Abstract
Six individuals with experience of psychosis were interviewed about their psychotic experiences. The material was analyzed using the empirical phenomenological psychological method. The results consist of a whole meaning structure, a gestalt, entailing the following characteristics: The feeling of estrangement in relationship to the world; the dissolution of time; the loss of intuitive social knowledge; the alienation of oneself, and finally; the loss of intentionality/loss of agency. In brief, the results show that an altered perception of the self and the world was an essential part of the psychotic experience where subjects described themselves as changed; something was sensed as being wrong as psychosis is perceptible but hard to communicate. The normal life-world experience was altered and reality seemed strange. Time perception seemed to be changed as temporality appeared dissolved and the experience of time was focused on the current moment excluding the future. The subjects described loss of intentionality, they were no longer agents in their actions but partly steered by others and they could feel as if their experiences were not theirs. The patients also describe problems regarding their ability to socialize and communicate with others. They seem to lose their intuitive social capacity and were prone to suspiciousness.
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APA. (1994). DSM-IV. Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: American Psychiatric Association.
Barker, S., Lavender, T., & Morant, N. (2001). Client and family narratives on schizophrenia. Journal of Mental Health, 10(2), 199–212.
Blankenburg, W. (1971). Der Verlust der natürlichen Selbstverständlichkeit. Ein Beitrag zur Psychopathologie symptomarmer Schizophrenien. Stuttgart, Germany: Enke.
Cutting, J., & Dunne, F. (1989). Subjective experience of schizophrenia. Schizophrenia Bulletin, 15(2), 217–231.
Davidson, L., & Stayner, D. (1997). Loss loneliness and the desire for love: Perspectives on the social lives of people with schizophrenia. Rehabilitation Journal, 20(3), 3–12.
Davidson, L., Stayner, D., & Haglund, K. E. (1998). Phenomenological perspectives on the social functioning of people with schizophrenia. In K. T. Mueser & N. Tarrier (Eds.), Handbook of social functioning in schizophrenia (pp. 97–120). Needham Heights, NH: Allyn and Bacon.
Fatouros-Bergman, H., Preisler, G., & Werbart, A. (2006). Communicating with patients with schizophrenia: Characteristics of well functioning and poorly functioning communication. Qualitative Research in Psychology, 3, 121–146.
Fatouros-Bergman, H., Spang, J., Werbart, A., Preisler, G., and Merten, J. (2010). The interplay of gaze behaviour and facial affectivity in clinical interviews with patients diagnosed with schizophrenia. Psychosis. doi:10.1080/17522439.2010.488297.
Gee, L., Pearce, E., & Jackson, M. (2003). Quality of life in schizophrenia: A grounded theory approach. Health and Quality of Life Outcomes, 1, 31.
Heidegger, M. (1980/1927). Being and time. Oxford: Basil Blackwell.
Hirschfeld, R., Smith, J., Trower, P., & Griffin, C. (2005). What do psychotic experiences mean for young men? A qualitative investigation. Psychology and Psychotherapy: Theory Research and Practice, 78, 249–270.
Husserl, E. (1962/1913). Ideas: General introduction to pure phenomenology (Vol. I). New York: Collier Books.
Husserl, E. (1977/1925). Phenomenological psychology. The Hague: Martinus Nijhoff.
Karlsson, G. (1992). The grounding of psychological research in a phenomenological epistemology. Theory and Psychology, 2, 403–429.
Karlsson, G. (1995). Psychological qualitative research from a phenomenological perspective. Stockholm: Almqvist and Wiksell International.
Karlsson, G. (2010). Psychoanalysis in a new light. Cambridge: Cambridge University Press.
Kilkku, N., Munnukka, T., & Lehtinen, K. (2003). From information to knowledge: The meaning of information-giving to patients who had experienced first-episode psychosis. Journal of Psychiatric and Mental Health Nursing, 10, 57–64.
Kircher, T. T. J., & Leube, D. T. (2003). Self-consciousness, self-agency, and schizophrenia. Consciousness and Cognition, 12, 656–669.
Kvale, S. (1997). Den kvalitativa forskningsintervjun. Lund: Studentlitteratur.
Medical Research Council for Research Ethics. (2003). Ethical guidelines for medical human research. Uppsala: Almqvist & Wiksell.
Merleau-Ponty, M. (1962/1945). Phenomenology of perception. New Jersey: The Humanities Press.
Michelle, L., Campbell, C., & Morrison, A. P. (2007). The subjective experience of paranoia: Comparing the experiences of patients with psychosis and individuals with no psychiatric history. Clinical Psychology and Psychotherapy, 14, 63–77.
Möller, P., & Husby, R. (2000). The initial prodrome in schizophrenia: Searching for naturalistic core dimensions of experience and behavior. Schizophrenia Bulletin, 26(1), 217–232.
Richir, M. (2004). Phantasia, imagination, affectivité. Grenoble: Edistions Jérôme Millon.
Roe, D., Chopra, M., & Rudnick, A. (2004). Persons with psychosis as active agents interacting with their disorder. Psychiatric Rehabilitation Journal, 2, 122–128.
Roe, D., & Lachman, M. (2005). The subjective experience of people with severe mental illness: A potentially crucial piece of the puzzle. Israelian Journal of Psychiatry, 4, 223–230.
Sass, L. A. (2001). Self and world in schizophrenia: Three classic approaches. Philosophy, Psychiatry and Psychology, 4, 251–270.
Sass, L. A., & Parnas, J. (2003). Schizophrenia, consciousness, and the self. Schizophrenia Bulletin, 3, 427–444.
Stanghellini, G. (2000). At issue: Vulnerability to schizophrenia and lack of common sense. Schizoprenia Bulletin, 4, 775–787.
Stanghellini, G., & Ballerini, M. (2002). Dis-sociality: The phenomenological approach to social dysfunktion in schizophrenia. Word Psychiatry, 1(2), 102–106.
Stanghellini, G., & Ballerini, M. (2007). Values in persons with schizophrenia. Schizophrenia Bulletin, 1, 131–141.
Uhlhaas, P., & Mishara, A. L. (2007). Perceptual anomalies in schizophrenia: Integrating phenomenology and cognitive neuroscience. Schizophrenia Bulletin, 1, 142–156.
Vogeley, K., & Kupke, C. (2007). Disturbances of time consciousness from a phenomenological and a neuroscientific perspective. Schizophrenia Bulletin, 1, 157–165.
Walton, J. A. (2000). Schizophrenia and life in the world of others. Canadian Journal of Nursing Research, 3, 69–84.
World Medical Association. (2008). Declaration of Helsinki: Ethical principles for medical research involving human subjects, Seoul.
Zahavi, D. (1999). Self-awareness and alterity. A phenomenological investigation. Evanston: Northwestern University Press.
Zahavi, D. (2001). Husserl and transcendental intersubjectivity. Athens: Ohio University Press.
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Leiviskä Deland, AC., Karlsson, G. & Fatouros-Bergman, H. A Phenomenological Analysis of the Psychotic Experience. Hum Stud 34, 23–42 (2011). https://doi.org/10.1007/s10746-011-9174-0
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DOI: https://doi.org/10.1007/s10746-011-9174-0