Author:
Moskalewicz Marcin,Kordel Piotr,Brejwo Agnieszka,Schwartz Michael A.,Gozé Tudi
Abstract
Background: The psychopathological notion of the Praecox Feeling (PF) refers to an experience of strangeness and bizarreness that arises in a clinician during contact with a patient with schizophrenia. There is evidence that psychiatrists take advantage of this feeling in their diagnostic decisions despite the domination of an operationalized diagnostic approach.Methods: The article presents the results of a survey assessing the self-reported prevalence of the PF among psychiatrists in Poland and compares them with data from West Germany (1962), USA (1989), and France (2017) based on the same survey.Results: The study finds a consistent prevalence of reported feelings suggestive of the diagnosis of schizophrenia among psychiatrists of different cultural backgrounds and times. These feelings are independent of variables such as attitude toward schizophrenia, professional orientation, and professional experience and are considered reliable, even if not the most reliable, by the psychiatrists who have them. The study also finds that intersubjective phenomena, such as problematic affective attunement, gestures, and body language, are considered core to these feelings by the psychiatrists.Conclusions: The evidence confirms that psychiatrists' feelings about patients with schizophrenia are considered diagnostically relevant and calls for more deeply investigating the nature and diagnostic significance of these feelings. The article concludes with some speculations regarding the possible benefits of recognizing the PF in facilitating a psychotherapeutic encounter with psychotic patients.
Subject
Psychiatry and Mental health
Reference34 articles.
1. Das kernsymptom der schizophrenie und das “praecox-gefühl.”;Rümke;Z Gesamte Neurol Psychiatr,1941
2. Rediscovering psychopathology: the epistemology and phenomenology of the psychiatric object;Parnas;Schizophr Bull,2013
3. Typifications: the first step for clinical diagnosis in psychiatry;Schwartz;J Nerv Ment Dis,1987
4. “Phenomenology, typification, and ideal types in psychiatric diagnosis and classification,”;Fernandez,2016
Cited by
12 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献