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Autism in schizophrenia revisited.
Comprehensive Psychiatry
|January 1, 1991
Summary
Autism is explored through its historical context, suggesting phenomenology offers a relational view. This perspective defines autism as a loss of reality contact and dysfunctional attunement, aiding schizophrenia research.
Area of Science:
- Psychiatry
- Phenomenology
- Autism Studies
Background:
- Historical review of the concept of autism.
- Bleulerian concept's impact on adult psychiatry.
- Phenomenology as an alternative approach to autism.
Observation:
- Autism viewed as a relational phenomenon (subject-outer world).
- European phenomenological psychiatry's approach to schizophrenia.
- Essence of autism explored through key phenomenological concepts.
Findings:
- Autism defined as a "loss of vital contact with reality" (Minkowski).
- Autism described as "inconsistency of natural experience" (Binswanger).
- Autism conceptualized as a "global crisis of common sense" (Blankenburg).
- Autism proposed as dysfunctional perceptual/expressive attunement to the outer world.
Implications:
- Phenomenological understanding of autism offers new diagnostic insights.
- Potential application in understanding the etiopathogenesis of schizophrenia.
- Reframes autism as a core deficit in relating to the external world.