The Phenomenology of Depression as a Modification of the Own Experience of the Self: Body Opacity, Temporal Desynchronization and Guiltiness
DOI:
https://doi.org/10.37467/gka-revmedica.v2.1308Keywords:
Depression, Phenomenology, Corporeality, Desynchronization, Guilt, Narrative Self,, Postmodern SocietyAbstract
Last years, phenomenology has demonstrated its own value in the field of medicine with useful distinctions as the one among illness and disease. It has also contributed to psychiatry. Some inter-disciplinary works about mental illnesses can be found. The phenomenological description of the melancholic depression patient has three main features: a) the transformation of his own body experience; b) a continuous feeling of guilt; and c) a time experience which is desynchronized from the otherness. This paper aims to synthetize this phenomenological research about depression, which has been considered one of the plagues of our time. Moreover, it tries to explain how these changes in the patient’s experience can imply certain modifications of his own self-experience.
References
Anatrella, T. (1994): Contra la sociedad depresiva , Santander, Sal Terrae.
Askay, R. (2001): “Heidegger’s Philosophy and its Implications for Psychology, Freud, and Existential Psychoanalysis”, en: Boss, M. (ed): Zollikon Seminars: Protocols-Conversations- Letters , Evanston, Northwestern University Press, pp. 301-315.
Auster, P. (2012): Diario de invierno , Barcelona, Anagrama.
Barondness, J.A. (1979): “Disease and illness – a crucial distinction”, Am J Med , 66 (3): 375-376.
Barraycoa, J. (2005): Tiempo muerto: tribalismo, civilización y neotribalismo , Barcelona, Scire.
Bauman, Z. (2004): Modernidad líquida , Buenos Aires, Fondo de Cultura Económica.
Binswanger, L. (1975): Being-in-the-world: Selected Papers of Ludwig Binswanger , London, Souvenir Books.
Bruner, J. (2002): Making Stories: Law, Literatura, Life . Cambridge (MA), Harvard University Press.
Charmaz, K. (1983): “Loss of self: a fundamental form of suffering in the chronically ill”, Sociology of Health and Illness , 5 (2): 168-195.
Charmaz, K. (2002): “The Self as Habit: The ReconstructIon of Self in Chronic Illness”, The Occupational Therapy Journal of Research , 22: 31S-41S.
Charon, R. (2006): Narrative Medicine. Honoring the Stories of Illness , Oxford, Oxford University Press.
Carretero, E. (2003): “Postmodernidad e imaginario. Una aproximación teórica”, Foro Interno, 3: 87-101.
Damasio, A. (1999): The Feeling of What Happens , London, Vintage.
Depraz, N. (2003): “Putting the Epoché into Practice: schizophrenic Experience as Illustrating the Phenomenological Exploration of Conciousness”, en: Fulford, K.W.M., Morris, K., Sadler, J, y Stanghellini, G. (eds): Nature and Narrative: An Introduction to the New Philosophy of Psychiatry, Oxford, Oxford University Press, pp. 187-198.
Felton, B. (1987): “Cohort variation in happiness”, International Journal of Aging and Human Development, 25: 27-42.
Foucault, M. (2001): Los Anormales. Curso del Collège de France (1974-1975) , Madrid, Akal.
Frank, A. (1995): The Wounded Storyteller. Body, Illness, and Ethics , Chicago, The University of Chicago Press.
Fuchs, T. (1999a): “Life Events in Late Paraphrenia and Depression”, Psychopathology , 32 (2): 60-69.
Fuchs, T. (1999b): “Patterns of Relation and Premorbid Personality in Late Paraphrenia and Depression”, Psychopathology , 32: 70-80.
Fuchs, T. (2001): “Melancholia as Desynchronization: Towards a Psycopathology of Interpersonal Time”, Psychopathology , 34: 179-186.
Fuchs, T. (2003): “The Phenomenology of Shame, Guilt and the Body in Body Dysmorphic Disorder and Depression”, Journal of Phenomenological Psychology , 33 (2): 223-243.
Fuchs, T. (2005): “Corporealized and Disembodied Minds. A Phenomenological View of the Body in Melancholia and Schizophrenia”, Philosophy, Psychiatry & Psychology , 12 (2): 95-107.
Fuchs, T. (2007): “Fragmented Selves: Temporality and Identity in Borderline Personality Disorder”, Psychopathology , 40: 379-387.
Fuchs, T. y Schlimme, E. (2009): “Embodiment and psychopathology: a phenomenological perspective”, Current Opinion in Psychiatry , 22: 570-575.
Gallagher, S. (2000): “Philosophical Conceptions of the Self: Implications for cognitive Science”, Trends in Cognitive Sciences , 4 (1): 15-17.
Gallagher, S. y Zahavi, D. (2008): The Phenomenological Mind. An introduction to philosophy of mind and cognitive science , New York, Routledge.
Gallese, V. (2001): “The ‘shared manifold’ hypothesis. From mirror neurons to empathy”, Journal of Conciousness Studies , 8: 33-50.
Ghaemi, S.N. (2007): “Feeling and Time: The Phenomenology of Mood Disorders, Depressive Realism and Existential Psychotherapy”, Schizophrenia Bulletin , 33 (1): 122-130.
Hagnell, O., Lanke, J., Rorsman, B. y Oejesjö, L. (1982): “Are we entering an age of melancholy? Depressive illness in a prospective epidemiological study over 25 years. The Lundby Study, Sweden”, Psychological Medicine , 12: 279-289.
Havens, L.L. (1986): Making Contact: Uses of Language in Psychology , Cambridge (MA), Harvard University Press.
Heidegger, M. (1944): El ser y el tiempo , México D.F., Fondo de Cultura Económica.
Hippius, H., Klerman y G., Matussek, N. (eds) (1986): New Results in Depression Research, Berlin, Springer Verlag.
Hutto. D. D (2008): Folk Psychological Narratives. The Sociological Basis of Understanding Reasons, Cambridge (MA), MIT Press.
Hý den, L.C. (1997): “Illness and narrative”, Sociology of Health & Illness , 19 (1): 48-69.
Jennings, D. (1986): “The confusion between disease and illness in clinical medicine”, Philosophy of Medicine , 135: 865-869.
Kangas, I. (2001): “Making sense of depression: perceptions of melancholia in lay narratives”, Health , 5 (1): 76-92.
Karp, D.A. (1996): Speaking of Sadness: Depression, Disconection, and the Meanings of Illness. Oxford, Oxford University Press.
Kimura, B. (1992): Ecrits de psychopathology phénoménologique , Paris, Presses Universitaires de France.
Kleinman, A. (1988): The Illness Narratives. Suffering, Healing and the Human Condition , New York, Basic Books.
Klerman, G.L., Lavori, P.W., Rice, J., Reich, T., Endicott, J., Andreasen, N.C., Keller, M.B. y Hirschfield, R.M.A. (1985): “Birth cohort trends in rates of major depressive disorder among relatives of patients with affective disorder”, Arch Gen Psychiatry , 42: 689-695.
Kristeva, J. (1997): Las nuevas enfermedades del alma , Madrid. Cátedra.
Lamarque, P. (2004): “On not expecting too much from narrative”, Mind & Language , 19 (4): 393-408.
Lasch, C. (1999): La cultura del narcisismo , Santiago de Chile, Andrés Bello.
Leder, D. (1990): The absent body , Chicago. Chicago University Press.
Levinas E (1993): El tiempo y el otro , Barcelona, Paidós.
Lipovetsky, G (1990): El imperio de lo efímero , Barcelona, Anagrama.
Lyotard, J. F. (1987): La condición posmoderna , Madrid, Cátedra.
MacIntyre, A. (1987): Tras la virtud . Barcelona, Crítica.
Maffesoli, M. (1990): El tiempo de las tribus , Barcelona, Icaria.
Martin, W. (2005): “Lived Time and Psychopathology”, Philosophy, Psychiatry and Psychology, 12: 173-185.
Martínez Lucena, J. (2008): “Narratividad y pre-narratividad de la experiencia en A. MacIntyre C. Taylor, P. Ricoeur y D. Carr”, Rivista di Filosofia Neo-Scolastica , 1: 73-109.
Martínez Lucena, J. (2010): “El self narrativo en busca de fundamento en la filosofía contemporánea”, Anuario Filosófico, 43 (3): 589-612.
Merleau-Ponty, M. (1962): Phenomenology of Perception , London, Routledge and Kegan Paul.
Merleau-Ponty, M. (1963): The Structure of Behavior , Pittsburg (PA), Duquesne University Press.
Parnas, J. (2004): “Belief an Pathology of Self-Awareness: A Phenomenological Contribution to the Classification of Delusions”, Journal of Conciousness Studies , 11 (10-11): 148-161.
Parnas, J., Bovet, P. y Zahavi, D. (2002): “Schizophrenic Autism: Clinical Phenomenology and Pathogenetic Implications”, World Psyquiatry , 1 (3): 131-136.
Parnas, J. y Sass, L.A. (2001): “Self, Solipsism, and Schizophrenic Delusions”, Philosophy, Psychiatry, Psychology , 8 (2-3): 101-120.
Pinnebaker, J.W. y Seagal, J.D. (1999): “Forming a Story: The Health Benefits of Narrative”, Journal of Clinical Psychology , 55 (10): 1243-1254.
Plath, S. (1989): La campana de cristal , Barcelona, Edhasa.
Raballo, A., Saebye, D. y Parnas, J. (2011): “Looking at the schizophrenia spectrum through the prism of self-disorders: an empirical study”, Schizophrenia Bulletin , 37 (2): 344-351.
Ratcliffe, M. (2004): “Interpreting Delusions”, Phenomenology and the Cognitive Sciences, 3: 25-48.
Ratcliffe, M. (2008): Feelings of being. Phenomenology, psychiatry and the sense of reality , Oxford, Oxford University Press.
Regier, D. et al. (1988): “One month prevalence of mental disorders in United States”, Archives of General Psychiatry , 45: 977-986.
Ricoeur, P. (1985): Temps et Récit III: Le temps raconté, Paris, Du Seuil.
Ricoeur, P. (1996): Sí mismo como otro, Madrid, Siglo XXI.
Sartre, J.P. (1956): Being and nothingness , New York, Philosophical Library.
Sass, L.A. (1992): Madness and modernism. Insanity in the light of modern art , New York, Basic Books.
Sass, L.A. (1994): The Paradoxes of Delusion. Wittgenstein, Schreber and the Schizophrenic Mind , Ithaca, Cornell University Press.
Sass, L.A. and Parnas, J. (2003): “Schizophrenia, Conciousness, and the Self”, Schizophrenia Bulletin, 29 (3): 427-424.
Styron, W. (2009): Esa visible oscuridad , Barcelona, La otra orilla.
Taylor. C. (1994): La ética de la autenticidad , Barcelona: Paidós.
Taylor. C. (2006): Fuentes del yo. La construcción de la identidad moderna , Barcelona: Paidós.
Toombs, S.K. (1987): “The meaning of illness: A phenomenological approach to the patientphysician relationship”, The Journal of Medicine and Philosophy , 12: 219-240.
Solomon, A. (2003): El demonio de la depresión , Madrid, Ediciones B.
Vice, S. (2003): “Literature and the narrative self”, Philosophy , 78: 93-108.
Wells, L.A. (2003): “Discontinuity in Personal Narrative: Some Perspectives of Patients”, Philosophy, Psychiatry & Psychology , 10 (4): 297-303.
Wiggins, O. y Schwatz, M.A. (2007): “Schizophrenia: A Phenomenological-Anthropological Approach”, en; Chung, M.C., Fulford, K.W.M. y Graham, G. (eds): Reconceiving Schizophrenia, Oxford, Oxford University Press, pp 113-127.
Zahavi, D. (2005): Subjectivity and Selfhood. Investigating the First-Person Perspective , Cambridge (MA), MIT Press.
Zahavi, D. (2007): “Self and Other: The limits of narrative understanding”, en: Hutto, D. (ed.): Narrative and Understanding Persons , Cambridge, Cambridge University Press, pp. 179-202.
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