Psychiatric Diagnosis and Classification - ResearchGate
Psychiatric Diagnosis and Classification - ResearchGate
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