In the article Louis A. Sass's view on the relationship between madness and modern art is presented. Analyses of experiences within the schizophrenia spectrum disorders are the starting point for the questions on the character of human creativity and possibilities of understanding the person with mental disorder. Sass is against the romantic vision of creativity as regression – the moment in the direction of primitive emotionality, irrational mind states, and the feeling of connection with the world and the lack of the self-awareness. Such thinking is inconsistent with the innovative strategies in modern (and postmodern) art. Schizophrenic experience differs from post-romantic view of creativity and expresses in the forms of morbid hyperreflectivity and the feeling of alienation and disengagement. Robert J. Barret's critical remarks reveals some difficulties in Sass approach and the necessity for more sociological approach to mental illness.
In the text, I address the subject of neurocognitive science, art and literature in various perspectives, whose connecting point is the perspective of the experiencing subject and her embodiment. The embodied and involved subject reveals through her ailments and suffering dimensions of experience not always visible in the state of health and well-being. The starting point of my deliberations are issues in the field of neurocognitive science and neuroesthetics as the areas that attempt to explain the neurobiological mechanisms of perception of art and literature. Next, I refer to research in the field of neuroanthropology, through which the positive and creative dimensions of the illness experience are noticed. I also refer to psychopathology as an area that shows the dimensions of human experience in a much more fundamental way than it is able to show the experience of everyday life.
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The article outlines the problem of understanding mental disorders and the proposed distinctions significant in terms of all research done in the context of the philosophy of psychiatry. Inspired by the phenomenological and hermeneutic approach, engaged epistemo-logy is presented as a tool which helps to reveal the significant aspects of mental illness and psychopathology. By revealing the embodiment and the deep relation between the body and the outside world, engaged epistemology allows for a description of the dimensions of psychotic experience, as well as a more in-depth analysis of particular psychopathologies (and the related disorders of identity, lack of sense of reality and problems in relations with others). Scientists studying the phenomenological tradition made efforts to reliably describe the subjective experience of patients, and to critically evaluate the scientific ability to study illnesses. The hermeneutical critique of psychiatry, in turn, resorts to revealing its socio-cultural background which determines the horizon for objective, scientific, clinical research.
PL
Artykuł podejmuje problem rozumienia zaburzeń psychicznych oraz odwołuje się do szeregu dystynkcji czynionych w kontekście filozofii psychiatrii. Epistemologia zaangażowania inspirowana przez fenomenologiczne i hermeneutyczne podejścia stanowi narzędzie odkrywające znaczące aspekty choroby umysłu i psychopatologii. Poprzez ujawnienie ucieleśnienia oraz głębokich relacji między ciałem i światem zewnętrznym epistemologia zaangażowania pozwala opisać istotne wymiary psychotycznego doświadczenia oraz dokonać głębszych analiz poszczególnych psychopatologii (zaburzeń tożsamości, braku poczucia realności i problemów w relacji z innymi). Badanie tradycji fenomenologicznej wiąże się z wysiłkiem wiarygodnego opisu subiektywnych doświadczeń pacjentów i krytycznej oceny naukowych możliwości badań zaburzeń. Hermeneutyka krytyka psychiatrii ujawnia jej społeczno-kulturowe podstawy, które określają społeczno kulturowe tło dla zobiektywizowanych, naukowych badań klinicznych.
The authors concentrate on human moral choices in relation to medical institutions. They focus on mutual relations between a human and medical institutions. In the light of the consideration, the authors claim that various individuals functioning in the same institution have various objectives and different ways of achieving them. The objectives of physician in relation to necessity of making moral choices depend on his position in a hospital. The question arises, whether it is possible to consider moral choices of medical institutions. The answer is positive, but it refers to the term “poli-ethics”. This term concerns both moral (ethical) and political activities of medical institutions.
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