Avant, Vol. XI, No. 1, doi: 10.26913/avant.2020.01.02
published under license CC BY-NC-ND 3.0
Maja Białek
University of Białystok, Poland
m.bialek @ uwb.edu.pl
Published Online First 9 December 2019 Download full text
Abstract: The aim of my paper is to define three key problems concerning depression and to show how phenomenological and 4E theories of depression can be used to help us with them. I employ the Sellarsian concept of a synoptic view—a good synoptic view of depression should bring together the manifest image (“folk psychiatry”) and the scientific image. The first problem is that currently there exist serious gaps in both images—our mainstream conceptions of depression are lacking and their reception by the general public is oversimplified and overoptimistic. The second problem is that the explanatory needs of the general public regarding depression could not ever be satisfied by the current scientific image— as I show using the case-study of the enthusiastic reception of Mira Marcinów’s 2017 book presenting the often outlandish 19th century Polish theories of depression. It turns out that certain outdated but vivid terms and ideas concerning melancholy actually may be more helpful in many ways than what current biomedical psychiatry has to offer. The third problem is how to rectify the first problem given the existence of the second problem—that is, how to make space for a less biomedical and reductionist approach to depression without risking an overly skeptical, anti-scientific turn within folk-psychiatry. I conclude that although phenomenological and embodied theories could not ever directly influence the manifest image of depression, they need to be included within the scientific image—and then they could become the perfect basis for a truly synoptic view.
Keywords: depression; folk psychiatry; 4E psychiatry; history of psychiatry; reductionism in psychiatry
References
Borrell-Carrió, F., Suchman, A., Epstein, R. (2004). The Biopsychosocial Model 25 Years Later: Priciples, Practice, and Scientific Inquiry. Annals of Family Medicine, 2(6), 576-582. https://doi.org/10.1370/afm.245 |
||||
Brossard, D., & Scheufele, D. A. (2013). Science, new media, and the public. Science, 339(6115), 40-41. https://doi.org/10.1126/science.1232329 |
||||
Bracken P, Thomas P. (2001). Postpsychiatry: A new direction for mental health. British Medical Journal, 322, 724-727. https://doi.org/10.1136/bmj.322.7288.724 |
||||
Buck, A. (2008). Depression: What you need to know. Practice Nurse, 36(10), 16-19. | ||||
Cipriani, A., Furukawa, T., Salanti, G., Chaimani, A., Atkinson, L., Ogawa, … Geddes, J. (2013). Comparative efficacy and acceptability of 21 antidepressant drugs for the acute treatment of adults with major depressive disorder: a systematic review and network meta-analysis. The Lancet, 391(10128), 1357-1366. https://doi.org/10.1016/S0140-6736(17)32802-7 |
||||
Di Paolo, E., Cuffari, E., & De Jaegher, H. (2018). Linguistic Bodies. The Continuity between Life and Language. Cabridge, MA: MIT Press. https://doi.org/10.7551/mitpress/11244.001.0001 |
||||
Engel, G. (1977). The Need for a New Medical Model: A Challenge for Biomedicine. Science, 196(4286), 129-136. https://doi.org/10.1126/science.847460 |
||||
Fodor, J. A. (1985). Mind Association Fodor’s Guide to Mental Representation: The Intelligent Auntie’s Vade-Mecum. Mind, 94(373), 76-100. https://doi.org/10.1093/mind/XCIV.373.76 |
||||
Fuchs T. (2005a). Corporealized and disembodied minds: a phenomenological view of the body in melancholia and schizophrenia. Philosophy, Psychiatry, and Psychology,12(2), 95-107. | ||||
Fuchs T. (2005b). The phenomenology of the body, space and time in depression. Comprendre, 15, 108-121. | ||||
Fuchs, T., (2017). Ecology of the Brain: The Phenomenology and Biology of an Embodied Mind. Oxford, UK: Oxford University Press. https://doi.org/10.1093/med/9780199646883.001.0001 |
||||
Geddes, J. (2013). Comparative efficacy and acceptability of 21 antidepressant drugs for the acute treatment of adults with major depressive disorder: a systematic review and network meta-analysis. The Lancet, 391(10128), 1357-1366. https://doi.org/10.1016/S0140-6736(17)32802-7 |
||||
Ghaemi, S. N. (2007). Feeling and Time: the Phenomenology of Mood Disorders, Depressive Real-ism and Existential Psychotherapy. Schizophrenia Bulletin, 33(1), 122-130. https://doi.org/10.1093/schbul/sbl061 |
||||
Ghaemi, S. N. (2009). The rise and fall of the bio-psychosocial model. British Journal of Psychiatry 195(1), 3-4. https://doi.org/10.1192/bjp.bp.109.063859 |
||||
Ghaemi, S. N. (2011). The Biopsychosocial Model in Psychiatry: A Critique. Existenz, 6, 1-8. | ||||
Greenberg G. (2011). Manufacturing Depression: The Secret History of a Modern Disease. New York, NY: Simon & Schuster. | ||||
Haslam, N., Ban, L., & Kaufmann, L. (2007). Lay conceptions of mental disorder: The folk psychiatry model. Australian Psychologist, 42(2), 129-137. https://doi.org/10.1080/00050060701280615 |
||||
Hari, J. (2018). Lost Connections: Uncovering the Real Causes of Depression-and Unexpected Solutions. Bloomsbury. | ||||
Hund, O. (2018). Psy ras drobnych. Kraków, Poland: Korporacja Ha!art. | ||||
Insel, T., Cuthbert, B., Garvey, M., Heinssen, R., Pine, D. S., Quinn, K., Sanislow, C., Wang, P. (2010). Research domain criteria (RDoC): Toward a new classification framework of research on mental disorders. American Journal of Psychiatry, 167(7), 748-751. https://doi.org/10.1176/appi.ajp.2010.09091379 |
||||
Jackson, F., & Pettit, P. (1990). In defence of folk psychology. Philosophical Studies, 59(1), 31-54. https://doi.org/10.1007/BF00368390 |
||||
Kirsch, I. (2009). The Emperor’s New Drugs: Exploding the Antidepressants Myth. London, UK: Random House Group. | ||||
Kirsch, I. (2014). Antidepressants and the placebo effect. Zeitschrift Fur Psychologie / Journal of Psychology, 222(3), 128-134. https://doi.org/10.1027/2151-2604/a000176 |
||||
Lewis, D. (1972). Psychophysical and theoretical identifications. Australasian Journal of Philoso-phy, 50(3), 249-258. https://doi.org/10.1080/00048407212341301 |
||||
Longdon, E., & Read, J. (2017). ‘People with problems, not patients with Illnesses’: Using psycho-social frameworks to reduce the stigma of psychosis. Israel Journal of Psychiatry and Related Sciences, 54(1), 24-30. | ||||
Minkowski, E. (1970). Lived Time: Phenomenological and Psychopathological Studies. Evanston, IL: Northwestern University Press. | ||||
Moncrieff, J. (2013). The Bitterest Pills: The Troubling Story of Antipsychotic Drugs. Basingstoke, UK: Palgrave Macmillan. https://doi.org/10.1057/9781137277442 |
||||
Parnas, J., Moller, P., Kircher, T., Thalbitzer, J., Jansson, L., Handest, P., & Zahavi, D. (2005). EASE: Examination of Anomalous Self-Experience. Psychopathology, 38(5), 236-258. https://doi.org/10.1159/000088441 |
||||
Rasmussen, A. R., Stephensen, H., & Parnas, J. (2018). EAFI: Examinatgion of Anomalous Fantasy and Imagination. Psychopathology, 51(3), 216-226. https://doi.org/10.1159/000488464 |
||||
Ratcliffe, M. (2008). Feelings of Being. Oxford, UK: Oxford University Press. https://doi.org/10.1093/med/9780199206469.001.0001 |
||||
Ratcliffe, M. (2012). Varieties of Temporal Experience in Depression. The Journal of Medicine and Philosophy, 37(2), 114-138. https://doi.org/10.1093/jmp/jhs010 |
||||
Ratcliffe, M. (2015). Experiences of Depression: A Study in Phenomenology. Oxford, UK: Oxford University Press. | ||||
Rutjens, B. T., Heine, S. J., Sutton, R. M., & van Harreveld, F. (2018). Attitudes towards science. Advances in Experimental Social Psychology, 57, 125-165. https://doi.org/10.1016/bs.aesp.2017.08.001 |
||||
Sass, L., Pienkos, E., Skodlar, B., Stanghellini, G., Fuchs, T., Parnas, J., & Jones, N. (2017). EAWE: Examination of Anomalous World Experience. Psychopathology, 50(1), 10-54. https://doi.org/10.1159/000454928 https://doi.org/10.1159/000456215 |
||||
Schomerus, G., Schwahn, C., Holzinger, A., Corrigan, P. W., Grabe, H. J., Carta, M. G., & Anger-meyer, M. C. (2012). Evolution of public attitudes about mental illness: A systematic review and meta-analysis. Acta Psychiatrica Scandinavica, 125(6), 440-452. https://doi.org/10.1111/j.1600-0447.2012.01826.x |
||||
Shorter, E. (2015). The history of nosology and the rise of the Diagnostic and Statistical Manual of Mental Disorders. Dialogues in Clinical Neuroscience, 17(1), 59-67. | ||||
Stephan, K. E., Bach, D. R., Fletcher, P. C., Flint, J., Frank, M. J., Friston, K. J. … Breakspear, M. (2016a). Charting the landscape of priority problems in psychiatry, part 1: Classification and diagnosis. Lancet Psychiatry, 3(1), 77-83. https://doi.org/10.1016/S2215-0366(15)00361-2 |
||||
Stephan, K. E., Bach, D. R., Fletcher, P. C., Flint, J., Frank, M. J., Friston, K. J. … Breakspear, M. (2016b). Charting the landscape of priority problems in psychiatry, part 2: pathogenesis and aetiology. Lancet Psychiatry, 3(1), 84-90. https://doi.org/10.1016/S2215-0366(15)00360-0 |
||||
Trautmann, S., Rehm, J., & Wittchen, H. (2016). The economic costs of mental disorders. EMBO Reports, 17(9), 1245-1249. https://doi.org/10.15252/embr.201642951 |
||||
Uher, R., Payne, J. L., Pavlova, B., & Perlis R. H. (2014). Major depressive disorder in DSM-5: implications for clinical practice and research of changes from DSM-IV. Depression and Anx-iety 31(6), 459-471. https://doi.org/10.1002/da.22217 |
||||
Vogel, D. H. V., Krämer, K., Schoofs, T., Kupke, C., & Vogeley, K. (2018). Disturbed Experience of Time in Depression-Evidence from Content Analysis. Frontiers in Human Neuroscience, 12(February), 1-10. https://doi.org/10.3389/fnhum.2018.00066 |
||||
Wakefield, J., First, M. (2012). Fallacious reasoning in the argument to eliminate the major depres-sion bereavement exclusion in DSM-5. World Psychiatry, 11(3), 204-205. https://doi.org/10.1002/j.2051-5545.2012.tb00135.x |
||||
Sass, L., Parnas, J., Zahavi, D. (2011). Phenomenological Psychopathology and Schizophrenia: Contemporary Approaches and Misunderstandings. Philosophy, Psychiatry and Psychology, 18(1), 1-23. https://doi.org/10.1353/ppp.2011.0008 |
||||
Szasz, T. (1961). The Myth of Mental Illness. New York, NY: Hoeber-Harper. | ||||
Żurek, Ł. (2018). W szpitalu wali handlem. [A review of Hund 2018]. Dwutygodnik, 245. Retrieved from https://www.dwutygodnik.com/artykul/7982-w-szpitalu-wali-handlem.html
“Avant” journal – the task financed under the contract 711/P-DUN/2019 from the funds of the Minister of Science and Higher Education for the dissemination of science.Czasopismo „Avant” – zadanie finansowane w ramach umowy 711/P-DUN/2019 ze środków Ministra Nauki i Szkolnictwa Wyższego przeznaczonych na działalność upowszechniającą naukę. |