Phenomenology and the Cognitive Sciences

, Volume 12, Issue 1, pp 131–143 | Cite as

Vulnerability to psychosis, I-thou intersubjectivity and the praecox-feeling

Article

Abstract

Psychotic and prodromal states are characterized by distortions of intersubjectivity, and a number of psychopathologists see in the concrete I-You frame of the clinical encounter the manifestation of such impairment. Rümke has coined the term of ‘praecox-feeling’, designated to describe a feeling of unease emanating in the interviewer that reflects the detachment of the patient and the failure of an ‘affective exchange.’ While the reliability of the praecox-feeling as a diagnostic tool has since been established, the explanation and theoretical framing of the phenomena is still lacking. By drawing on enactivist approaches to social cognition, the paper will attempt to provide such an explanation. This is relevant, since such an explanation could contribute to a more precise understanding of the phenomena in question and possibly add to our knowledge regarding the link between experiential vulnerability to psychosis and disturbed I-Thou intersubjectivity.

Keywords

Psychosis Praecox-feeling Second-person Intersubjectivity Enactivism 

References

  1. Baron-Cohen, S., Leslie, A. M., & Frith, U. (1986). Mechanical, behavioural and intentional understanding of picture stories in autistic children. British Journal of Developmental Psychology, 4, 113–125.CrossRefGoogle Scholar
  2. Bavelas, J. B., Coates, L., et al. (2002). Listener responses as a collaborative process: The role of gaze. The Journal of Communication, 52, 566–580.CrossRefGoogle Scholar
  3. Bleuler, E. (1924). Textbook of psychiatry. Translated by A.A. Brill. New York: The Macmillan Company.Google Scholar
  4. Bota, R. G., & Ricci, W. F. (2007). Empathy as a method of identification of the debut of the prodrome of schizophrenia. Bulletin of the Menninger Clinic, 71(4), 312–324.CrossRefGoogle Scholar
  5. Bota, R. G., Munro, J. S., & Sagduyu, K. (2005). Identification of the schizophrenia prodrome in a hospital based patient population. Missouri Medicine, 102(2), 154–8.Google Scholar
  6. Buber, M. (1971). I and thou. New York: Charles Scribner’s Sons.Google Scholar
  7. Bürgy, M. (2008). The concept of psychosis: historical and phenomenological aspects. Schizophrenia Bulletin, 34, 1200–1210.CrossRefGoogle Scholar
  8. Carpenter, W. T., Jr., Strauss, J. S., & Muleh, S. (1973). Are there pathognomonic symptoms in schizophrenia? An empiric investigation of Schneider’s first-rank symptoms. Archives of General Psychiatry, 28, 847–852.CrossRefGoogle Scholar
  9. Cornblatt, B. A., Lencz, T., Smith, C. W., Olsen, R., Auther, A. M., Nakayama, E., et al. (2007). Can antidepressants be used to treat the schizophrenia prodrome? Results of a prospective, naturalistic treatment study of adolescents. The Journal of Clinical Psychiatry, 68, 546–557.CrossRefGoogle Scholar
  10. De Jaegher, H. (2009). Social understanding through direct perception? Yes, by interacting. Consciousness and Cognition, 18(2), 535–542.CrossRefGoogle Scholar
  11. De Jaegher, H., & Di Paolo, E. (2007). Participatory sense-making: An enactive approach to social cognition. Phenomenology and the Cognitive Sciences, 6, 485–507.Google Scholar
  12. Di Paolo, E., Rohde, M., & De Jaegher, H. (2008). Horizons for the enactive mind: Values, social interaction, and play. In J. Stewart, O. Gapenne, & E. Di Paolo (Eds.), Enaction: Towards a new paradigm for cognitive science. Cambridge: MIT.Google Scholar
  13. Falloon, I. R., Coverdale, J. H., Laidlaw, T. M., Merry, S., Kydd, R. R., & Morosini, P. (1998). Early intervention for schizophrenic disorders. The British Journal of Psychiatry, 172(Suppl 33), 33–38.Google Scholar
  14. Fuchs, T., & De Jaegher, H. (2009). Enactive intersubjectivity: Participatory sense-making and mutual incorporation. Phenomenology and the Cognitive Sciences, 8(4), 465–486.CrossRefGoogle Scholar
  15. Gallagher, S. (2001). The practice of mind: Theory, simulation or primary interaction? Journal of Consciousness Studies, 8, 83–108.Google Scholar
  16. Gallagher, S., & Hutto, D. D. (2008). Understanding others through primary interaction and narrative practice. In J. Zlatev, T. Racine, C. Sinha, & E. Itkonen (Eds.), The shared mind: Perspectives on intersubjectivity. Amsterdam: John Benjamins.Google Scholar
  17. Gallese, V., & Goldman, A. (1998). Mirror neurons and the simulation theory of mind-reading. Trends in Cognitive Sciences, 12, 493–501.CrossRefGoogle Scholar
  18. Goldman, A. (2006). Simulating minds. The philosophy, psychology, and neuroscience of mindreading. Oxford: Oxford University Press.Google Scholar
  19. Grammer, K., Kruck, K. B., & Magnusson, M. S. (1998). The courtship dance: patterns of nonverbal synchronization in opposite-sex encounters. Journal of Nonverbal Behavior, 22, 3–29.CrossRefGoogle Scholar
  20. Grube, M. (2006). Towards an empirically based validation of intuitive diagnostic: Rumke’s ‘praecox feeling’ across the schizophrenia spectrum: preliminary results. Psychopathology, 39(5), 209–217.CrossRefGoogle Scholar
  21. Haas, G. L., Garratt, L. S., & Sweeney, J. A. (1998). Delay to first antipsychotic medication in schizophrenia: Impact on symptomatology and clinical course of illness. Journal of Psychiatric Research, 32(3–4), 151–159.CrossRefGoogle Scholar
  22. Hafner, H., Maurer, K., Ruhrmann, S., Bechdolf, A., Klosterkoetter, J., Wagner, M., et al. (2004). Early detection and secondary prevention of psychosis: facts and visions. European Archives of Psychiatry and Clinical Neuroscience, 254, 117–128.CrossRefGoogle Scholar
  23. Hempel, C. G. (1965). Aspects of scientific explanation. New York: The Free Press.Google Scholar
  24. Hobson, R. P. (2002). The cradle of thought. London: Macmillan.Google Scholar
  25. Husserl, E. (1950). Cartesianische Meditationen. In: Husserliana Vol. I, Haag 1950 [Hua I], (Husserl 1973, Hua XV, 497).Google Scholar
  26. Husserl, E. (1973). In I. Kern (Ed.), Zur Phänomenologie der Intersubjtivität. Texte aus dem. Nachlaß. Dritter Teil. 1929–1935, (Hua XV). Dordrecht: Kluwer.CrossRefGoogle Scholar
  27. Hutto, D. D. (2004). The limits of spectatorial folk psychology. Mind and Language, 19(5), 548–573.CrossRefGoogle Scholar
  28. Iacoboni, M., & Dapretto, M. (2006). The mirror neuron system and the consequences of its dysfunction. Nature Reviews. Neuroscience, 7, 942–951.CrossRefGoogle Scholar
  29. Issartel, J., Marin, L., & Cadopi, M. (2007). Unintended interpersonal coordination: can we march to the beat of our own drum? Neuroscience Letters, 411, 174–179.CrossRefGoogle Scholar
  30. Jaspers, K. (1968 (1912)). The phenomenological approach in psychopathology. The British Journal of Psychiatry, 114, 1313–1323.Google Scholar
  31. Jaspers, K. (1963/1913). In J. Hoenig & M. W. Hamilton (Eds.), General psychopathology. Manchester: Manchester University Press.Google Scholar
  32. Kraus, A. (2007). Schizophrenic delusions and hallucinations as the expression and consequence of an alteration of the existential a prioris. In M. C. Chung, K. W. M. Fulford, & G. Graham (Eds.), Reconceiving Schizophrenia (pp. 97–111). Oxford: Oxford University Press.Google Scholar
  33. McGlashan, T. H., Zipursky, R. B., Perkins, D., et al. (2003). The PRIME North America randomized double-blind clinical trial of olanzapine versus placebo in patients at risk of being prodromally symptomatic for psychosis. I. Study rationale and design. Schizophrenia Research, 61(1), 7–18.CrossRefGoogle Scholar
  34. McGorry, P. D., Yung, A. R., Phillips, L. J., et al. (2002). Randomized controlled trial of interventions designed to reduce the risk of progression to first-episode psychosis in a clinical sample with subthreshold symptoms. Archives of General Psychiatry, 59, 921–928.CrossRefGoogle Scholar
  35. Minkowski, E. (1968). Le temps véçu, études phénoménologiques et psychopathologiques. Neuchâtel: Delachaux et Niestle.Google Scholar
  36. Møller, P., & Husby, R. (2000). The initial prodrome in schizophrenia: searching for naturalistic core dimensions of experience and behaviour. Schizophrenia Bulletin, 26, 217–232.CrossRefGoogle Scholar
  37. Murray, L., & Trevarthen, C. (1985). Emotional regulation of interaction between two-month-olds and their mothers. In T. M. Field & N. Fox (Eds.), Social perception in infants (pp. 101–125). Norwood: Ablex Publishing.Google Scholar
  38. Murray, L., & Trevarthen, C. (1986). The infant’s role in mother–infant communications. Journal of Child Language, 13, 15–29.CrossRefGoogle Scholar
  39. Müller-Suur, H. (1962). Das Schizophrene als Ereignis. In H. Kranz (Ed.), Psychopathologie heute (pp. 81–93). Stuttgart: Thieme.Google Scholar
  40. Neugebauer, L., & Aldridge, D. (1998). Communication, heart rate and the musical dialogue. British Journal of Music Therapy, 12(2), 46–52.Google Scholar
  41. Parnas, J., Handest, P., Jansson, L., & Saebye, D. (2005). Anomalous subjective experience among fi rstadmitted schizophrenia spectrum patients: empirical investigation. Psychopathology, 38, 259–267.CrossRefGoogle Scholar
  42. Peters, U. H. (2000). Lexikon der Psychiatrie, Psychotherapie, klinischen Psychologie. München/Jena: Urban & Fischer Verlag.Google Scholar
  43. Premack, D., & Woodruff, G. (1978). Does the chimpanzee have a theory of mind? The Behavioral and Brain Sciences, 4, 515–526.CrossRefGoogle Scholar
  44. Reddy, V. (1996). Omitting the second person in social understanding. The Behavioral and Brain Sciences, 19, 140–141.CrossRefGoogle Scholar
  45. Rizzolatti, G., et al. (1995). Premotor cortex and the recognition of motor actions. Cognitive Brain Research, 3, 131–141.CrossRefGoogle Scholar
  46. Rümke, H. C. (1941). The nuclear symptom of schizophrenia and the praecoxfeeling. Translated by Neeleman, J. History of Psychiatry, 1, 331–341.CrossRefGoogle Scholar
  47. Schmidt, R. C., & O’Brien, B. (1997). Evaluating the dynamics of unintended interpersonal coordination. Ecological Psychology, 9, 189–206.CrossRefGoogle Scholar
  48. Schore, J. R., & Schore, A. N. (2008). Modern attachment theory: the central role of affect. Regulation in development and treatment. Clinical Social Work Journal, 36, 9–20.CrossRefGoogle Scholar
  49. Schwartz, M. A., & Wiggins, O. P. (1987). Typifications: the first step for clinical diagnosis in psychiatry. The Journal of Nervous and Mental Disease, 175(2), 65–77.CrossRefGoogle Scholar
  50. Singer, T., Seymour, B., O’Doherty, J., Kaube, H., Dolan, R. J., & Frith, C. D. (2004). Empathy for pain involves the affective but not sensory components of pain. Science, 303, 1157–1162.CrossRefGoogle Scholar
  51. Stern, D. N. (1985/1998). The interpersonal world of the infant: A view from psychoanalysis and developmental psychology. New York: Basic Books.Google Scholar
  52. Stern, D. N. (2005). The present moment in psychotherapy and everyday life. New York: Norton & Company.Google Scholar
  53. Tatossian, A. (1979). Phénoménologie des psychoses. Paris: Masson.Google Scholar
  54. Tellenbach, H. (1968). Geschmack und Atmosphäre. Salzburg: O. Muller.Google Scholar
  55. Tellenbach, H. (1978). Zeitschrift für Klinische Psychologie und Psychotherapie, 26(2), 142–8.Google Scholar
  56. Thompson, E. (2007). Mind in life: Biology, phenomenology, and the sciences of mind. Cambridge: Harvard University Press.Google Scholar
  57. Ungvari, G. S., Chiu, H. F. K., et al. (1997). Conceptual issues in the diagnosis of schizophrenic psychoses. Hong Kong Journal of Psychiatry, 7(2), 3–8.Google Scholar
  58. Varela, F. J., Thompson, E., & Rosch, E. (1991). The embodied mind: Cognitive science and human experience (6th ed.). Cambridge: MIT.Google Scholar
  59. Varga, S. (In press) Depersonalization and the sense of realness. Philosophy, Psychology and Psychiatry.Google Scholar
  60. Villagrán, J. M. (2003). Consciousness disorders in schizophrenia: a forgotten land for psychopathology. International Journal of Psychology and Psychological Therapy, 3, 111–140.Google Scholar
  61. Wicker, B., Keysers, C., Plailly, J., Royet, J. P., Gallese, V., & Rizzolatti, G. (2003). Both of us disgusted in my insula: the common neural basis of seeing and feeling disgust. Neuron, 40, 655–664.CrossRefGoogle Scholar
  62. Wiersma, D., Nienhuis, F. J., Slooff, C. J., & Giel, R. (1998). Natural course of schizophrenic disorders: a 15-year followup of a Dutch incidence cohort. Schizophrenia Bulletin, 24(1), 75–85.CrossRefGoogle Scholar
  63. Wyrsch, J. (1946). Über die Intuition bei der Erkennung des Schizophrenen. Schweizerische Medizinische Wochenschrift, 46, 1173–1176.Google Scholar
  64. Yung, A. R., McGorry, P. D., McFarlane, C. A., Jackson, H. J., Patton, G. C., & Rakkar, A. (1996). Monitoring and care of young people at incipient risk of psychosis. Schizophrenia Bulletin, 22(2), 283–303.CrossRefGoogle Scholar
  65. Zahavi, Dan. (2001). Beyond empathy: Phenomenological approaches to intersubjectivity. In E. Thompson (Ed.), Between ourselves: Second-person issues in the study of consciousness (pp. 151–167). Thorveton: Imprint Academic.Google Scholar

Copyright information

© Springer Science+Business Media B.V. 2010

Authors and Affiliations

  1. 1.Institute of Cognitive ScienceUniversity of OsnabrückOsnabrückGermany
  2. 2.Center for Subjectivity ResearchUniversity of CopenhagenCopenhagen SDenmark

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