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Psychiatric Diagnosis and Classification - ResearchGate

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144 PSYCHIATRIC DIAGNOSIS AND CLASSIFICATION<br />

of consciousness, that is, any investigation whatsoever has consciousness as<br />

its pivot <strong>and</strong> condition.<br />

Phenomenology calls attention to the fact that it is possible to investigate<br />

consciousness in several ways. It is not only possible to consider it as an<br />

empirical object somehow endowed with mental properties, as a causally<br />

determined object in the world, but also as the subject of intentional directedness<br />

to the world, i.e. as the subject for the world, asÐto paraphrase<br />

WittgensteinÐthe limit of the world [29]. And as long as consciousness is only<br />

considered as an empirical object, which is the predominant case in contemporary<br />

materialism, the truly significant aspect of consciousness, the fact<br />

that it is the dimension that allows the world to manifest itself, will be<br />

overlooked.<br />

The term phenomeno-logy literally means an account or knowledge of a<br />

phenomenon. Phenomenon is that which shows itself, that which manifests<br />

itself, an appearance. Consciousness enables or is a condition of such manifestation;<br />

it is a dative of all appearing phenomenality). Phenomenology does<br />

not distinguish between the inaccessible noumenon thing-in-itself) <strong>and</strong> its<br />

``outer'' appearance phenomenon in the Kantian sense): for phenomenology<br />

the phenomenon is always a manifestation of the thing itself. This<br />

way of discussing consciousness, as the constitutive dimension that allows<br />

for identification <strong>and</strong> manifestation, as the ``place'' ``in'' which the world<br />

can reveal <strong>and</strong> articulate itself, is radically different from any attempt to<br />

treat it as merely yet another object in the world.<br />

PHENOMENOLOGICAL ACCOUNT OF THE<br />

FUNDAMENTAL FEATURES OF CONSCIOUSNESS<br />

We will now present some of those central features of consciousness that<br />

phenomenology has elucidated in numerous analyses. Such an account is,<br />

as it has been argued above, a necessary first step in any scientific explanatory<br />

account <strong>and</strong> in any classification of pathological experience. The very<br />

notion of anomalous experience is a contrastive concept, i.e. it can only be<br />

articulated against the background of the normal experience. It is therefore<br />

our contention that this brief exposition will not only familiarize the reader<br />

more closely with the ways in which phenomenology performs its analyses;<br />

it will also provide a much needed introduction to the essential structures<br />

of human subjectivity, a comprehension of which is indispensable for a<br />

sophisticated <strong>and</strong> faithful description of anomalous experience. To mention<br />

just a few examples: to identify the essential differences between, say,<br />

obsessions, pseudo-obsessions, <strong>and</strong> episodes of thought interference in the<br />

incipient schizophrenia, it is necessary to grasp different possible ways<br />

of being self-aware; to differentiate between the non-psychotic <strong>and</strong> the

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