Journal of Clinical Medicine (Jun 2023)

Phenomenological Considerations of the World of the Obsessive Patient

  • Francesco Demaria,
  • Maria Pontillo,
  • Domenica Bellantoni,
  • Cristina Di Vincenzo,
  • Stefano Vicari

DOI
https://doi.org/10.3390/jcm12134193
Journal volume & issue
Vol. 12, no. 13
p. 4193

Abstract

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Despite significant scientific advances in research on obsessive-compulsive disorder (OCD), the psychological and behavioral symptoms of this pathological condition remain hard to understand, until they seem paradoxical. The present work seeks to consider the significance and potential contribution of a phenomenological reading of OCD and how phenomenalism has influenced some cognitive models of this disorder. Transcendental phenomenology is a philosophical approach that attaches primary importance to intuitive experience and considers all phenomena intrinsically associated with the subject’s inner world. Thus, the subject’s intuition is considered the starting point for understanding their essential experience. This approach has had a profound influence on modern cognitive sciences. Among current cognitive models, post-rationalist cognitivism and cognitive neuropsychological psychotherapy seem most effective in capturing the world experiences of OCD patients. Both apply a phenomenological approach to identify these experiences, which are typically characterized by hyper-reflexivity, at the expense of ‘natural evidence.’ The models have found that OCD patients experience the world emotionally as a sterile set of rules, and this experience determines their suffering.

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