A critical comment on Thomas Fuchs’s Psychiatry as a Relational Medicine
DOI:
https://doi.org/10.37067/rpfc.v14i1.1202Keywords:
ecological paradigm, 5e cognition, enactivism, circular causalityAbstract
The book Psychiatrie als Beziehungsmedizin – Ein ökologisches Paradigma (Fuchs, 2023) is an essential work in the field of phenomenological psychiatry. Thomas Fuchs manages, in a clear and pedagogical way, to offer the reader an argumentative path that weaves together different domains (philosophy of mind, biology, psychology and psychiatry) and multiple theories (systemic theory, autopoiesis, enactivism, synergetics and phenomenology), showing their coherence in an ecological-integrative paradigm. We propose a critical analysis of the main arguments presented in the book and based on an integrative ecological model, to defend that psychiatry is a medicine of relation. We emphasize the possibility of integrating the 5e paradigm and the systemic and phenomenological model with the theory of causal circularity, vertical and horizontal, which allows us to understand the disorders of embedded subjectivity as disorders of self-understanding and interaction of the person.
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CASTRO, Fabio Caprio Leite de; Jung, Luã. “Defesa do humano: Questões fundamentais de uma antropologia corporificada, de Thomas Fuchs”. Veritas (Porto Alegre), 65(3), 20202, e39055. https://doi.org/10.15448/1984-6746.2020.3.39055 DOI: https://doi.org/10.15448/1984-6746.2020.3.39055
ENGEL, George L. “The need for a new medical model: a challenge for biomedicine”. In: Science, vol. 196, 1977, p. 129–136. DOI: https://doi.org/10.1126/science.847460
FUCHS, Thomas. Das Gehirn – ein Beziehungsorgan. Eine phänomenologisch-ökologische Konzeption. Kohlhammer: Stuttgart 2008.
FUCHS, Thomas. Ecology of the Brain. The Phenomenology and Biology of the Embodied Mind. Oxford University Press: Oxford, 2018. DOI: https://doi.org/10.1093/med/9780199646883.001.0001
FUCHS, Thomas. Leib, Raum, Person. Entwurf einer phänomenologischen Anthropologie. Klett-Cotta: Stuttgart, 2000.
FUCHS, Thomas. O cérebro: um órgão relacional. Trad. Marco Casanova. Rio de Janeiro: Via Verita, 2024.
FUCHS, Thomas. “O que acontecerá com o ser humano? Em defesa de um novo humanismo”. (in) CASTRO, Fabio Caprio Leite de; NORBERTO, Marcelo S. (Org.). Subjetividade e Cultura. Trad. Débora Spatz e Fabio C. L. Castro. Rio de Janeiro: Nau, 2024a, p. 63-82.
FUCHS, Thomas. “Psiquiatria como medicina relacional: um paradigma ecológico”. (in) CASTRO, Fabio Caprio Leite de; NORBERTO, Marcelo S. (Org.). Subjetividade e Cultura. Trad. Fabio C. L. Castro. Rio de Janeiro: Nau, 2025, p. 11-26.
FUCHS, Thomas. Psychiatrie als Beziehungsmedizin – Ein ökologisches Paradigma. Stuttgart: Kohlhammer, 2023. DOI: https://doi.org/10.17433/978-3-17-036846-0
FUCHS, Thomas. Verteidigung des Menschen: Grundfragen einer verkörperter Anthropologie. Berlin: Suhrkamp Verlag, 2020.
HAKEN, Hermann. Synergetik: Eine Einführung. Nichtgleichgewichts-Phasenübergange und Selbstorganisation in Physik, Chemie und Biologie. Berlim: Springer, 2013.
HUSSERL, Edmund. Cartesianische Meditationen und Pariser Vorträge. (Hua I). Haag: Martinus Nijhoff, 1973.
MATURANA, Humberto; VARELA, Francisco. A árvore do conhecimento – As bases biológicas do entendimento humano. Trad. Jonas Pereira dos Santos. São Paulo: Editorial Psy, 1995.
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