A values-based phenomenology for substance use disorder: a new approach for clinical decision-making

Messas, Guilherme; Fulford, K. W. M.

doi:10.1590/1982-0275202138e200102

Cited by 9 publications

(9 citation statements)

References 24 publications

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“…For this reason, it is not always easy to ascertain it without asking the patient directly. This is why the skills and other elements of values-based practice are essential to the phenomenological diagnosis of the kind we advocate in this paper ( 21 , 22 ). The clear and direct investigation of the values a person attributes to their disorder is part of contemporary best practice in mental health ( 23 , 24 ).…”

Section: The Stages Of Dialectical Phenomenological Diagnosismentioning

confidence: 99%

The Dialectics of Altered Experience: How to Validly Construct a Phenomenologically Based Diagnosis in Psychiatry

2022

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In this paper, we present how a dialectical perspective on phenomenological psychopathology, called Dialectical Phenomenology (DPh), can contribute to current needs of psychiatric diagnosis. We propose a three-stage diagnostic methodology: first- and second-person stages, and synthetic hermeneutics stage. The first two stages are divided into a pre-dialectical and a dialectical phase. The diagnostic process progresses in a trajectory of increasing complexity, in which knowledge obtained at one level is dialectically absorbed and intertwined into the next levels. Throughout the article, we offer some examples of each step. In overall, the method starts off from the patient's own narrative, proceeds to two stages of phenomenological reduction designed to guarantee the scientific validity of the object, and concludes with a hermeneutical narrative synthesis that is dialectically composed of the patient's and psychopathologist's shared narratives. At the end of this process, the initial first-person narrative is transformed into a specific scientific object, a full dialectical phenomenological psychiatric diagnosis. This form of diagnosis constitutes a comprehensive alternative for an integral assessment of the complexities of human psychological alteration, bringing together both the interpretation of the suffering person and the scientific categories of psychiatry.

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Section: The Stages Of Dialectical Phenomenological Diagnosismentioning

confidence: 99%

The Dialectics of Altered Experience: How to Validly Construct a Phenomenologically Based Diagnosis in Psychiatry

2022

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“…In their view, although Jaspers had first developed the phenomenological dimension of psychiatry, he had not explored it sufficiently (Kendler & Parnas, 2008). In contrast to Jaspers, Husserl, Henry, Schmitz and others provided a more nuanced and extensive phenomenological description of mental life: the duality of the self, the intentionality of consciousness, self-affection and so on (Messas & Fulford, 2021;Höffken, 2022). Mental illness is not only a 'mental' illness but also an illness in the subjective dimension.…”

Section: Phenomenology and Mental Illnessmentioning

confidence: 99%

Phenomenology Is Too Abstract for Psychopathology

Wei¹

2022

GJHS

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The phenomenological approach is a science that has its roots in the tradition of psychiatric science (Binswanger et al., 1896). Phenomenology intuits the content of consciousness precisely and distinguishes between concepts so that it can provide knowledge about the nature of consciousness. As the basis for scientific psychology and psychiatry, the phenomenological approach allows for a clearer understanding of the nature of mental disorders. This essay argues that phenomenology is not abstract to psychiatry is the foundation of psychiatry and has a distinguished role in psychiatry. The essay begins with an introduction to the origins and history of phenomenology and describes the psychiatric relevance of phenomenology. It then presents several arguments against Karl Jaspers’ phenomenology. It concludes by suggesting the role of phenomenology in understanding the lifeworld of people with schizophrenia.

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“…We follow recent trends in the scientific literature that have been demanding the incorporation of the subjects’ lived experiences into the scientific endeavor, particularly in psychotic disorders [13]. Phenomenology has been considered one of the most relevant methods for carrying out this kind of study, both as a general investigation of altered experiences [14] and as a form of assessment of personal values in disorders like schizophrenia [9] or substance misuse [15], offering new tools for clinical decision-making [16]. In this study, we would like to extend this new scientific trend to AUD, through a dialectical phenomenological method (DPh) [14, 15, 17].…”

Section: Introductionmentioning

confidence: 99%

“…Phenomenology has been considered one of the most relevant methods for carrying out this kind of study, both as a general investigation of altered experiences [14] and as a form of assessment of personal values in disorders like schizophrenia [9] or substance misuse [15], offering new tools for clinical decision-making [16]. In this study, we would like to extend this new scientific trend to AUD, through a dialectical phenomenological method (DPh) [14, 15, 17]. The DPh enables the researcher to describe some ideal types of experiences – in our case, of value experiences.…”

Section: Introductionmentioning

confidence: 99%

Toward a Phenomenological Assessment of Values in Alcohol Misuse

Soares¹,

Messas²

2022

Psychopathology

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Introduction: Alcohol misuse emerges from a complex range of psychopathological experiences and personal and cultural values. For this reason, understanding the reasons why a person seeks treatment is crucial to effective care. This study aimed to identify the values which guide the decision-making process of persons seeking voluntary hospitalization for treatment for alcohol misuse, as well as the values of significant others. Methods: A phenomenological investigation was conducted through interviews with 25 individuals (and family members) who had voluntarily admitted themselves to a hospital in São Paulo, Brazil, with the objective of maintaining abstinence from alcohol dependence. Results: The main factors that determined the treatment-seeking decision were damage to social relationships and fear of illness and deterioration of the physical condition; the factors related to treatment expectations were restoring personality and awareness of morbidity; and the single factor considered most important to the success of the treatment was willpower. Conclusions: The results of this study contribute to developing strategies for bringing care closer to the patient’s perspective of the disease and encourage their active participation in the formulation of care.

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A values-based phenomenology for substance use disorder: a new approach for clinical decision-making

Cited by 9 publications

References 24 publications

The Dialectics of Altered Experience: How to Validly Construct a Phenomenologically Based Diagnosis in Psychiatry

The Dialectics of Altered Experience: How to Validly Construct a Phenomenologically Based Diagnosis in Psychiatry

Phenomenology Is Too Abstract for Psychopathology

Toward a Phenomenological Assessment of Values in Alcohol Misuse

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