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New Perspectives in Phenomenological Psychopathology: Its Use in Psychiatric Treatment

机译:现象学心理病理学的新观点:其在精神病学治疗中的应用

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摘要

Phenomenological psychopathology is a body of scientific knowledge on which the clinical practice of psychiatry is based since the first decades of the twentieth century, a method to assess the patient's abnormal experiences from their own perspective, and more importantly, a science responsible for delimiting the object of psychiatry. Recently, the frontiers of phenomenological psychopathology have expanded to the productive development of therapeutic strategies that target the whole of existence in their actions. In this article, we present an overview of the current state of this discipline, summing up some of its key concepts, and highlighting its importance to clinical psychiatry today. Phenomenological psychopathology understands mental disorders as modifications of the main dimensions of the life-world: lived time, lived space, lived body, intersubjectivity, and selfhood. Psychopathological symptoms are the expression of a dialectical modification of the proportions of certain domains of the life-world or of the lived experience. The far-reaching relevance of the concepts of proportion and dialectics for the clinical agenda is explored. The article presents two contemporary models for clinical practice based on phenomenological psychopathology: Dialectical-proportional oriented approach and Person-centered dialectic approach (P.H.D. method). The main characteristics of these approaches are considered, as well as the new perspectives they bring to the challenges of psychiatric care in the twentieth-first century.
机译:现象学精神病理学是二十世纪前几十年以来精神病学临床实践所依据的科学知识体系,是一种从他们自己的角度评估患者异常经历的方法,更重要的是,这是一门界定对象的科学精神病学。近来,现象学精神病理学的前沿已扩展到针对其行动中全部存在的治疗策略的有效发展。在本文中,我们概述了该学科的现状,总结了其一些关键概念,并突出了其对当今临床精神病学的重要性。现象学精神病理学将精神障碍理解为生活世界主要方面的修改:生存时间,生存空间,生命体,主体间性和自我。心理病理症状是对生活世界或生活经验中某些领域的比例进行辩证性修改的表达。探索了比例和辩证法概念与临床议程的深远相关性。本文介绍了两种基于现象学心理病理学的当代临床实践模型:辩证比例导向方法和以人为中心的辩证方法(P.H.D.方法)。考虑了这些方法的主要特征,以及它们在二十一世纪对精神病学治疗带来的挑战的新观点。

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