One Century of Karl Jaspers’ G eneral Psychopathology 00_Stanghellini_Prelims.indd i 6/10/2013 6:27:54 PM International Perspectives in Philosophy and Psychiatry Series editors: Bill (K.W.M.) Fulford, Katherine Morris, John Z. Sadler, and Giovanni Stanghellini Volumes in the series: Portrait of the Psychiatrist as a Young Man: The Early Body-Subjects and Disordered Minds Writing and Work of R.D. Laing, 1927–1960 Matthews Beveridge Rationality and Compulsion: Applying action theory to Mind, Meaning, and Mental Disorder 2e psychiatry Bolton and Hill Nordenfelt What is Mental Disorder? Philosophical Perspectives on Technology and Psychiatry Bolton Phillips (ed.) Delusions and Other Irrational Beliefs The Metaphor of Mental Illness Bortolotti Pickering Postpsychiatry Mapping the Edges and the In-between Bracken and Thomas Potter Philosophy, Psychoanalysis, and the A-Rational Mind Trauma, Truth, and Reconciliation: Healing Damaged Brakel Relationships Unconscious Knowing and Other Essays in Psycho- Potter (ed.) Philosophical Analysis The Philosophy of Psychiatry: A Companion Brakel Radden Psychiatry as Cognitive Neuroscience The Virtuous Psychiatrist Broome and Bortolotti (eds.) Radden and Sadler Free Will and Responsibility: A Guide for Practitioners Autonomy and Mental Disorder Callender Radoilska (ed.) Reconceiving Schizophrenia Feelings of Being Chung, Fulford, and Graham (eds.) Ratcliffe Darwin and Psychiatry Recovery of People with Mental Illness: Philosophical and De Block and Adriaens (eds.) Related Perspectives Nature and Narrative: An Introduction to the Rudnick (ed.) New Philosophy of Psychiatry Values and Psychiatric Diagnosis Fulford, Morris, Sadler, and Stanghellini (eds.) Sadler Oxford Textbook of Philosophy and Psychiatry Disembodied Spirits and Deanimated Bodies: The Fulford, Thornton, and Graham Psychopathology of Common Sense The Mind and its Discontents Stanghellini Gillett One Century of Karl Jaspers’ General Psychopathology Thinking Through Dementia Stanghellini and Fuchs Hughes Emotions and Personhood Dementia: Mind, Meaning, and the Person Stanghellini and Rosfort Hughes, Louw, and Sabat (eds.) Essential Philosophy of Psychiatry Talking Cures and Placebo Effects Thornton Jopling Empirical Ethics in Psychiatry Philosophical Issues in Psychiatry II: Nosology Widdershoven, McMillan, Hope, and Kendler and Parnas Van der Scheer (eds.) Discursive Perspectives in Therapeutic Practice The Sublime Object of Psychiatry: Schizophrenia in Lock and Strong (ed.) Clinical and Cultural Theory Woods Schizophrenia and the Fate of the Self Lysaker and Lysaker Responsibility and Psychopathy M alatesti and McMillan 00_Stanghellini_Prelims.indd ii 6/10/2013 6:27:55 PM One Century of Karl Jaspers’ G eneral Psychopathology Edited by Giovanni Stanghellini and Thomas Fuchs 1 00_Stanghellini_Prelims.indd iii 6/10/2013 6:27:55 PM 3 Great Clarendon Street, Oxford, OX2 6DP, United Kingdom Oxford University Press is a department of the University of Oxford. It furthers the University’s objective of excellence in research, scholarship, and education by publishing worldwide. Oxford is a registered trade mark of Oxford University Press in the UK and in certain other countries © Oxford University Press 2013 The moral rights of the authors have been asserted First Edition published in 2013 Impression: 1 All rights reserved. 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The authors and the publishers do not accept responsibility or legal liability for any errors in the text or for the misuse or misapplication of material in this work. Except where otherwise stated, drug dosages and recommendations are for the non-pregnant adult who is not breast-feeding 00_Stanghellini_Prelims.indd iv 6/10/2013 6:27:55 PM Acknowledgements The list of people we would like to mention for their help in preparing this book is very long. We will confi ne to our closest assistants: Alexander Englert, Rixta Fambach, Alessandro Longo, Milena Mancini, Simona Presenza, and Laerte Vetrugno. Their assistance had sev- eral forms including contacts with authors, secretarial support, text editing, organization of references, as well as personal encouragement. We are very grateful for their generosity. A special thank you must go to Charlotte Green and the entire staff of Oxford University Press for their precious work of editorial assistance. We also would like to express our gratitude to Bill Fulford with whom in the last two decades we had the privilege to share the project of the renaissance of the philosophy of psychiatry. 00_Stanghellini_Prelims.indd v 6/10/2013 6:27:55 PM This page intentionally left blank Contents Contributors ix Abbreviations xi Editors’ introduction xiii Giovanni Stanghellini and Thomas Fuchs Introduction: The relevance of Karl Jaspers’ General Psychopathology to current psychiatric debate xxiv Mario Maj Introduction: Particular psychopathologies—lessons from Karl Jaspers’ General Psychopathology for the new philosophy of psychiatry xxix K.W.M (Bill) Fulford Section 1 Historical and cultural background 1 Jaspers in his time 3 Federico Leoni 2 Phenomenology and psychopathology: in search of a method 16 Osborne P. Wiggins and Michael Alan Schwartz 3 Jaspers’ ‘Critique of Psychoanalysis’: between past and future 27 Mario Rossi Monti 4 Impact of Karl Jaspers’ General Psychopathology : the range of appraisal 42 Christoph Mundt Section 2 Methodological issues and concepts 5 Karl Jaspers’ General Psychopathology in the framework of clinical practice 57 Otto Doerr-Zegers and H é ctor Pelegrina-Cetr á n 6 Form and content in Jaspers’ psychopathology 76 Chris Walker 7 Jaspers, phenomenology, and the ‘ontological difference’ 95 Louis A. Sass 8 Jaspers on explaining and understanding in psychiatry 107 Christoph Hoerl 9 Jaspers and neuroscience 121 Matthew R. Broome 00_Stanghellini_Prelims.indd vii 6/10/2013 6:27:55 PM viii CONTENTS 10 Karl Jaspers the pathographer 133 Matthias Bormuth 11 Karl Jaspers’ existential concept of psychotherapy 150 Jann E. Schlimme 12 The ethics of incomprehensibility 166 Giovanni Stanghellini Section 3 Clinical concepts 13 Karl Jaspers’ hierarchical principle and current psychiatric classifi cation 185 Henning Sass and Umberto Volpe 14 On psychosis: Karl Jaspers and beyond 208 Josef Parnas 15 Delusional atmosphere and the sense of unreality 229 Matthew Ratcliffe 16 The self in schizophrenia: Jaspers, Schneider, and beyond 245 Thomas Fuchs 17 Understanding mood disorders: Karl Jaspers’ biological existentialism 258 S. Nassir Ghaemi 18 Reaction and development of manic and melancholic-depressive patients 276 Alfred Kraus Author index 295 Subject index 297 00_Stanghellini_Prelims.indd viii 6/10/2013 6:27:55 PM Contributors Matthias Bormuth Alfred Kraus Institute for Philosophy Psychiatric Clinic University of Oldenburg Center for Psychosocial Medicine Oldenburg, Germany University of Heidelberg Heidelberg, Germany Matthew R. Broome Department of Psychiatry, Mario Maj University of Oxford, Oxford, UK; Department of Psychiatry, University of Highfi eld Adolescent Unit, Naples SUN, Naples, Italy Warneford Hospital, Oxford Health NHS Christoph Mundt Foundation Trust, Oxford, UK Psychiatric Clinic Otto Doerr-Zegers Center for Psychosocial Medicine Director of the Center of University of Heidelberg Studies on Phenomenology and Psychiatry, Heidelberg, Germany University Diego Portales, Josef Parnas Santiago de Chile Center For Subjectivity Research T homas Fuchs University of Copenhagen Psychiatric Clinic and Psychiatric Center Hvidovre Center for Psychosocial Medicine University of Copenhagen University of Heidelberg Copenhagen, Denmark Heidelberg, Germany H é ctor Pelegrina-Cetr á n Bill (K.W.M) Fulford Universidad Aut ó noma de Madrid Fellow of St Catherine’s College and Madrid, Spain Member of the Philosophy Faculty Matthew Ratcliffe University of Oxford and Department of Philosophy Emeritus Professor of Philosophy and Durham University Mental Health Durham, UK University of Warwick, UK Mario Rossi Monti S. Nassir Ghaemi University of Urbino Tufts Medical Center Urbino, Italy Boston, MA, USA Henning Sass Christoph Hoerl Department of Psychiatry Department of Philosophy University of Technology RWTH University of Warwick Aachen, Germany Coventry, UK 00_Stanghellini_Prelims.indd ix 6/10/2013 6:27:55 PM