On incomprehensibility in schizophrenia

Phenomenology and the Cognitive Sciences 12 (1):105-129 (2013)
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Abstract

This article examines the supposedly incomprehensibility of schizophrenic delusions. According to the contemporary classificatory systems (DSM-IV-TR and ICD-10), some delusions typically found in schizophrenia are considered bizarre and incomprehensible. The aim of this article is to discuss the notion of understanding that deems these delusions incomprehensible and to see if it is possible to comprehend these delusions if we apply another notion of understanding. First, I discuss the contemporary schizophrenia definitions and their inherent problems, and I argue that the notion of incomprehensibility in these definitions rests heavily on Jaspers’ notions of understanding and empathy. Secondly, I discuss two Wittgensteinian attempts to comprehend bizarre delusions: (a) Campbell’s proposal to conceive delusions as framework propositions and (b) Sass’s suggestion to interpret delusions in the light of solipsism. Finally, I discuss the phenomenological conception of schizophrenia, which conceives delusion formation as resulting from alterations of the structure of experiencing and from underlying self-disorders. I argue that although a psychological understanding that seeks to grasp meaning in terms of motivations, desires, and other more straightforward psychological connections between mental states is impossible in schizophrenia, we can in fact have a philosophical understanding of the schizophrenic world and of the emergence of delusions typically found in schizophrenia

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Mads G. Henriksen
University of Copenhagen

Citations of this work

Psychosis and Intelligibility.Sofia Jeppsson - 2021 - Philosophy, Psychiatry, and Psychology 28 (3):233-249.
Overcoming Hermeneutical Injustice in Mental Health: A Role for Critical Phenomenology.Rosa Ritunnano - 2022 - Journal of the British Society for Phenomenology 53 (3):243-260.
Do delusions have and give meaning?Rosa Ritunnano & Lisa Bortolotti - 2022 - Phenomenology and the Cognitive Sciences 21 (4):949-968.
The epistemic harms of empathy in phenomenological psychopathology.Lucienne Spencer & Matthew Broome - forthcoming - Phenomenology and the Cognitive Sciences:1-22.
Comprehending the Whole Person: On Expanding Jaspers' Notion of Empathy.Anthony Vincent Fernandez - forthcoming - In Aaron Mishara, Philip Corlett, Alexander Kranjec, Michael A. Schwartz & Marcin Moskalewicz (eds.), Phenomenological Neuropsychiatry: How Patient Experience Bridges Clinic with Clinical Practice. Springer.

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References found in this work

The Rediscovery of the Mind.John Searle - 1992 - MIT Press. Edited by Ned Block & Hilary Putnam.
On Certainty (ed. Anscombe and von Wright).Ludwig Wittgenstein - 1969 - San Francisco: Harper Torchbooks. Edited by G. E. M. Anscombe, G. H. von Wright & Mel Bochner.
Truth and method.Hans-Georg Gadamer - 1975 - New York: Continuum. Edited by Joel Weinsheimer & Donald G. Marshall.
Truth and Method.H. G. Gadamer - 1975 - Journal of Aesthetics and Art Criticism 36 (4):487-490.

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