ABSTRACT

This volume presents a novel, international research study that reconceptualizes schizophrenia through an investigation of ways in which the first-hand experiences of those with a diagnosis differ from conventional diagnostic definitions.

Offering insight into the history of psychiatric taxonomies in general and the invention of the schizophrenia diagnosis in particular, Reconceptualizing Schizophrenia maps the emergence of uncertainties about the empirical and conceptual status of contemporary diagnostic systems. Particular focus is given to the heterogeneity problem, or the problem of wide empirical variation within and between disorder categories. At the heart of this book are interviews with mental health service users with psychotic-disorder diagnoses in New York City and Jerusalem. Through a detailed portrait of their existential and socio-institutional worlds, the book unveils a way of being-in-the-world characterized by the experience of feeling profoundly vulnerable and unsafe in an inhospitable world as well as foreclosed from belonging to one or more human communities. As this psychological portrait of urhomelessness unfolds, the reader becomes slowly aware of the relationships between psychotic experiences – often thought to be bizarre or ‘un-understandable’ – and the timeless ways in which all humans seek to dwell in the world.

Making an important contribution to the phenomenological-existential literature on psychosis, and demonstrating interdisciplinary and transcultural approaches to understanding anomalous experiences, this volume will be of great interest to researchers and scholars of transcultural psychiatry, clinical psychology, and critical theory.

chapter |6 pages

Introduction

BySarah R. Kamens

chapter 1|16 pages

Psychiatric Diagnosis in History

BySarah R. Kamens, Frederick J. Wertz

chapter 2|26 pages

The ‘Schizophrenia' Diagnosis: Predominant, Cross-Cultural, and Alternative Approaches

BySarah R. Kamens, Frederick J. Wertz

chapter 3|9 pages

Phenomenological Accounts

BySarah R. Kamens, Frederick J. Wertz

chapter 4|30 pages

A Multi-Site, International Project

BySarah R. Kamens, Frederick J. Wertz, Jessica Yisca Baris Ginat, Jacob Kader, David Miller, Lyra Ward, Tal Shachar-Malach, Pesach Lichtenberg

chapter 5|7 pages

Urhomelessness as a Way of Being-in-the-World

BySarah R. Kamens, Frederick J. Wertz, Ryan Scanlon, Jessica Yisca Baris Ginat, Jillian Minahan Zucchetto, Faith Forgione, Ileana Driggs, Lia Kamar, Katherine Sullivan, Caroline Silva, Oren Matar, Mary Beth Quaranta Morrissey

chapter 6|22 pages

Wandering in Exile: The Nomadic Moment

BySarah R. Kamens, Frederick J. Wertz

chapter 7|19 pages

Imaginal and Ideal Home: The Settled Moment

BySarah R. Kamens, Frederick J. Wertz

chapter 8|16 pages

Impossibility of Shelter: The Destitute Moment

BySarah R. Kamens, Frederick J. Wertz

chapter 9|14 pages

A Continuum of Experience: Urhomelessness and Recovery

BySarah R. Kamens, Jessica Yisca Baris Ginat, Ryan Scanlon, Faith Forgione, Ileana Driggs, Jillian Minahan Zucchetto, Lia Kamar, Pesach Lichtenberg

chapter 10|7 pages

Cultural Diversity and Sameness

BySarah R. Kamens, Frederick J. Wertz, Lia Kamar, Oren Matar, Ileana Driggs, Jillian Minahan Zucchetto, Faith Forgione, Ryan Scanlon, Jessica Yisca Baris Ginat

chapter 11|19 pages

Diagnostic Heterogeneities

BySarah R. Kamens

chapter 13|9 pages

Future Directions

BySarah R. Kamens, Jessica Yisca Baris Ginat, Mary Beth Quaranta Morrissey, Faith Forgione, Ileana Driggs, Jillian Minahan Zucchetto, Ryan Scanlon, Lia Kamar, Pesach Lichtenberg

chapter 14|9 pages

Implications for Cultural and Structural Worlds

BySarah R. Kamens, Pesach Lichtenberg