期刊
BJPSYCH BULLETIN
卷 46, 期 2, 页码 109-115出版社
CAMBRIDGE UNIV PRESS
DOI: 10.1192/bjb.2020.151
关键词
Delusion; phenomenology; psychopathology; psychosis; meaning
类别
资金
- Priestley PhD scholarship
- MRC [MR/T04618X/1] Funding Source: UKRI
Delusions, in some cases, can enhance an individual's sense of meaningfulness, challenging assumptions associated with concepts of 'disorder' and 'harm'. The coexistence of harmfulness and meaningfulness in delusions requires a phenomenological and value-based approach for clinicians.
Can delusions, in the context of psychosis, enhance a person's sense of meaningfulness? The case described here suggests that, in some circumstances, they can. This prompts further questions into the complexities of delusion as a lived phenomenon, with important implications for the clinical encounter. While assumptions of meaninglessness are often associated with concepts of 'disorder', 'harm' and 'dysfunction', we suggest that meaning can nonetheless be found within what is commonly taken to be incomprehensible or even meaningless. A phenomenological and value-based approach appears indispensable for clinicians facing the seemingly paradoxical coexistence of harmfulness and meaningfulness.
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