Bodily saturation and social disconnectedness in depression

Osler, Lucy

doi:10.17454/pam-2104

Cited by 7 publications

(6 citation statements)

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“…One distinction I am inclined to draw between the account here and that of Roberts and Krueger (2021) is that while I think the experience of being socially disconnected and isolated from others is an affective experience (Osler, 2021), I would hesitate to describe this experience of disconnection as an emotion of absence. Emotions are often thought to be relatively short-lived episodic experiences.…”

Section: Depression: a Disease Of Disconnectionmentioning

confidence: 92%

“…1 Over the last decade, there has been increased interest in how phenomenology can be used to analyze disturbances found in depression, including disturbances of temporality (e.g., Fuchs, 2013a;Ratcliffe, 2014;Maiese, 2018), personal identity (e.g., Svenaeus, 2013), bodily feelings (e.g., Fuchs and Schlimme, 2009;Fuchs, 2013a), and emotional experience (e.g., Slaby, 2014;Stephan et al, 2014). There has also been increased interest in phenomenological psychopathology in how depression involves impairments to one's social experiences (e.g., Fuchs, 2005, Fuchs, 2013aRatcliffe, 2014;Ratcliffe and Stephan, 2014;Wehrle, 2019;Osler, 2021). I follow this trend here and present a phenomenological assessment of the erosion of certain interpersonal relations in depression.…”

Section: Depression In the Diagnostic And Statistical Manual Of Menta...mentioning

confidence: 99%

“…The breakdown or fracturing of social relations in depression has been highlighted in numerous phenomenological accounts (Fuchs, 2005(Fuchs, , 2013aRatcliffe, 2014;Ratcliffe and Stephan, 2014;Wehrle, 2019;Osler, 2021). Perhaps most prominently, Matthew Ratcliffe, in his book Experiences of Depression (2014), describes how feelings of isolation, estrangement, distance from the world and other people are common experiences in depression: "The person is cut off from the world and, most importantly, from habitual forms of interaction with other people" (Ratcliffe, 2014, 31).…”

Section: Depression: a Disease Of Disconnectionmentioning

confidence: 99%

“…As David Karp puts it: "Research about a feeling disorder that does not get at people's feelings seems, to put it kindly, incomplete" (2017,67). Phenomenological research into depression has sought to reveal and analyze the experiential structure of the disorder (e.g., Fuchs, 2013a;Ratcliffe, 2014;Stephan et al, 2014;Maiese, 2018;Osler, 2021). Such an approach moves away from characterizing depression as something that someone merely has, to considering depression as something that individuals experience in their lived, situated interactions with the world and others.…”

Section: Introductionmentioning

confidence: 99%

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“An illness of isolation, a disease of disconnection”: Depression and the erosion of we-experiences

Osler

2022

Front. Psychol.

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Depression is an affective disorder involving a significant change in an individual’s emotional and affective experiences. While the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM) mentions that social impairment may occur in depression, first-person reports of depression consistently name isolation from others as a key feature of depression. I present a phenomenological analysis of how certain interpersonal relations are experienced in depression. In particular, I consider whether depressed individuals are able to enter into “we-experiences” with other people. We-experiences are experiences had with two or more people as a we (rather than having an experience as an I), experiences that allow one to enter into robustly shared experiences with others. I claim that the ability to enter into we-experiences (both actual and habitual) is eroded in depression due to an overwhelming feeling of being different to and misunderstood by others. As such, I suggest that depression should be conceived of as fixing an individual in their first-person singular perspective, thus inhibiting their ability to experience in the first-person plural and to feel a sense of connectedness or togetherness with others as part of a we. By attending to on-going impacts of a diminished ability to enter into we-experiences, we can provide a situated and more nuanced account of the changes of interpersonal relations in depression that captures the progressive (rather than static) nature of the disorder. In turn, this analysis furthers our understanding of the emergence, frustration, and erosion of actual and habitual we-experiences.

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Section: Depression: a Disease Of Disconnectionmentioning

confidence: 92%

Section: Depression In the Diagnostic And Statistical Manual Of Menta...mentioning

confidence: 99%

Section: Depression: a Disease Of Disconnectionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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“An illness of isolation, a disease of disconnection”: Depression and the erosion of we-experiences

Osler

2022

Front. Psychol.

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“…A possible explanation could be that the correlation with symptoms of depression are driven by the specific CAF-subdomains Fear of social exclusion ( r = 0.57) and Fear of physical activity ( r = 0.59), which include items such as “I feel let alone with my illness” and “I avoid all kinds of physical activity”. Such items could be interpreted as expressions of hopelessness and lethargy, respectively, which are characteristic of depressive states ( Osler, 2021 ). Moreover, the converging construct of COPD symptoms, measured with the CAT, also showed a relatively higher correlation ( r = 0.67) with the CAF-R-DK total score, than the HADS-Anxiety.…”

Section: Discussionmentioning

confidence: 99%

Disease-Specific Anxiety in Chronic Obstructive Pulmonary Disease: Translation and Initial Validation of a Questionnaire

Farver-Vestergaard

Rubio-Rask²,

Timm³

et al. 2022

Front. Psychol.

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BackgroundCommonly applied measures of symptoms of anxiety are not sensitive to disease-specific anxiety in patients with chronic obstructive pulmonary disease (COPD). There is a need for validated instruments measuring COPD-specific anxiety. Therefore, we translated the COPD-Anxiety Questionnaire (CAF) into Danish (CAF-R-DK) and performed an initial validation of the psychometric properties in a sample of patients with COPD.Materials and MethodsTranslation procedures followed the World Health Organization guidelines. Participants with COPD completed questionnaires measuring COPD-specific anxiety (CAF-R-DK), general psychological distress (Hospital Anxiety and Depression Scale) as well as variables related to COPD (COPD Assessment Test; modified Medical Research Council dyspnea scale), quality of life (the 12-item Short Form survey, SF12), and socio-demography.ResultsA total of 260 patients with COPD (mean age: 65.0, 69% female) completed questionnaires. The Danish version of CAF-R-DK demonstrated acceptable Cronbach’s α values that were comparable with those of the original CAF. As expected, the CAF-R-DK showed positive correlations with convergent constructs (CAT; HADS) and negative correlations with discriminant constructs (SF-12). However, the results for specific subdomains of the CAF-R-DK indicated inconsistency in the underlying concept of disease-specific anxiety, which was also suggested based on the subsequent confirmatory and exploratory factor analyzes.ConclusionThe CAF could serve as an important supplement to generic psychological distress screening of patients with COPD in somatic health care settings, and the questionnaire is now available in Danish. Translation into other languages is needed with the purpose of obtaining data for further testing the psychometric properties of the questionnaire.

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Loneliness and Absence in Psychopathology

Krueger

Osler

Roberts

2023

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Loneliness is a near-universal experience. It is particularly common for individuals with (so-called) psychopathological conditions or disorders. In this paper, we explore the experiential character of loneliness, with a specific emphasis on how social goods are experienced as absent in ways that involve a diminished sense of agency and recognition. We explore the role and experience of loneliness in three case studies: depression, anorexia nervosa, and autism. We demonstrate that even though experiences of loneliness might be common to many psychopathologies, these experiences nevertheless have distinctive profiles. Specifically, we suggest that: (i) loneliness is often a core characteristic of depressive experience; (ii) loneliness can drive, and even cement, disordered eating practices and anorectic identity in anorexia nervosa; iii) loneliness is neither a core characteristic of autism nor a driver but is rather commonly experienced as stemming from social worlds, environments, and norms that fail to accommodate autistic bodies and their distinctive forms of life. We aim to do justice to the pervasiveness of loneliness in many — if not all — psychopathologies, while also highlighting the need to attend to psychopathology-specific experiences of loneliness, agency, and (non-)recognition.

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Bodily saturation and social disconnectedness in depression

Cited by 7 publications

References 0 publications

“An illness of isolation, a disease of disconnection”: Depression and the erosion of we-experiences

“An illness of isolation, a disease of disconnection”: Depression and the erosion of we-experiences

Disease-Specific Anxiety in Chronic Obstructive Pulmonary Disease: Translation and Initial Validation of a Questionnaire

Loneliness and Absence in Psychopathology

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