Toward a Change of Paradigm in Psychosis: A Contextual Phenomenological Approach

This abstract is of a chapter in Psychological Interventions for Psychosis that has been co-authored by Marino Pérez-Álvarez & José Manuel García-Montes:

“This chapter sets out the increasing evidence that makes it clear that the understanding of psychosis from the biomedical perspective has reached its limits. It is proposed that this depletion has to do with the scientific model on which the research carried out from the biomedical model is based on, a statistical-mechanistic one. Against it, a holistic-contextual science, centered on the person and their circumstances, and based on qualitative methodology and clinical method, is exposed. From a phenomenological-contextual position, psychosis is exposed as an altered way of being in the world and, therefore, its treatment would no longer be a question of reducing the symptoms, but of understanding them in the biographical context of the person and his/her circumstances. Implications of this “turn” are discussed, with a special emphasis on setting up phenomenological differences between different psychotic spectrum disorders, standing out the relevance of a psychotherapy focused on changing the relationship the person has with his/her symptoms, and proposing a holistic-contextual approach as a scientific framework as well as a qualitative methodology for research and clinical practice.”

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