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27 results

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  • Chapter 12 - Position-Taking

  • Edited by Andrea Fiorillo, University of Campania “L. Vanvitelli”, Naples, Peter Falkai, Ludwig-Maximilians-Universität München, Philip Gorwood, Sainte-Anne Hospital, Paris
  • Book:
    Mental Health Research and Practice
    Published online:
    01 February 2024
    Print publication:
    08 February 2024, pp 197-209

  • Summary

    Far from being a purely speculative exercise, philosophy is important for practical purposes in our discipline, including conceptual clarification of disputed psychiatric terms, awareness of basic theoretical tenets underlying psychiatric classification and practice, acknowledgment and management of differences in values between clinicians and patients, facilitation of ethical choices, refinement of understanding, and sense-making of the patients’ peculiar way to express their own mental suffering. This chapter illustrates the role of phenomenological and hermeneutic clarification in order to shed light on the construction of mental symptoms. In particular, we consider the role of the patients’ “position-taking” regarding their abnormal mental experience in shaping the final form of their mental symptoms. We start from analyzing the difficulties encountered by descriptive psychopathology in the search of pathognomonic symptoms, showing that both apparent (e.g., hallucinations and delusions) and subtler phenomena (e.g., basic self-disturbances) are not specificand risk overdiagnosis or the use of too large and vague diagnostic concepts. A phenomenological and hermeneutic stance is useful to enhance the characterization of mental symptoms by taking into account subtle formal differences, the gestaltic dialectic between the phenomenon and its background, and the way patients take a position toward their personal abnormal experiences.

The Therapeutic Interview in Mental Health
  • A Values-Based and Person-Centered Approach
  • Giovanni Stanghellini, Milena Mancini
  • Published online:
    21 August 2017
    Print publication:
    18 August 2017
  • Emotions and values are considered the keys to understanding peoples' experiences and actions within the world they inhabit. The traditional symptom-led clinical interview is frequently criticised for ignoring the narrative of a patient's experience in favour of ticking-off symptoms that can be reduced or controlled. In response, this important new book seeks to understand a patient's sufferings through their individual experiences and values. The Therapeutic Interview in Mental Health is about the art of asking questions. This comprehensive book will equip psychologists, psychiatrists and clinicians with the tools to begin unlocking the emotions and experiences of their patients. The method of the therapeutic interview is explained in a step-by-step way, allowing the reader to understand the clinical interview as a means of beginning a shared understanding between patient and clinician. This book is an essential read for all psychologists, psychiatrists, general clinicians, and medical trainees.

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