From a first-person self-report to the diagnosis of through phenomenological psychopatology

analysis of a case of psychotic mania

Authors

  • Catarina Gouveia Ferreira Maia Instituto de Psiquiatria do Hospital das Clínicas da Universidade de São Paulo https://orcid.org/0000-0003-4158-0569
  • Ana Laura Alcântara Alves Instituto de Psiquiatria do Hospital das Clínicas da Universidade de São Paulo
  • Flávio Guimarães-Fernandes Instituto da Psiquiatria do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo

DOI:

https://doi.org/10.37067/rpfc.v12i2.1144

Keywords:

Endogenous psychoses, Phenomenological psycopathology, Case studies, Differential diagnosis, Narrative

Abstract

This article aims to examine the differences between a manic-depressive psychosis and a schizophrenic psychosis based on a crisis report experienced by a patient. The case report approach presented is based on three distinct and complementary analyses, the report in the first, second and third person. Through this, the importance of the report for contemporary psychiatry is discussed. Furthermore, we  phenomenologically describe a psychopathological differentiation between a manic-depressive psychotic crisis and a schizophrenic psychotic break, considering the experiential expressions of affectivity and integrity of the self. Based on these considerations, the concepts of endogeneity by H. Tellenbach and comprehensibility and incomprehensibility by K. Jaspers are debated illuminating the importance of these concepts for the current psychiatry in their relationship with the one of psychosis.

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Author Biographies

Catarina Gouveia Ferreira Maia, Instituto de Psiquiatria do Hospital das Clínicas da Universidade de São Paulo

Médica pela Universidade Federal do Triângulo Mineiro. Residente em Psiquiatria pelo Instituto de Psiquiatria do Hospital das Clínicas da Universidade de São Paulo.

Ana Laura Alcântara Alves, Instituto de Psiquiatria do Hospital das Clínicas da Universidade de São Paulo

Terapeuta Ocupacional Diretora do Serviço de Terapia Ocupacional do Instituto de Psiquiatria do Hospital das Clínicas da Universidade de São Paulo. Pós-Graduada em Psicopatologia Fenomenológica pela Faculdade de Ciências Médicas da Santa Casa de Misericórdia de São
Paulo. Pós-Graduada no Método Terapia Ocupacional Dinâmica pelo CETO (Centro de Especialização de Terapia Ocupacional). Graduada em Terapia Ocupacional pela Universidade de São Paulo de Ribeirão Preto.

Flávio Guimarães-Fernandes, Instituto da Psiquiatria do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo

Médico Psiquiatra do Instituto de Psiquiatria do Hospital das Clínicas da Universidade de São Paulo. Pós-Graduado em Psicopatologia Fenomenológica pela Faculdade de Ciências Médicas da Santa Casa de Misericórdia de São Paulo.

References

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Published

2023-08-31

Issue

Vol. 12 No. 2 (2023): Edição especial

Section

Case report

License

Copyright (c) 2023 Catarina Gouveia Ferreira Maia, Ana Laura Alcântara Alves, Flávio Guimarães-Fernandes

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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

The authors retain unrestricted copyright and must indicate the initial publication in this journal in case of any subsequent publication of their work.