The comprehensive development of Kretschmer's Sensitive Delusion of Reference

Autores

  • Livia Fukuda Faculdade de Ciências Médicas da Santa Casa de São Paulo

DOI:

https://doi.org/10.37067/rpfc.v14i2.1266

Palavras-chave:

Sensitive delusion of reference, Sensitive character, Kretschmer, Phenomenological psychopathology

Resumo

Ernst Kretschmer's description of the sensitive delusion of reference remains a significant contribution to contemporary discussions, though it is often overlooked in psychopathology. This phenomenon is characterized by a sensitive characterological basis, where the structural imbalance between sthenic and asthenic aspects, with a predominance of the latter, makes individuals susceptible to external judgments and creates a propensity to retain experiences. When faced with vexing events, this sensitive personality exhibits self-referential delusions. In his work, Kretschmer provides valuable insights that broaden our genetic understanding of psychotic conditions, initiate a multidimensional and dynamic approach to mental disorders, and challenge rigid categorical diagnoses. Kretschmer advocates for a methodology that acknowledges the fluidity between personality traits and clinical presentations, indicating a continuum between health and illness. In today’s mental health panorama, where personalized diagnostic models are gaining momentum, revisiting Kretschmer's ideas through the phenomenological psychopathology perspective can enhance our understanding of personal vulnerabilities linked to specific personality developments, subthreshold psychopathological experiences, early detection of mental disorders, and the improved creation of individualized treatment approaches. This article explores the enduring significance of the Sensitive Delusion of Reference, highlighting its implications for the developmental paradigm in psychopathology.

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Biografia do Autor

Livia Fukuda, Faculdade de Ciências Médicas da Santa Casa de São Paulo

Médica graduada pela Faculdade de Medicina da Universidade de São Paulo (FMUSP). Realizou o programa de Residência Médica em Psiquiatria no Instituto de Psiquiatria do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (IPq-HCFMUSP) e doutorado em Ciências da Saúde pela Faculdade de Ciências Médicas da Santa Casa de São Paulo (FCMSCSP). Membro da Sociedade Brasileira de Psicopatologia Fenômeno-Estrutural (SBPFE). Atualmente, atua como psiquiatra no Hospital do Servidor Público Estadual (IAMSPE), no Instituto de Psiquiatria do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (IPq-HCFMUSP) e em consultório particular. Dedica-se ao estudo de Psicopatologia Fenomenológica.

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Publicado

2025-12-12

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Artigo original