Facts and meaning in psychiatry. An anthropological approach to the lifeworld of schizophrenics.

摘要: Dominant research paradigms in psychiatry appear broadly unequipped for explaining the diversity of outcome schizophrenics. The author builds on anthropological approaches to meaning construction and European psychiatric phenomenological descriptions forms “being-in-the-world” propose alternative perspectives. Data have been collected schizophrenics contrasted base hospitalization rate. Statistical analysis has evidenced recurrent structural features stance-toward-the-world among non-rehospitalized patients. Qualitative patients' narratives enlightens these data from patient's perspective. It shows centrality a “positive withdrawal” position toward-the-world sample exemplifies function specific cultural signifiers constructing one's experience. In reference Tellenbach's idea endo-cosmo-genesis, hypothesizes that individual vulnerability associated with schizophrenia interacts Western values enforces “withdrawn” component North American