Phenomenology in Psychiatry and Psychoanalysis

The American Journal of Psychoanalysis -     

Pastoral psychotherapy and the symbolic

The author points out and illustrates the interrelatedness of the capacity to think symbolically and a sense of self. Through a case study he describes the disclosure of hidden and unresolved personal concerns by symbolic references and the correspondence between personal myth and emotional concerns. A perspective of therapy is suggested—that it is a process of clarifying and demythologizing self-perceptions, conscious and unconscious, so that a person can move on to other representations of self and be liberated from restrictions imposed by undisclosed myths. Finally, the author examines what is pastoral or religious about a psychotherapeutic process and offers questions for further study.     

Morality and the practice of psychotherapy

The morality of psychotherapy is challenged in terms of its effects on patients, their families, and the community. This paper discusses the issue of moral neutrality in therapy, the distinction between real and neurotic guilt, and offers suggestions as to how moral discourse might be incorporated in therapy.     

Psychiatry in the labyrinth: Deconstructing deviancy

Abstract

Deviancy is a key concept in psychiatry and other therapeutic disciplines, because it dramatizes the way in which they depend on the establishment of norms, in order to justify their theory and practice. The writings of Derrida as well as Goethe provide a different view: that “deviation” from a “norm” can be fundamentally important to the well‐being of the norm. Thus deviancy can be viewed not as something to be “corrected” but rather as a creative possibility to be encouraged and shaped in productive ways. As a case of “deviancy” we have selected the writings of John Perceval, whose Narrative provides a critique of the mental‐health establishment of his day, particularly the asylum, and offers an alternative to 19th‐century views of “lunacy.” We see his “schizophrenic” commentary on his “psychosis” and its treatment as analogous to the deconstructive, “schizophrenic” discourse of postmodernity which is similarly critical of the reigning, modernist psychiatric order.