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Madness, Modernism, and Interpretation: A Conversation with Louis Sass

(Interviewed by Mark Freeman, College of the Holy Cross)

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Abstract

In this conversation, Louis Sass discusses phenomenological and hermeneutic themes as they have applied to his work with psychopathology, specifically schizophrenia. Sass has consistently argued for a phenomenological approach to the study of self, subjectivity, and mental disorder. He asserts that these phenomenological approaches to psychopathology can be explanatory as well as descriptive.

In the interview Sass describes the itinerary of his own career in psychology. He also discusses various theoretical issues, which include the following: the importance of Heidegger’s emphasis on the ontological dimension of human experience; the self-contradictions of postmodernist skepticism and also the valuable contributions of various poststructuralist perspectives; hermeneutics and relativism; the relevance of Wittgenstein for understanding abnormal states of mind; how to escape the dispiriting effects of exaggerated irony and self-consciousness in contemporary culture; the relationship of phenomenology to neurobiology; the ipseity-disturbance or self-disorder model of schizophrenia.

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Notes

  1. 1.

    Heidegger (1927/1996) describes the “ontological difference” (p. 72) as the difference between “being and beings.” He directs the phenomenologist’s attention not to any particular object or ‘ontic’ entity (or “being”), but to what he calls the ‘theme of ontology,’ which is the overall way in which everything shows up, especially regarding its felt quality of reality or the lack thereof.…It is this most general ontological dimension—call it the world’s form or manner of presence (its “Being”)—that is, for Heidegger, the very heart of our existence as subjective creatures yet that is so readily forgotten, ignored, or distorted by reification and other distortions that seem to come as naturally to us as breathing. (from Sass 2014a, p. 329, slightly altered).

  2. 2.

    In Sass (2014c, p. 6), these concepts are defined as follows:

    The self or ipseity disturbance in schizophrenia is hypothesized to have two main aspects that may seem mutually contradictory but are in fact interdependent. Hyper-reflexivity refers to an exaggerated self-consciousness, a tendency (fundamentally non-volitional) for focal attention to be directed toward processes and phenomena that would normally be inhabited or experienced (tacitly) as part of oneself. Diminished self-affection [a.k.a. as “diminished self-presence”) refers to a decline in the (passively or automatically) experienced sense of existing as a subject of awareness or agent of action.…It is difficult to determine whether hyper-reflexivity and diminished self-affection are best conceived as complementary facets or tightly interacting processes; perhaps both conceptions are needed.

    A third, interrelated aspect is a concomitant disturbance of the field of awareness labeled disturbed hold or grip on the world. Disturbances of spatiotemporal structuring of the world, and of such crucial experiential distinctions as perceived-vs-remembered-vs-imagined, are grounded in abnormalities of the embodied, vital, experiencing self.

Bibliography

  • Borda, J.-P., & Sass, L. (2015). Phenomenology and neurobiology of self disorder in schizophrenia: Primary factors. Schizophrenia Research, 169, 464–473.

    Article  PubMed  Google Scholar 

  • Freeman, M. (1994). Finding the muse: A sociopsychological inquiry into the conditions of artistic creativity. Cambridge UK: Cambridge University Press.

    Book  Google Scholar 

  • Gleick, J. (1988, February 17). Richard Feynman dead at 69: Leading theoretical physicist. New York Times.

    Google Scholar 

  • Heidegger, M. (1996). Being and time. Joan Stambaugh, Trans.. Albany, NY: SUNY Press. (Original work published 1927).

    Google Scholar 

  • Laing, R. D.. 1960. The divided self. Harmondsworth, UK: Penguin.

    Google Scholar 

  • Madeira, L., Carmenates, S., Costa, C., Linhares, L., Figueira, M. L., & Sass, L. (2017). Basic-self disturbances beyond schizophrenia: “Discrepancies” and “affinities” in panic disorder. Psychopathology, 50(2), 157–168.

    Article  PubMed  Google Scholar 

  • McGilchist, I. (2009). The master and his emissary: The divided brain and the making of the modern world. New Haven, CT: Yale University Press.

    Google Scholar 

  • Merleau-Ponty, M. (2012). Phenomenology of perception (D. A. Landes, Trans). London, UK: Routledge. (Original work published 1945).

    Google Scholar 

  • Messer, S., Sass, L., & Woolfolk, R.Eds. (1988). Hermeneutics and psychological theory: Interpretive approaches to personality, psychopathology and psychotherapy. New Brunswick, NJ: Rutgers University Press.

    Google Scholar 

  • Minkowski, E. (1927). La schizophrénie. Paris: Payot.

    Google Scholar 

  • Nelson, B., & Sass, L. (2009). Medusa’s stare: A case study of working with self-disturbance in the early phase of schizophrenia. Clinical Case Studies, 8, 489–504.

    Article  Google Scholar 

  • Nelson, B., Whitford, T. J., Lavoie, S., & Sass, L. (2014a). What are the neurocognitive correlates of basic self-disturbance in schizophrenia? Integrating phenomenology and neurocognition: Part 1 (Source monitoring deficits). Schizophrenia Research, 152(1), 12–19.

    Article  PubMed  Google Scholar 

  • Nelson, B., Whitford, T. J., Lavoie, S., & Sass, L. (2014b). What are the neurocognitive correlates of basic self-disturbance in schizophrenia? Integrating phenomenology and neurocognition: Part 2 (Aberrant salience). Schizophrenia Research, 152(1), 20–27.

    Article  PubMed  Google Scholar 

  • Nordgaard, J., Sass, L., & Parnas, J. (2013). The psychiatric interview: Validity, structure, and subjectivity. European Archives of Psychiatry and Clinical Neuroscience, 263, 353–364.

    Article  PubMed  Google Scholar 

  • Parnas, J., Moeller, P., Kircher, T., Thalbitzer, J., Jansson, L., Handest, P., & Zahavi, D. (2005). EASE: Examination of Anomalous Self-Experience. Psychopathology, 38(5), 236–258.

    Article  PubMed  Google Scholar 

  • Parnas, J., Sass, L., & Zahavi, D. (2013). Rediscovering psychopathology: The epistemology and phenomenology of the psychiatric object. Schizophrenia Bulletin, 39, 270–277.

    Article  PubMed  Google Scholar 

  • Pérez-Álvarez, M., García-Montes, J. M., & Sass, L. (2010). La hora de la fenomenología en la esquizofrenia [Time for phenomenology in schizophrenia]. Clnica y Salud, 21, 221–233.

    Article  Google Scholar 

  • Sass, L. (1985). Time, space, and symbol: A study of narrative form and representational structure in madness and modernism. Psychoanalysis and Contemporary Thought, 8, 45–85.

    Google Scholar 

  • Sass, L. (1987a). Introspection, schizophrenia, and the fragmentation of self. Representations, 19, 1–34.

    Article  Google Scholar 

  • Sass, L. (1987b). Schreber’s panopticism: Psychosis and the modern soul. Social Research, 54, 101–147.

    Google Scholar 

  • Sass, L. (1988). Humanism, hermeneutics, and the concept of the human subject. In S. Messer, L. Sass, & R. Woolfolk (Eds.), Hermeneutics and psychological theory (pp. 222–271). New Brunswick, NJ: Rutgers University Press.

    Google Scholar 

  • Sass, L. (1992a). Heidegger, schizophrenia, and the ontological difference. Philosophical Psychology, 5, 109–132.

    Article  Google Scholar 

  • Sass, L. (1992b). Madness and modernism: Insanity in the light of modern art, literature, and thought. New York, NY: Basic Books.

    Google Scholar 

  • Sass, L. (1994a). Civilized madness: Schizophrenia, self-consciousness, and the modern mind. History of the Human Sciences, 7, 83–120.

    Article  Google Scholar 

  • Sass, L. (1994b). The paradoxes of delusion: Wittgenstein, Schreber, and the schizophrenic mind. Ithaca, NY: Cornell University Press.

    Google Scholar 

  • Sass, L. (1996). “The catastrophes of heaven”: Modernism, primitivism, and the madness of Antonin Artaud. Modernism/Modernity, 3, 73–92.

    Article  Google Scholar 

  • Sass, L. (1998). Ambiguity is of the essence: The relevance of hermeneutics for psychoanalysis. In P. Marcus & A. Rosenberg (Eds.), Psychoanalytic versions of the human condition and clinical practice (pp. 257–305). New York, NY: New York University Press.

    Google Scholar 

  • Sass, L. (2000). Schizophrenia, self-experience, and the so-called “negative symptoms.” In D. Zahavi (Ed.), Exploring the self: Philosophical and psychopathological perspectives on self-experience (pp. 149–182). Amsterdam, The Netherlands: John Benjamins Publishing.

    Chapter  Google Scholar 

  • Sass, L. (2001a). Deep disquietudes”: Reflections on Wittgenstein as anti-philosopher. In J. Klagge (Ed.), Wittgenstein, biography and philosophy (pp. 98–155). New York, NY: Cambridge University Press.

    Chapter  Google Scholar 

  • Sass, L. (2001b). Self and world in schizophrenia: Three classic approaches. Philosophy, Psychiatry, Psychology, 8(4), 251–270.

    Article  Google Scholar 

  • Sass, L. (2001c). Wittgenstein, Freud, and the nature of psychoanalytic explanation. In R. Allen & M. Turvey (Eds.), Wittgenstein, theory and the arts (pp. 254–295). London, UK: Routledge.

    Google Scholar 

  • Sass, L. (2003a). Incomprehensibility and understanding: On the interpretation of severe mental illness. Philosophy, Psychiatry, Psychology, 10(2), 125–132.

    Article  Google Scholar 

  • Sass, L. (2003b). Self-disturbance in schizophrenia: Hyper-reflexivity and diminished self-affection. In T. Kircher & A. David (Eds.), The self in neuroscience and psychiatry (pp. 242–271). Cambridge, UK: Cambridge University Press.

    Chapter  Google Scholar 

  • Sass, L. (2004a). Affectivity in schizophrenia: A phenomenological perspective. Journal of Consciousness Studies, 11, 127–147.

    Google Scholar 

  • Sass, L. (2004b). “Negative symptoms,” commonsense, and cultural disembedding in the modern age. In J. Jenkins & R. Barrett (Eds.), Schizophrenia, culture, and subjectivity: The edge of experience (pp. 303–328). Cambridge, UK: Cambridge University Press.

    Google Scholar 

  • Sass, L. (2004c). Some reflections on the (analytic) philosophical approach to delusion. Philosophy, Psychiatry & Psychology, 11(1), 71–80.

    Article  Google Scholar 

  • Sass, L. (2007). Contradictions of emotion in schizophrenia. Cognition and Emotion, 21, 351–390.

    Article  Google Scholar 

  • Sass, L. (2009). Madness and the ineffable: Hegel, Kierkegaard, Lacan. Philosophy, Psychiatry, and Psychology, 16(4), 319–324.

    Article  Google Scholar 

  • Sass, L. (2010). Phenomenology as description and as explanation: The case of schizophrenia. In S. Gallagher & D. Schmicking (Eds.), Handbook of phenomenology and the cognitive sciences (pp. 635–654). Berlin, Germany: Springer Verlag.

    Chapter  Google Scholar 

  • Sass, L. (2014a). Lacan, Foucault, and the “crisis of the subject”: Revisionist reflections on phenomenology and post-structuralism. Philosophy, Psychiatry, and Psychology, 21(4), 325–342.

    Article  Google Scholar 

  • Sass, L. (2014b). Explanation and description in phenomenological psychopathology. Journal of Psychopathology, 20, 366–376.

    Google Scholar 

  • Sass, L. (2014c). Self-disturbance and schizophrenia: Structure, specificity, pathogenesis (current issues, new directions). Schizophrenia Research, 152, 5–11.

    Article  PubMed  Google Scholar 

  • Sass, L. (2014d). Delusion and double bookkeeping. In T. Fuchs, T. Breyer, & C. Mundt (Eds.), Karl Jaspers’ philosophy and psychopathology (pp. 125–147). New York, NY: Springer.

    Chapter  Google Scholar 

  • Sass, L. (2015). Lacan: The mind of the modernist. Continental Philosophy Review, 48(4), 409–443. doi: 10.1007/s11007–015–9348-y.

    Article  Google Scholar 

  • Sass, L. (2017). Madness and modernism: Insanity in the light of modern art, literature, and thought: Revised edition. Oxford UK: Oxford University Press.

    Google Scholar 

  • Sass, L. (in press). Schizophrenia as a self-disorder: Theoretical clarifications, recent developments, new directions. In G. Stanghellini, M. Broome, A. V. Fernandez, P. Fusar-Poli, A. Raballo, & R. Rosfort (Eds.), The Oxford handbook of phenomenological psychopathology. Oxford, UK: Oxford University Press.

    Google Scholar 

  • Sass, L., & Borda, J.-P. (2015). Phenomenology and neurobiology of self disorder in schizophrenia: Secondary factors. Schizophrenia Research, 169, 474–482. doi: 10.1016/j.schres.2015.09.025.

    Article  PubMed  Google Scholar 

  • Sass, L., & Byrom, G. N. (2015a). Phenomenological and neurocognitive perspectives on delusion. World Psychiatry, 14(2), 164–173.

    Article  PubMed  PubMed Central  Google Scholar 

  • Sass, L., & Byrom, G. N. (2015b). Self-disturbance and the bizarre: On incomprehensibility in schizophrenic delusions. Psychopathology, 48, 293–300.

    Article  PubMed  Google Scholar 

  • Sass, L., & Parnas, J. (2001). Phenomenology of self disturbances in schizophrenia: Some recent research directions and findings. Philosophy, Psychiatry, Psychology, 8(4), 347–356.

    Article  Google Scholar 

  • Sass, L., & Parnas, J. (2003). Schizophrenia, consciousness, and the self. Schizophrenia Bulletin, 29, 427–444.

    Article  PubMed  Google Scholar 

  • Sass, L., & Pienkos, E. (2013a). Delusions: The phenomenological approach. In W. Fulford, M. Davies, G. Graham, J. Sadler, & G. Stanghellini (Eds.), Oxford handbook of philosophy of psychiatry (pp. 632–657). Oxford, UK: Oxford University Press.

    Google Scholar 

  • Sass, L., & Pienkos, E. (2013b). Space, time, and atmosphere: A comparative phenomenology of melancholia, mania, and schizophrenia, Part II. Journal of Consciousness Studies, 20, 131–152.

    Google Scholar 

  • Sass, L., & Pienkos, E. (2013c). Varieties of self experience: A comparative phenomenology of melancholia, mania, and schizophrenia, Part I. Journal of Consciousness Studies, 20, 103–130.

    Google Scholar 

  • Sass, L., Pienkos, E., & Nelson, B. (2013a). Introspection and schizophrenia: A comparative investigation of anomalous self experiences. Consciousness and Cognition, 22, 853–867.

    Article  PubMed  Google Scholar 

  • Sass, L., Pienkos, E., Nelson, B., & Medford, N. (2013b). Anomalous self-experience in depersonalization and schizophrenia: A comparative investigation. Consciousness and Cognition, 22, 430–431.

    Article  PubMed  Google Scholar 

  • Sass, L., Pienkos, E., Skodlar, B., Stanghellini, G., Fuchs, T., Parnas, J. & Jones, N. (2017). Examination of Anomalous World Experience (EAWE). Psychopathology, 5(1), 10–54.

    Article  Google Scholar 

  • Sass, L., & Woolfolk, R. (1988). Psychoanalysis and the hermeneutic turn: A critique of narrative truth and historical truth. Journal of the American Psychoanalytic Association, 36, 429–454.

    Article  PubMed  Google Scholar 

  • Shapiro, D. 1965. Neurotic styles. New York, NY: Basic Books.

    Google Scholar 

  • Skodlar, B., Henriksen, M. G., Sass, L. A., Nelson, B., & Parnas, J. (2013). Cognitive-behavioral therapy for schizophrenia: A critical evaluation of its theoretical framework from a clinical-phenomenological perspective. Psychopathology, 46, 249–265.

    Article  PubMed  Google Scholar 

  • Wiggins, O. P., & Schwartz, M. A. (1991). Research into personality disorders: The alternatives of dimensions and ideal types. Journal of Personality Disorders, 5, 69–81.

    Article  Google Scholar 

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Sass, L. (2017). Madness, Modernism, and Interpretation: A Conversation with Louis Sass. In: Macdonald, H., Goodman, D., Becker, B. (eds) Dialogues at the Edge of American Psychological Discourse. Palgrave Studies in the Theory and History of Psychology. Palgrave Macmillan, London. https://doi.org/10.1057/978-1-137-59096-1_3

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