
Contents
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Introduction Introduction
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The Phenomenology of Depression The Phenomenology of Depression
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Vulnerability and Premorbid Situation Vulnerability and Premorbid Situation
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Psychopathology of Depression Psychopathology of Depression
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Desynchronization of the Body Desynchronization of the Body
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Intersubjective Desynchroniziation Intersubjective Desynchroniziation
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Alteration of Future and Past Alteration of Future and Past
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Transition to Delusion Transition to Delusion
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Chronic Depression Chronic Depression
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The Phenomenology of Mania The Phenomenology of Mania
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Conclusion: A Resynchronizing Therapy Conclusion: A Resynchronizing Therapy
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Bibliography Bibliography
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64 The Life-World of Persons with Mood Disorders
Get accessThomas Fuchs, MD, PhD, is a psychiatrist and philosopher, and Jaspers Professor and head of the section ‘Phenomenological Psychopathology and Psychotherapy’ at the Department of Psychiatry in Heidelberg, Chairman of the Section ‘Philosophical Foundations of Psychiatry’ of the German Psychiatric Association (DGPPN), and Fellow of the Marsilius-Kolleg (Centre for Advanced Interdisciplinary Studies) at the University of Heidelberg. His major research areas are phenomenological psychopathology, psychology and psychotherapy; coherence and disorders of self-experience, phenomenology and cognitive neuroscience, and history and ethics of medicine and psychiatry.
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Published:07 November 2018
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Abstract
This chapter analyzes mood disorders as disorders of implicit and explicit temporality. First, depression is conceived (a) as a desynchronization from intersubjective time, (b) as an inhibition of conation or basic drive. The inhibition results in a disturbance of cyclical bodily functions and in a retardation of lived time, manifested both in a loss of the future as a space of possibilities, and in a predomincance of the past in the form of accumulated guilt. Depressive delusions may then be described as beliefs which result from the freezing of self-temporalization and which resist an intersubjective alignment of perspectives. Further considerations are given to chronic depression and mania, the latter being described as the opposite type of desynchronization as compared to depression, namely an acceleration and partial decoupling of the inner time from the world time. Finally, consequences for a “resynchronizing therapy” are outlined.
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