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Understanding / Psychosis

Kenjiro Fukao

Psychosis - Phenomenology, Psychopathology and Pathophysiology February 2, 2022 Peer reviewed DOI: 10.5772/intechopen.101809

Summary

Karl Jaspers' concept of 'understanding' is central to defining psychosis, but paradoxically psychosis is defined by un-understandability—the inability to empathize with the patient's mind, implying a pathological brain process. This un-understandability of their own intentions makes psychotic patients judged as irresponsible in forensic cases. The text suggests that self-disorder in psychosis may be based on disturbed self-understanding.

Study at a glance

Design theoretical or philosophical paper
Key finding Psychosis is defined by un-understandability, which involves disturbed self-understanding and underpins forensic irresponsibility.

Abstract

“Understanding” in Jaspers’ sense is the essential concept for defining psychosis, although its relationship is paradoxical, that is, psychosis is defined by un-understandability or inability to understand. Un-understandability means the inability of empathizing with the patient’s mind and implies the existence of a pathological process in the patient’s brain. The pivotal concept which makes psychotic patients be judged as irresponsible in forensic cases is disturbed self-understanding or un-understandability of their own intentions. It is suggested that self-disorder representing psychosis might be based on disturbed self-understanding.

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