Among the great philosophers of the twentieth century, Karl Jaspers occupies a special position, first, because he never completed a regular training in philosophy, and second, because he did not come to philosophy from mathematics, physics or biology, as many others did, but from psychiatry. The importance of his psychiatric experience to his philosophical work is unmistakable, not only because of the many references to psychopathological phenomena to be found in his later writings but also because of the existential depth of his thought, to which Jaspers's early confrontation with limit situations (Grenzsituationen) in psychiatry undoubtedly contributed.
The study of Jaspers as a psychiatrist is, therefore, of interest not just from a history-of-psychiatry perspective, but also if we wish to fully grasp his philosophy. This is underlined by the fact that, in the fourth edition of his General Psychopathology (1944), Jaspers himself included a comprehensive outline of his existential philosophy as it stood at the time. Throughout his life, he remained attached to psychiatry and psychopathology, and in his late autobiography he writes of his General Psychopathology: “The book remained an essential part of my life over the decades” ( Jaspers 1967a, 168). “To the work of my youth I remained faithful. I never became indifferent to Psychopathology” (ibid., 170). The following account of Jaspers's psychiatric work is, therefore, not concerned with a merely initial, let alone marginal preoccupation, but with a matter foundational to his thought. I first briefly trace Jaspers's professional development as a psychiatrist, then describe his psychopathological work in detail, including consideration of the significance of his concept of limit situations to psychiatry.
Jaspers as a Psychiatrist
Although interested in philosophy in his youth, Jaspers first chose to study law and then, from 1902, medicine—as he later wrote in retrospect, “for philosophical reasons,” in order to “recognize what is possible” and “to get to know reality” ( Jaspers 1967a, 43). He soon came to the conclusion that psychiatry was the “most difficult field of medicine” to understand and was, therefore, particularly attracted to it. After completing his state medical examinations, he began working as a doctoral student at the Psychiatric Clinic of the University of Heidelberg in 1908. His MD dissertation, Heimweh und Verbrechen (Homesickness and crime) prompted the director of the clinic, Franz Nissl, to hire Jaspers in 1909 as an unsalaried volunteer assistant.