Psychosis as Eluding Agency: Perspective of Phenomenological Psychopathology

In the context of the current renewal of phenomenological psychopathology, the article presents one of its fundamental assumptions – the need to meaningfully incorporate experiences of a subject who has encountered pathology into their life narrative. It discusses how, as psychosis progresses, the...

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Main Author: Kristina Baranovaitė
Format: Article
Language:English
Published: Vilnius University Press 2024-04-01
Series:Problemos
Subjects:
Online Access:https://www.journals.vu.lt/problemos/article/view/35063
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author Kristina Baranovaitė
author_facet Kristina Baranovaitė
author_sort Kristina Baranovaitė
collection DOAJ
description In the context of the current renewal of phenomenological psychopathology, the article presents one of its fundamental assumptions – the need to meaningfully incorporate experiences of a subject who has encountered pathology into their life narrative. It discusses how, as psychosis progresses, the subject gradually loses agency of their attention and meaning-making. With the help of the novel Cosmos by Witold Gombrowicz, an episode of the active phase of psychosis is reconstructed – in the beginning, the central objects structuring the subject’s attention establish themselves as if independently of the subject. As the delusional system, created on such a basis, expands, it becomes more and more difficult for the subject to preserve the relation with the surrounding world. Creating a narrative in such a situation comes forth as a self-healing effort – an attempt to meaningfully incorporate episodes of altered experience back into one’s realm of agency. For this reason, it is emphasized that, in psychotherapy, it is important not to try to replace the subject’s narrative with a rationalized narrative created by the therapist, but rather to involve the subject in a cooperative dialogue about the personal meaning of their lived experiences.
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spelling doaj-art-4b73d08220c843b391fb998d99883f482025-01-20T18:24:24ZengVilnius University PressProblemos1392-11262424-61582024-04-0110510.15388/Problemos.2024.105.10Psychosis as Eluding Agency: Perspective of Phenomenological PsychopathologyKristina Baranovaitė0https://orcid.org/0009-0001-5372-4817Vilnius University, Lithuania In the context of the current renewal of phenomenological psychopathology, the article presents one of its fundamental assumptions – the need to meaningfully incorporate experiences of a subject who has encountered pathology into their life narrative. It discusses how, as psychosis progresses, the subject gradually loses agency of their attention and meaning-making. With the help of the novel Cosmos by Witold Gombrowicz, an episode of the active phase of psychosis is reconstructed – in the beginning, the central objects structuring the subject’s attention establish themselves as if independently of the subject. As the delusional system, created on such a basis, expands, it becomes more and more difficult for the subject to preserve the relation with the surrounding world. Creating a narrative in such a situation comes forth as a self-healing effort – an attempt to meaningfully incorporate episodes of altered experience back into one’s realm of agency. For this reason, it is emphasized that, in psychotherapy, it is important not to try to replace the subject’s narrative with a rationalized narrative created by the therapist, but rather to involve the subject in a cooperative dialogue about the personal meaning of their lived experiences. https://www.journals.vu.lt/problemos/article/view/35063phenomenological psychopathologypsychosisnarrativeagency
spellingShingle Kristina Baranovaitė
Psychosis as Eluding Agency: Perspective of Phenomenological Psychopathology
Problemos
phenomenological psychopathology
psychosis
narrative
agency
title Psychosis as Eluding Agency: Perspective of Phenomenological Psychopathology
title_full Psychosis as Eluding Agency: Perspective of Phenomenological Psychopathology
title_fullStr Psychosis as Eluding Agency: Perspective of Phenomenological Psychopathology
title_full_unstemmed Psychosis as Eluding Agency: Perspective of Phenomenological Psychopathology
title_short Psychosis as Eluding Agency: Perspective of Phenomenological Psychopathology
title_sort psychosis as eluding agency perspective of phenomenological psychopathology
topic phenomenological psychopathology
psychosis
narrative
agency
url https://www.journals.vu.lt/problemos/article/view/35063
work_keys_str_mv AT kristinabaranovaite psychosisaseludingagencyperspectiveofphenomenologicalpsychopathology