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Praecox-Gefühl in Classical and Modern Researches

https://doi.org/10.30629/2618-6667-2020-18-3-58-64

Abstract

Background: The introduction of modern classifications of mental disorders has caused a number of significant changes in the diagnostic process. Recently, both domestic and foreign authors began to pay more attention to the analysis of the “weaknesses” of the operational approach in the diagnosis of mental disorders. One of the “lacunae” that arose due to its distribution, which is hardly discussed in modern classifications, is the problems of the role of intersubjective experience in the doctor–patient relationship and the diagnostic process. The diagnostic technique based on the Praecox-Gefühl phenomenon is one of the most striking examples of the utility of such an experience.

The aim was to present and discuss modern and classic Praecox-Gefühl studies in the context of analyzing the role of intersubjective experience in psychiatric diagnosis.

Material and method: Modern and classic scientific publications were selected by using the keywords “Praecox-Gefühl” or “Praecox-feeling” in the databases of Web of Science, PubMed and in the other sources.

Conclusion: the professional use of intersubjective experience arising in a doctor–patient relationship can be one of the diagnostic tools for identifying schizophrenia, including the early stages of the disease. Modern psychological studies indirectly confirm this statement by revealing an impairment of functions that provide interpersonal communication among patients with schizophrenia.

About the Authors

I. D. Gornushenkov
Lomonosov Moscow State University
Russian Federation

Ivan D. Gornushenkov, Student, the Faculty of Psychology

Moscow



I. V. Pluzhnikov
FSBSI “Mental Health Research Centre”
Russian Federation

Ilia V. Pluzhnikov, PhD, Cand. of Sci. (Psychol.), Leading Researcher

Moscow



References

1. Andreasen NC. DSM and the death of phenomenology in America: an example of unintended consequences. Schizophrenia bulletin. 2007;33(1):108–112. DOI: 10.1093/schbul/sbl054

2. Krasnov VN. Sovremennye izmenenija principov diagnostiki i klassifikacii psihicheskih rasstrojstv. Social’naja i klinicheskaja psihiatrija. 2018;28(1):58–61. (In Russ.). ht tps://ps ychiat r.r u/f iles/magazines/2018_04_scp_1300.pdf (Available at 27.04.2020).

3. Bobrov AE. Metodologicheskie voprosy diagnostiki psihicheskih rasstrojstv i sovremennye programmy podgotovki specialistov v psihiatrii. Social’naja i klinicheskaja psihiatrija. 2014;24(2):50–55. (In Russ.). https://psychiatr.ru/f iles/magazines/2014_06_scp_733.pdf (Available at 27.04.2020).

4. Тиганов АС. Современна я к лассифик ация и вопросы к линической психиатрии. Журнал неврологии и психиатрии имени С.С. Корсакова. 2015;115(3):122–124. DOI: 10.17116/jnevro201511531122–124.

5. Tiganov AS. Modern classification and clinical psychiatry. Zhurnal nevrologii i psihiatrii imeni S.S. Korsakova. 2015;15(3):122–124. DOI: 10.17116/jnevro201511531122–124. (In Russ.).

6. Syropjatov OG, Dzeruzhinskaja NA, Igumnov SA, Janovskij SS, Janovskij TS. Metodologija klinicheskoj i social’noj psihiatrii. Social’naja i klinicheskaja psihiatrija. 2018;28(2):63–69. (In Russ.). https://psychiatr.ru/files/magazines/2018_06_scp_1337.pdf (Available at 27.04.2020).

7. Brown C, Story GW, Mourão-Miranda J, Baker JT. Will artif icial intelligence eventually replace psychiatrists? Br. J. Psychiatry. 2019;(12);1–4. DOI: 10.1192/bjp.2019.245

8. Shaderkin IA. Rol’ iskusstvennogo intellekta v telemedicine v Rossii. Zhurnal telemediciny i jelektronnogo zdravoohranenija. 2019;9–10(1–2):38–40. (In Russ.). http://jtelemed.ru/sites/default/files/teh_no1–29–102019_shaderkin.pdf (Available at 27.04.2020).

9. Rumke HC, Neeleman J. The nuclear symptom of schizophrenia and the praecox feeling. History of psychiatry. 1990;1(3):331–341. DOI: 10.1177/0957154X9000100304

10. Grube M. Towards an empirically based validation of intuitive diagnostic: Rümke’s ‘praecox feeling’ across the schizophrenia spectrum: preliminary results. Psychopathology. 2006;39(5):209–217. DOI: 10.1159/000093921

11. Varga S. Vulnerability to psychosis, I–thou intersubjectivity and the praecox–feeling. Phenomenology and the cognitive sciences. 2013;12(1):131–143. DOI: 10.1007/s11097–010–9173–z

12. Moskalewicz M, Schwartz MA, Gozé T. Phenomenology of intuitive judgment: praecox–feeling in the diagnosis of schizophrenia. AVANT. Pismo Awangardy Filozof iczno-Naukowej. 2018;9(2):63–74. DOI: 10.26913/avant.2018.02.0

13. Gozé T, Moskalewicz M, Schwartz MA, Naudin J, Micoulaud-Franchi JA, Cermolacce M. Reassessing “praecox feeling” in diagnostic decision making in schizophrenia: a critical review. Schizophrenia bulletin. 2019;45(5):966–970. DOI: 10.1093/schbul/sby172

14. Pallagrosi M, Fonzi L. On the concept of praecox feeling. Psychopathology. 2018;51(6):353–361. DOI: 10.1159/000494088

15. Binswanger L. Quali compiti sono prospettati alla psichiatria dai progressi della psicologia più recenti? [Which tasks are presented to psychiatry from the most recent developments of psychology?] in: Per un’antropologia fenomenologica. Milano: Feltrinelli. 1989.

16. Blejler Je. Rukovodstvo po psihiatrii. Moskva: Izdatel’stvo «Nezavisimoj psihiatricheskoj associacii». 1993. (In Russ.).

17. Jaspers K. Obshhaja psihopatologija. M.: KoLibri. 2019. (In Russ.).

18. Parnas J. A disappearing heritage: the clinical core of schizophrenia. Schizophrenia bulletin. 2011;37(6):1121–1130. DOI: 10.1093/schbul/sbr081

19. Schwartz MA, Wiggins OP. Typifications: The First Step for Clinical Diagnosis in Psychiatry. The Journal of Nervous and Mental Disease. 1987;175(2):65–77.

20. Irle G. Das “Praecoxgefühl” in der Diagnostik der Schizophrenie. Archiv für Psychiatrie und Nervenkrankheiten. 1962;203(4):385–406. DOI: 10.1007/BF00356304

21. Sagi G, Schwartz M. The “praecox feeling” in the diagnosis of schizophrenia; A survey of Manhattan psychiatrists. Schizophrenia Research. 1989;2(1–2):35. DOI: 10.1016/0920-9964(89)90071-6

22. Luhrmann T. Of Two Minds: The Growing Disorder in American Psychiatry. New York: Alfred A. Knopf. 2000.

23. Maslach C. Burnout: The cost of caring. NJ: Prentice-Hall, 1982.

24. Garden AM. Depersonalization: A valid dimension of burnout? Human relations. 1987;40(9):545–559. DOI: 10.1177/001872678704000901

25. Kar jagina TD, Kuhtova NV, Olif irov ich NI , Shermazanjan LG. Professionalizacija jempatii i prediktory vygoranija pomogajushhih specialistov. Konsul’tativnaja psihologija i psihoterapija. 2017;25(2):39–58. DOI: 10.17759/cpp.2017250203. (In Russ.).

26. Thirioux B, Birault F, Jaafari N. Empathy is a protective factor of burnout in physicians: new neuro–phenomenological hypotheses regarding empathy and sympathy in care relationship. Frontiers in Psychology. 2016;(7)763:1–11. DOI: 10.3389/fpsyg.2016.00763

27. Ungvari GS, Xiang, YT, Hong Y, Leung HC, Chiu HF. Diagnosis of schizophrenia: reliability of an operationalized approach to ‘praecox-feeling’. Psychopathology. 2010;43(5):292–299. DOI: 10.1159/000318813

28. Pallagrosi M, Fonzi L, Picardi A, Biondi M. Association between clinician’s subjective experience during patient evaluation and psychiatric diagnosis. Psychopa t holo g y. 2016;49(2):83–9 4. DOI: 10.1159/000444506

29. Sprong M, Schothorst P, Vos E, Hox J, Van Engeland H. Theory of mind in schizophrenia: meta-analysis. The British Journal of Psychiatry. 2007;191(1):5–13. DOI: 10.1192/bjp.bp.107.035899

30. Pluzhnikov IV. Narushenija jemocional’nogo intellekta pri rasstrojstvah affektivnogo spektra i shizofrenii. Vestnik Tomskogo gosudarstvennogo universiteta. 2009; 329:211–213. (In Russ.). http://journals.tsu.ru/uploads/import/842/files/329–211.pdf (Available at 27.04.2020).

31. Rumjanceva EE, Zvereva NV, Kaleda VG, Barhatova AN. Nekotorye osobennosti modeli psihicheskogo u bol’nyh shizofreniej junosheskogo vozrasta. Poznanie v dejatel’nosti i obshhenii: ot teorii i praktiki. 2011:304. (In Russ.).

32. Holmogorova AB, Rychkova OV. Narushenija social’nogo poznanija. Novaja paradigma v issledovanijah central’nogo psihologicheskogo deficita pri shizofrenii. Moskva: Izdatel’stvo «Forum». 2015. (In Russ.).

33. Chung YS, Kang DH, Shin NY, Yoo SY, Kwon JS. Deficit of theory of mind in individuals at ultra-high-risk for schizophrenia. Schizophrenia Research. 2008;99(1–3):111–118. DOI: 10.1016/j.schres.2007.11.012

34. Bora E, Pantelis C. Theory of mind impairments in first-episode psychosis, individuals at ultra-high risk for psychosis and in first-degree relatives of schizophrenia: systematic review and meta-analysis. Schizophrenia research. 2013;144(1–3):31–36. DOI: 10.1016/j.schres.2012.12.013

35. Bota RG, Ricci WF. Empathy as a method of identification of the debut of the prodrome of schizophrenia. Bulletin of the Menninger Clinic. 2007;71(4):312–324. DOI: 10.1521/bumc.2007.71.4.312

36. Zajceva, JuS. Zerkal’nye kletki i social’naja kognicija v norme i pri shizofrenii. Social’naja i klinicheskaja psihiatrija. 2013;23(2):96–105. (In Russ.). https://psychiatr.ru/files/magazines/2013_06_scp_568.pdf (Available at 27.04.202027.04.2020).

37. Viggins O, Shvarc M. Shizofrenija: medicinskaja i antropologicheskaja perspektivy. Nezavisimyj psihiatricheskij zhurnal. 2004;(4):11–19. (In Russ.). http://www.npar.ru/journal/2004/4/schizophrenia.htm (Available at 27.04.2020).


Review

For citations:


Gornushenkov I.D., Pluzhnikov I.V. Praecox-Gefühl in Classical and Modern Researches. Psychiatry (Moscow) (Psikhiatriya). 2020;18(3):58-64. (In Russ.) https://doi.org/10.30629/2618-6667-2020-18-3-58-64

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