB0aKvBBUMJ5Q2JETq0KaMpyLgPfhQYyXWVXVy1yTjZ1xYKX0ZNwjswdsG9LosyfEvoG6J2gakHt-rMR1XtzWPG9rqgdf8xWvmYidJZpd3CELd4zQhgzUgjAcCrV3Sg-3yCJu1CbI-tMzo7trVD-H5aH5xHp-Pp5M92CjzFJyzZx_aq9s7-wbVn5U6qIjOg2-PTee_AZngF40 |
| linkToPdf | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwtV1ZS8QwEB68EF_E2_UsouBLsU26aYKIiOvijQ8K-1abC1alu7or4k_z3znphYL65ltJhwQmk5n5MpMZgG0pFZMssD6LWeSjPRa-pEz4mglrWIpGyeTZFtfs9C467zQ7I_BRvYVxaZWVTswVte4pd0e-58qQExYHfM-WWRE3rfZh_9l3DaRcoLXqplFIyIV5f0P0Njg4a-FW7xDSPrk9PvXLBgO-oiwaoiYgRunQWkRjJhAmFTpSIQ8UD6kR3MRSkSiNjUS3RlNhuSZGMB1LSqxKdUpx3lEYjyk6VXiU4k6N9RB3FGFSxF8-fpOyqBE6D-7tBHV2ln0zhROPLvP75XdHNzd47RmYLj1V76gQrVkYMdkcTF6Vsfh52Eed85CrS3TkvTTTXn67OPg62s28myqduqu8VpHX1x0swN2_cGoRxrJeZpbBU4oERPGm5JRHOKEwISFChcZGzPKANWC34kqiyjrlrl3GU5LjlaZIagY2YKsm7RfFOX4iWihYW5NU46sVp5Py3A6SWsoa4NV_8cC5KEqamd4rklD3TI2L4A-SiAUccS9pwFKxhfXaBJUgYjS68ufqmzCJ0p1cnl1frMJUkbDgbn3WYGz48mrW0Q8ayo1c4jy4_28R_wSF8BpU |
| openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Subjectivity+and+Intersubjectivity+in+Psychiatric+Diagnosis&rft.jtitle=Psychopathology&rft.au=Fuchs%2C+Thomas&rft.date=2010-01-01&rft.pub=S.+Karger+AG&rft.issn=0254-4962&rft.eissn=1423-033X&rft.volume=43&rft.issue=4&rft.spage=268&rft_id=info:doi/10.1159%2F000315126&rft.externalDBID=HAS_PDF_LINK&rft.externalDocID=2137428401 |
| thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=0254-4962&client=summon |
| thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=0254-4962&client=summon |
| thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=0254-4962&client=summon |