Abstract
Contributions of Karl Jaspers to the discipline of psychopathology are numerous. One of his most important insights deals with the method of interviewing in psychopathology. Specifically, how an interviewer (i.e. psychopathologist) approaches and explores mental phenomena that present themselves in the person being interviewed. By cultivating a phenomenological attitude, clinicians also acquire and renew self-criticism (Selbskritik), an essential aspect of a true psychopathologist. A fundamental part of the critical attitude in descriptive psychopathology is the re-examination of prejudices present in psychopathological interviewing. This review outlines and discusses six types of prejudices, as abstracted by Karl Jaspers, and illustrates them with clinical examples. (i) Philosophical prejudice deals with deductive and inductive reasoning; (ii) theoretical prejudice addresses the modeling of understanding of mental phenomena by analogy with natural sciences; (iii) somatic prejudice addresses biological reductionism in psychopathology; (iv) psychological prejudice focuses on approaches that consist of psychological interpretations that transgress the boundaries of psychological intelligibility; (v) pictorial prejudice deals with conceptualizations of psychic life as an analogy with certain visual depictions; (vi) medical prejudice is connected with strivings towards quantity, objectivity and diagnostic precision in psychopathology. To have the ability to represent the inner life of a person, we must dispense with prejudices in the clinical encounter with our patients. With the demands of modern-day life, and requests for quick clinical assessments, the idea of examining our prejudices and performing phenomenological interviews is more important than ever.
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References
Berrios GE (1992) Phenomenology, psychopathology and Jaspers: a conceptual history. Hist Psychiatry 3(11):303–327
Kumazaki T (2013) The theoretical root of Karl Jaspers’ general psychopathology. Part 2: the influence of Max Weber. Hist Psychiatry 24(3):259–273
Jaspers K (1968) The phenomenological approach in psychopathology. Br J Psychiatry 114(516):1313–1323
Doerr-Zegers O, Pelegrina-Cetrán H (2013) Karl Jaspers’ General Psychopatholgy in the framework of clinical practice. In: Stanghellini G, Fuchs T (eds) One century of Karl Jaspers’ general psychopathology. Oxford University Press, Oxford, pp 57–75
Ghaemi SN (2007) Existence and pluralism: the rediscovery of Karl Jaspers. Psychopathology 40(2):75–82
Jaspers K (1978) Opšta psihopatologija. Prosveta, Savremena administracija, Beglrade
Copi IM, Cohen C, Rodych V (2016) Introduction to logic. Routledge, Abingdon
Fohr SD (1979) The deductive-inductive distinction. Informal Log 2(2)
Hayes BK, Heit E, Swendsen H (2010) Inductive reasoning. Wiley Interdiscip Rev Cogn Sci 1(2):278–292
Passos IC, Mwangi B, Kapczinski F (2016) Big data analytics and machine learning: 2015 and beyond. Lancet Psychiatry 3(1):13–15
Hidalgo-Mazzei D, Murru A, Reinares M, Vieta E, Colom F (2016) Big data in mental health: a challenging fragmented future. World Psychiatry 15(2):186–187
Škodlar B, Henriksen G (2019) Toward a phenomenological psychotherapy for schizophrenia. Psychopathology 52:117–125
Kendler KS, Campbell J (2014) Expanding the domain of the understandable in psychiatric illness: an updating of the Jasperian framework of explanation and understanding. Psychol Med 44(01):1–7
Aragona M, Di Fabio F, Rosini E (2013) 1913–2013: one hundred years of general psychopathology. Dialogues Philos Ment Neuro Sci 6:57–66
Broome M (2013) Jaspers and neuroscience. In: Stanghellini G, Fuchs T (eds) One century of Karl Jaspers’ general psychopathology. Oxford University Press, Oxford, pp 121–132
Hoerl C (2013) Jaspers on explaining and understanding in psychiatry. In: Stanghellini G, Fuchs T (eds) One century of Karl Jaspers’ general psychopathology. Oxford University Press, Oxford, pp 107–120
Bormuth M (2013) Freedom and mystery: an intellectual history of Jaspers’ general psychopathology. Psychopathology 46(5):281–288
Fuchs T, Herpertz S (2013) The centennial of Karl Jaspers’. Psychopathology 46(5):279
van Riel R, van Gulick R (2014) “Scientific reduction,” in The Stanford Encyclopedia of Philosophy. Summer 2014 Edn. In: Zalta, EN (ed). http://plato.stanford.edu/archives/sum2014/entries/scientificreduction/
Sass L (2017) Madness and Modernism: insanity in the light of modern art, literature, and thought (revised). John Hopkins University Press, Baltimore
Thome J (2014) Centenary of Karl Jaspers’s general psychopathology: implications for molecular psychiatry. J Mol Psychiatry 2(1):3
Jaspers K (1959) Allgemeine psychopathologie, 7th edn. Springer, Berlin
Wiggins O, Schwartz M (2013) Phenomenology and psychopathology: in search of a method. In: Stanghellini G, Fuchs T (eds) One century of Karl Jaspers’ general psychopathology. Oxford University Press, Oxford
Jaspers K (1950) Zur Kritik der Psychoanalyse. Nervenarzt 21:465–468
Rossi MM (2013) Jaspers’ ‘Critique of Psychoanalysis’: between past and future. In: Stanghellini G, Fuchs T (eds) One century of Karl Jaspers’ general psychopathology. Oxford University Press, Oxford
Pope C, Mays N (1995) Qualitative research: reaching the parts other methods cannot reach: an introduction to qualitative methods in health and health services research. BMJ 311(6996):42–45
Bormuth M (2019) Karl Jaspers. In: Stanghellini G, Broome M, Fernandez AV, Fusar-Poli P, Raballo A, Rosfort R (eds) The Oxford handbook of phenomenological psychopathology. Oxford University Press, Oxford
Gadamer H-G, Weinsheimer J, Marshall DG (2004) Truth and Method. Bloomsbury Publishing, USA
Regan P (2012) Hans-Georg Gadamer’s philosophical hermeneutics: concepts of reading, understanding and interpretation. Meta Res Hermeneut Phenomenol Pract Philos 4(2):286–303
Fiorillo A, Sampogna G, Del Vecchio V, Luciano M, Ambrosini A, Stanghellini G (2016) Education in psychopathology in Europe: results from a survey in 32 Countries. Acad Psychiatry 40(2):242–248
Stanghellini G, Fiorillo A (2015) Five reasons for teaching psychopathology. World Psychiatry 14(1):107
Acknowledgements
I am thankful to Louis Sass (NJ, USA) for the useful comments and suggestions that improved the final version of the paper. I am thankful to Benjamin Alderson-Day (Durham, UK) for his support during the writing of the manuscript. I am thankful to Nikola Stevanovic (Belgrade, Serbia) for critical reading of the manuscript, and suggestions that improved the final version of the paper.
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Stefan Jerotic conceived of the conceptual idea for the article and wrote all parts of the manuscript.
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This work is devoted to the memory of Prof. Dr Vladeta Jerotic.
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Jerotic, S. Prejudices in the psychopathologist: Karl Jaspers’ heritage. Eur Arch Psychiatry Clin Neurosci 271, 1193–1200 (2021). https://doi.org/10.1007/s00406-020-01230-y
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DOI: https://doi.org/10.1007/s00406-020-01230-y