Making up symptoms: psychic indeterminacy and the construction of psychotic phenomena

Green, Huw

doi:10.1192/bjb.2018.81

Cited by 2 publications

(2 citation statements)

References 12 publications

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“…One of us (Green, 2019 ) has argued that such historical changes in the definition of hallucination are capable of changing the nature of hallucinations themselves, via “looping effects” (Hacking, 1995 ) and the highly suggestible nature of conscious experience (Schwitzgebel, 2011 ). The argument runs thus: Our imperfection as introspectors makes us vulnerable to mis-identifying or misdescribing the character of our experiences.…”

Section: Diagnostic Classificationmentioning

confidence: 99%

Thinking about hallucinations: why philosophy matters

Wilkinson

Green

Hare

et al. 2021

Cognitive Neuropsychiatry

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Introduction: Hallucinations research is increasingly incorporating philosophy or the work of philosophically trained individuals. We present three different ways in which this is successfully implemented to the enhancement of knowledge and understanding of hallucinations and related phenomena. Method: We review contributions from phenomenology, philosophy of cognitive science, and philosophy of science and psychiatry. Results: We demonstrate that these areas of philosophy make significant contributions to hallucinations research. Phenomenology gives us a sophisticated and critical understanding of the lived experience of hallucinations. Philosophy of cognitive science enables big-picture theorising and synthesis of ideas, as well as a critical engagement with new paradigms. Philosophy of science and psychiatry raises valuable and theoretically informed questions about diagnosis and categorisation. Conclusions: These contributions reflect both the methodological variety within philosophy and its relevance to the hallucinations researcher.

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Section: Diagnostic Classificationmentioning

confidence: 99%

Thinking about hallucinations: why philosophy matters

Wilkinson

Green

Hare

et al. 2021

Cognitive Neuropsychiatry

Self Cite

View full text Add to dashboard Cite

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“…For example, inconsistent data recording relating to distress, a factor known to be associated with later psychotic disorder (Sullivan et al 2020), meant it was not possible to explore distress across the sample. Green (2019) has argued that assumptions about the factual nature of UPTB experiences mean that there is potential for experiential accounts to be contaminated by how these experiences are explored with individuals. In that context, questions about the descriptive accuracy of reported experiences remain, particularly given the young age range of the current sample.…”

Section: Subjective Explanations and Interpretations Of Uptbsmentioning

confidence: 99%

Phenomenological characteristics and explanations of unusual perceptual experiences, thoughts and beliefs in a population sample of early adolescents

Coughlan

Healy

Humphries

et al. 2020

Ir. j. psychol. Med.

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Objectives: Often referred to as psychotic experiences, unusual perceptual experiences, thoughts and beliefs (UPTBs) are not uncommon in youth populations. Phenomenological studies of these experiences are lacking. This study aimed to (1) describe the phenomenological characteristics of UPTBs in a sample of young adolescents and (2) explore how young people made sense of those experiences. Methods: Participants were 53 young people aged 11–13 years from a population-based study of mental health. All met criteria for UPTBs following clinical interviews as part of the study. Documentary data on UPTBs in the form of transcribed notes, recorded during clinical interviews, were analysed using content analysis. Data on UPTBs were coded, organised into categorical themes and quantified using descriptive statistics. Qualitative themes on how participants made sense of their experiences were identified. Results: Participants reported UPTBs across four domains: auditory verbal, auditory non-verbal, non-auditory perceptual experiences and unusual thoughts and beliefs. UPTBs were phenomenologically rich and diverse. Young people sought to make sense of their experiences in multiple ways: normalising them, externalising them by attributing them to paranormal entities and distancing them from psychiatric explanations. Uncertainty about the source of UPTBs was identified as a superordinate theme. Conclusion: Findings from this study offer new insights into the phenomenological qualities and characteristics of UPTBs in young adolescents. They also reveal that early adolescents may not make sense of their experiences within a psychiatric framework. These findings highlight the need to develop a more phenomenologically sensitive and nuanced approach to studying UPTBs in young people.

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Making up symptoms: psychic indeterminacy and the construction of psychotic phenomena

Cited by 2 publications

References 12 publications

Thinking about hallucinations: why philosophy matters

Thinking about hallucinations: why philosophy matters

Phenomenological characteristics and explanations of unusual perceptual experiences, thoughts and beliefs in a population sample of early adolescents

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