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Updated: May 15, 2026

Enactive Phenomenological Approach to the Trier Social Stress Test: A Mixed Methods Point of View
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[Self-experience in the early phase of psychosis: a phenomenological approach]
G B van de Kraats1, S E de Haan, G Meynen
1Nederlands Instituut voor Forensische Psychiatrie en Psychologie, Utrecht. G.vd.Kraats@dji.minjus.nl
Background:
The early detection of psychotic disorders is seen to be increasingly important. Authors of recent articles are adopting a phenomenological approach, taking the view that changes in self-experience represent a major prodromal feature of psychotic disorders.
Aim:
To find out what a phenomenological approach can contribute to the study of the early phase of psychotic disorders.
Method:
We discuss the literature that explores to what extent changes in self-experience are a central phenomenon in the prodromal phase of psychotic disorders. We also present a phenomenological model that explains these changes.
Results:
Characteristic changes in self-experience during the prodromal phase of psychotic disorders can provide the framework for an empirical, phenomenological explanatory model.
Conclusion:
In an empirical, phenomenological approach early changes in a patient’s self-experience are considered to play a central role. There are some indications that semi-structured interviews focusing on changes in a patient’s self-experience can contribute to the early detection of psychotic disorders.
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