The Phenomenological Approach in Psychopathology..
The Phenomenological Approach in Psychopathology..
The Phenomenological Approach in Psychopathology..
G. E. BERRIOS*
Certain assumptions are widely made about the relationship between phenomenology
and Western psychopathology: (1) ’phenomenology’ is the method of choice for
obtaining empathic, detailed and neutral descriptions of mental states; (2) the
conceptual foundations for such method are to be found in a putative ’early period’
of Husserl’s philosophy; and (3) Karl Jaspers imported phenomenology into
descriptive psychopathology. 1,2,3,4,5,6 Surprisingly, there is little historical evidence
to support this view. Historians of psychiatry, for example, have done little to
ascertain whether what Jaspers introduced into psychopathology had any connection
with Husserlian phenomenology.7 This lack of interest is understandable: as is also
the case with Kraepelin, insufficient time has yet elapsed to regard Jaspers as a
historical subject. The implications of accepting the above assumptions are,
however, important, particularly for psychiatric trainees: if phenomenology is
truly relevant, then they must be instructed in it. The task of exploring the
historical bases of the received view is not easy. Jaspers wrote desultorily on
phenomenology and successive editions of the General Psychopathology (GP)
included marked changes in emphasis and showed some ambivalence towards
Husserl. The thesis of this paper is that Jaspers’ contribution to descriptive
psychopathology (DP) is, in the main, independent of the philosophical
movement called ’phenomenology’; in other words, that there is no need to
invoke Husserlian phenomenology to explain or legitimate Jaspers’ achievement.
What is phenomenology?
The termPhenomenology names a loose set of philosophical doctrines sharing:
(a) adoctrinal core of metaphysical and epistemological assumptions, and
(b) instrumental strategies for describing mental entities. Its general objective is
the capturing of ’experiential essences’ (higher forms of knowledge coveted for
their assumed eternal value) with which to reconstruct reality on firmer basis. As
systematic arrangement of theories ... what mattered was to survey all possible
pictures without lapsing into any ...395
Interestingly, footnotes where reference to Husserl and phenomenology is
made, were edited either from edition to edition, or from original to English
translation. Thus, only up to the 1920 (second) edition96 did Jaspers refer in
Note 1 to Husserl’s ’logischen Untersuchungen, Vol II’: why did he delete it in
later editions? In regard to the content of the note itself, it is difficult to accept
Jaspers’ claim that the main thrust of Logical Investigations was ’methodological’
or that it was about ’psychological enquiry’! This runs counter to the fact that by
1911, when Jaspers began to write GP, Husserl had long abandoned worrying
about descriptive methods; indeed, it is difficult to identify a period in Husserl
philosophy when he was just concerned with descriptive methodology. At any
rate, Husserl explicitly repudiated the term ’descriptive psychology’ as early as
1903: ’I myself felt its deficiency soon after the publication of the first volume
(1900) and soon found occasion (in a review in the Archiv für systematische
Philosophie, ix, 397) to rectify the name I had given to phenomenology
(descriptive psychology) which was liable to misinterpretation ...’9~ But the
translators of the English edition also took the occasional licence. For example,
the relevant part of Footnote 1 in the seventh edition was translated thus: ’No
new principle but a new thoroughness in the old method is offered by Husserl in
his phenomenological basis for psychological inquiry. 98 The word ’old’ is not
present in the German edition. Such liberties were not, however, taken by the
French translators - a youthful J. P. Sartre being one of them99 - or in the
Spanish version. loo
Even more interesting is the history of the second footnote mentioning
’ideological from the experienced reality’ .11Lanteri Laura, in his classical paper
on the concept of process in Jaspers does not mention Husserl once, but
112
emphasizes the influence of Dilthey. Jeanne Hersch also mentions Dilthey
and states that Jaspers ’wanted to encompass all images (of madness) without
allowing himself to be trapped in any’ .113 Kremer-Marietti agreed that Dilthey
played an important role and states that Husserl’s descriptive phenomenology
allowed Jaspers to ’describe the intimate experiences of patients to understand
illusions and delusions ...’.114 Pichot suggestively stated that‘Jaspers’ personal
development is almost a mirror image of that of Ribot’s’, and after summarizing
his work, goes on to say ’his position was later to be severely criticized even by a
member of the Heidelberg School in the person of Mayer-Gross, who pointed
out that the concept of ’psychological comprehension’ was so flexible that it lent
itself too readily to infinite extensions and hence, in practice to the
that all psychopathological manifestations were psychogenic Wolfram
contention
Schmitt, in a paper on the question of method, pointed out that ’Jaspers is, with
his method of phenomenological comprehension, near the early Husserl’.116 In
the 1983 Heidelberg meeting to celebrate the centenary of Jaspers’ birth,
Blakenburg commented upon what he calls the ’static’ aspects of Jaspers’
phenomenological descriptions, 117 and Glatzel upon his limited definition of
symptom. 118 Gerd Huber, in turn, felt that Jaspers had introduced something
fundamentally new as compared to Kraepelinian 19 and deserved to be
defended against widespread misunderstanding. psychiatry, As against this Beauchesne
has stated that ’Jaspers stayed very close to Kraepelinian psychopathology and
classification’.12o Salamun also expressed a lukewarm view: ’Jaspers borrowed
from Husserl’s phenomenology the method of description this author had
outlined in an initial stage stage as a sort of descriptive psychopathology, but
never incorporated into his ideas proper Husserlian
and similar feelings have been expressed by Heimann.12
phenomenology . 121
It would seem, therefore, justified to cast doubt on the view that Husserl’s
ideas (early or late) were of real influence on the method that Jaspers chose to call
’phenomenological’. It is more likely that Jaspers used Husserl’s name to
legitimate his own youthful ideas on psychopathological description. Even the
view that there was an ’early’ Husserl has been challenged.123 Internal evidence
is also compatible with the hypothesis that the influence of Husserl was
negligible, for there is little radically new in Jaspers’ method of description,
when compared, say, with that practised by alienists during the latter part of the
nineteenth century. The central question is whether a putative ’phenomenological
method’ can stand on its own, i.e. be made independent from the ontological and
epistemological assumptions characterizing phenomenology in all its forms; the
124’125
answer is that it cannot. Jaspers himself rarely or ever mentioned Husserl
in his later philosophical work.126 Furthermore, when he was asked to compile a
list of classic philosophical books he did not include any by Husser1.12~ In his
excellent analysis of Jaspers’ thought, Koestenbaum stated: ’the influence of
Husserl is also apparent, although it is perhaps unconscious, since it is mostly
not much to do with Husserl’s phenomenology; this latter method was grounded on
the Cartesian ’cogito’, and the bracketing of the world, and attempted to capture
essences and develop a transcendental philosophy’.13o Of all writers, Spiegelberg
has been the one who has analysed in more detail the problems posed by Jaspers’
phenomenological claims. He quoted a conversation with Jaspers in his later
years that almost settles this issue: ’He minimized the role of Husserlian
phenomenology to such an extent that he no longer to it a decisive role
for his own development, even in his psychopathology’ .13 Spiegelberg concluded assigned
that Jaspers may be said to have founded ’phenomenological psychopathology’,
but that whatever this means it was a ’phenomenology [that] might have indeed
developed without Brentano and Husserl’. 132
Phenomenology and private mental states
It would seem. therefore, that Jaspers entertained an idiosyncratic view of
phenomenology. To analyse mental contents the philosopher must use, according
to Husserl, a ’phenomenological’ method which is as much a thought strategy as a
mental attitude. The method, however, was not meant to apply to the analysis of other
minds, for, as he wrote: ’phenomenological descriptions do not refer to experiences
or classes of experiences of empirical individuals; phenomenology knows nothing
and assumes nothing about personalized experiences, yours or mine’.133 Jaspers’
suggestion that psychiatrists might apply the phenomenological method to the
analysis of someone else’s experience (i.e. the patient’s) is not consistent with
this view and it is strange that he also felt that it was possible to practise
phenomenological analysis on the written descriptions of mental states. One
cannot help thinking, therefore, that his insistence on ’empathy’, on putting
oneself in the patient’s shoes, was an attempt to cope with his anomalous use of
the phenomenological method. Nor it is difficult to conclude that, during the
early stages of his career (when he still had no personal philosophical system),
Jaspers needed to legitimate his own brand of nineteenth century descriptivism, and
that ’phenomenological description’ was the appropriate term for this purpose.
experience ... how are these various data to be related? In some cases the
meaning is clear and we understand directly how one psychic event emerges
from another. This mode of understanding is only possible with psychic
events ... In phenomenology we scrutinize a number of qualities or states and
the understanding that accompanies this has a static quality’ ’Broadly ...
’understanding’continues. ~~’~~~
Summary
Jaspers was, of course, entitled to call his descriptive strategy whatever he liked.
The rules of the game, however, dictate that he provide operational criteria by
means of which his ’phenomenological’ method could be meaningfully distinguished
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maladies mentales, Vol. 1 (Gand: L. Hebbalyinck, 1852), 309.
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