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Recovering the Context in Psychopathology

  • Eric Chen
Chapter
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Part of the Theory and History in the Human and Social Sciences book series (THHSS)

Abstract

The discipline of descriptive psychopathology does not feature prominently in the modern practice of psychiatry. The evaluation of mental symptoms nevertheless remains the cornerstone in the diagnosis and treatment of mental disorders. An impoverished discipline of psychopathology can impede progress in the identification, classification, and treatment of mental conditions. One of the modern tendencies in the practice of psychopathology is to isolate mental symptoms as discrete and independent entities, separate from the sociocultural, environmental, and the personal developmental contexts. Such narrow demarcation of symptoms compromises the potentials for a richer understanding of illness mechanisms and the prediction of outcome. This paper explores some of the historical factors contributing to the current circumstances. Through clinical examples, several directions for accomplishing a more nuanced handling of symptoms are suggested.

Keywords

Psychopathology Context Symptoms Psychotic experiences Thought disorder 

References

  1. Berrios, G. E. (1991). British psychopathology since the early 20th century. In G. E. Berrios & H. Freeman (Eds.), 150 years of British psychiatry 1841–1991 (pp. 232–244). London: Gaskell for the Royal College of Psychiatrists.Google Scholar
  2. Berrios, G. E. (2008). Descriptive psychiatry and psychiatric nosology during the nineteenth century. In E. R. Wallace & J. Gach (Eds.), History of psychiatry and medical psychology: With an epilogue on psychiatry and the mind-body relation (pp. 353–379). New York: Springer.CrossRefGoogle Scholar
  3. Berrios, G. E., & Marková, I. S. (2018). History of developments in understanding abnormal behaviour. In J. N. Butcher (Ed.), APA handbook of psychopathology vol 1 psychopathology: Understanding, assessing, and treating adult mental disorders (pp. 13–39). Washington: APA.CrossRefGoogle Scholar
  4. Borsboom, D. (2017). A network theory of mental disorders. World Psychiatry, 16, 5–13.CrossRefGoogle Scholar
  5. Ellenberger, H. (1970). The discovery of the unconscious: The history and evolution of dynamic psychiatry. New York: Basic books.Google Scholar
  6. Freud, S. (1905[1901]). Dora, fragments of an analysis of a case of hysteria. In Standard edition of the complete psychological works of Sigmund Freud (Vol. 7, pp. 1–122). London: Hogarth Press.Google Scholar
  7. Geertz, C. (1973). The interpretation of cultures. New York: Basic books.Google Scholar
  8. Jaspers, K. (1963). General psychopathology (J. Hoenig & M. W. Hamilton, Trans.). Manchester: Manchester University Press.Google Scholar
  9. Joyce, J. (1922). Ulysses. Paris: Shakespeare and Company.Google Scholar
  10. Marková, I. S., & Berrios, G. E. (2012). Epistemology of psychiatry. Psychopathology, 45, 220–227.CrossRefGoogle Scholar
  11. Myin-Germeys, I., Kasanova, Z., Vaessen, T., Vachon, H., Kirtley, O., Viechtbauer, W., & Reininghaus, U. (2018). Experience sample methodology in mental health research: New insights and technical developments. World Psychiatry, 17, 123–132.CrossRefGoogle Scholar
  12. Oxford English Dictionary. (1989). Oxford: Oxford University Press.Google Scholar
  13. Proust, M. (1913–1927). In Search of Lost Time (À la recherche du temps perdu published in seven volumes, previously translated as Remembrance of Things Past), (Edited and annotated by William C. Carter. New Haven: Yale University Press, 2013, 2015, 2018).Google Scholar
  14. Wong, G. H. Y., Hui, C. L. M., Tang, J. Y. M., Chiu, C. P., Lam, M. M., Chan, S. K., Chang, W. C., & Chen, E. Y. (2012). Screening and assessing ideas and delusions of reference using a semi-structured interview scale: A validation study of the Ideas of Reference Interview Scale (IRIS) in early psychosis patients. Schizophrenia Research, 135, 158–163.CrossRefGoogle Scholar
  15. Yung, A. R., Yuen, H. P., McGorry, P. D., Phillips, L. J., Kelly, D., Dell’Olio, M., Francey, S. M., Cosgrave, E. M., Killackey, E., Stanford, C., Godfrey, K., & Buskby, J. (2005). Mapping the onset of psychosis – The Comprehensive Assessment of At Risk Mental States (CAARMS). The Australian and New Zealand Journal of Psychiatry, 39, 964–971.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Eric Chen
    • 1
  1. 1.Department of PsychiatryUniversity of Hong KongHong KongHong Kong

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