The Phenomenology of Intersubjectivity in Jaspers and Husserl: On the Capacities and Limits of Empathy and Communication in Psychiatric Praxis

Luft, Sebastian; Schlimme, Jann E.

doi:10.1159/000353272

Cited by 9 publications

(2 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Several authors have dealt with dialogical relations and structures in the context of psychotherapy [46][47][48]. As a thorough discussion of this literature is beyond the scope of this article, we here limit our focus to the dialogical structure of the therapist's stance and base our reflections mainly on descriptions of dialogue from the Open Dialogue approach.…”

Section: Openness and Authenticity: The Dialogical Stancementioning

confidence: 99%

Person-Centered Psychiatry as Dialogical Psychiatry: The Significance of the Therapeutic Stance

et al. 2021

View full text Add to dashboard Cite

In this article, we present holistic and person-centered perspectives in psychiatry, with the aim of better understanding what a focus on personhood might really mean and what clinical implications it might have. We first introduce classical and philosophical concepts of personhood, in order to then outline person-centered approaches in psychiatry, which mainly focus on the person of the patient. We then argue that, for it to really be person-centered, psychiatry must necessarily also focus on the person of professionals. We thus explore the notion of stance, as the expression of the therapist’s personhood. By unpacking the effects that a professional’s stance can have on patients, we finally turn to a consideration of the interpersonal sphere. More specifically, we propose clinical considerations on a therapeutic stance that strives to support and to help the person of the patient unfold. Such a stance must – we argue – necessarily be a dialogical one. Drawing on these considerations, we thus claim that a truly person-centered approach in psychiatry must necessarily and automatically be interperson-centered and dialogical. In the concluding remarks, we finally discuss broader societal implications and outline future research perspectives.

show abstract

Section: Openness and Authenticity: The Dialogical Stancementioning

confidence: 99%

Person-Centered Psychiatry as Dialogical Psychiatry: The Significance of the Therapeutic Stance

et al. 2021

View full text Add to dashboard Cite

show abstract

“…In recent times, several researchers have provided theoretical accounts of the complexity of the process of clinical reasoning, drawing attention to the psychiatrist's means of understanding and to their relationship with the intersubjective milieu of the clinical encounter. Concepts like intuition [11][12][13][14], typification [15,16], and empathy [6,17] have been invoked to describe the automatic, implicit, and relation-dependent processes that shape the clinician's diagnostic thinking and may affect what had provocatively been presented as a potentially pure algorithmic reasoning [18]. The phenomenological tradition, in particular, has promoted a reflection on the intersubjective dimension of the clinical interaction as a privileged way to grasp the distortions of the patient's structures of subjectivity, which are looked as the roots of the patient's whole psychopathological expression [7,19,20].…”

Section: Introductionmentioning

confidence: 99%

Clinician’s Subjective Experience in the Cross-Cultural Psychiatric Encounter

Fonzi¹,

Picardi

Monaco

et al. 2020

Psychopathology

View full text Add to dashboard Cite

Introduction: The clinical encounter is still at the core of the psychiatric evaluation. Since the diagnostic process remains basically clinical in nature, several authors have addressed the complexity of the clinical reasoning process and highlighted the role played by intersubjective phenomena and clinician’s feelings. Some recent studies have supported the view of a significant link between the clinician’s subjective experience during the assessment and the diagnosis made. In a globalized world, this issue requires a careful reflection, since cultural differences may affect the intersubjective atmosphere of the encounter, which may indirectly influence the clinician’s thinking. Methods: We used a previously validated instrument, named Assessment of Clinician’s Subjective Experience (ACSE), to compare the clinician’s subjective experience during the evaluation of Italian patients with the subjective experience of the same clinician during the assessment of foreign patients. The 2 patient groups (n = 42 each) were individually matched for known potential confounders (age, sex, categorical diagnosis, and clinical severity). Results: We found no significant differences in mean scores on all ACSE dimensions (tension, difficulty in attunement, engagement, disconfirmation, and impotence), which suggests that cultural diversity did not substantially affect the clinician’s subjective experience. However, the lack of information about the native country and linguistic proficiency of about a quarter of foreign patients may have limited the possibility to detect subtle or specific differences, especially with regard to the clinician’s empathic attunement. Conclusions: Although further investigation is needed, our preliminary findings may have significant implications for the reflection upon the clinician’s empathic experience as well as pragmatic consequences for the act of psychiatric diagnosis in the cross-cultural encounter.

show abstract

Twentieth Century, the First Half: The Pre-psychopharmacologic Era

Fountoulakis

2021

Psychiatry

View full text Add to dashboard Cite

The Phenomenology of Intersubjectivity in Jaspers and Husserl: On the Capacities and Limits of Empathy and Communication in Psychiatric Praxis

Cited by 9 publications

References 12 publications

Person-Centered Psychiatry as Dialogical Psychiatry: The Significance of the Therapeutic Stance

Person-Centered Psychiatry as Dialogical Psychiatry: The Significance of the Therapeutic Stance

Clinician’s Subjective Experience in the Cross-Cultural Psychiatric Encounter

Twentieth Century, the First Half: The Pre-psychopharmacologic Era

Contact Info

Product

Resources

About