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Phenomenological and hermeneutic models. Understanding and interpretation in psychiatry

In Jennifer Radden (ed.), The Philosophy of Psychiatry: A Companion. Oxford: Oxford University Press. pp. 351--363 (2004)

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  1. Addiction and self-determination: A phenomenological approach.Jann E. Schlimme - 2010 - Theoretical Medicine and Bioethics 31 (1):49-62.
    In this article, I focus on possibly impaired self-determination in addiction. After some methodological reflections, I introduce a phenomenological description of the experience of being self-determined. I argue that being self-determined implies effectivity of agency regarding three different behavioural domains. Such self-referential agency shall be called ‘self-effectivity’ in this article. In a second step, I will use this phenomenological description to understand the impairments of self-determination in addiction. While addiction does not necessarily imply a basic lack of control over one’s (...)
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  • Sense of self-determination and the suicidal experience. A phenomenological approach.Jann E. Schlimme - 2013 - Medicine, Health Care and Philosophy 16 (2):211-223.
    In this paper phenomenological descriptions of the experiential structures of suicidality and of self-determined behaviour are given; an understanding of the possible scopes and forms of lived self-determination in suicidal mental life is offered. Two possible limits of lived self-determination are described: suicide is always experienced as minimally self-determined, because it is the last active and effective behaviour, even in blackest despair; suicide can never be experienced as fully self-determined, even if valued as the authentic thing to do, because no (...)
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  • Lived autonomy and chronic mental illness: a phenomenological approach.Jann E. Schlimme - 2012 - Theoretical Medicine and Bioethics 33 (6):387-404.
    In this paper, I develop a phenomenological description of lived autonomy and describe possible alterations of lived autonomy associated with chronic depression as they relate to specific psychopathological symptoms. I will distinguish between two types of lived autonomy, a pre-reflective type and a reflective type, which differ with respect to the explicitness of the action that is willed into existence; and I will relate these types to the classical distinction between freedom of intentional action and freedom of the will. I (...)
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