Clinical diagnostics in psychiatry — empirical and theoretical levels of knowledge (on the example of analysis of a written text)

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Abstract


The paper shows correlation of empirical and theoretical levels of knowledge in psychiatry by analyzing a single text written by a patient. The patient’s text is analyzed three times. The first analysis performed by a linguist demonstrates how informative for a clinician can be an attentive attitude to the patient’s Word. The second analysis is a standard procedure for psychiatric phenomenological diagnostics. It is shown that the formulation of a clinical diagnosis from epistemological positions is equivalent to establishing a scientific fact (completion of empirical research): there is no theoretical modeling of pathological processes in psychiatry today; it all ends at the stage of recognizing the symptoms, without any attempt to understand them. The third analysis demonstrates the advantages in understanding pathological mechanisms provided by the explanatory model (interpretation of the text from the perspective of the bipersonal model of personality).


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About the authors

Elena N. Davtian

Russian State Pedagogical University named after A.I. Herzen; St.-Petersburg City Psycho-Neurology Dispensary №5

Author for correspondence.
Email: elena.davtian@gmail.com

Russian Federation, 191186, St.-Petersburg, emb. of the Moika river, 48; 195176, St.-Petersburg, Revolution highway, 17

к.м.н., доцент кафедры, врач-психиатр дневного стационара

Stepan E. Davtian

St.-Petersburg State University

Email: stepandavtian@gmail.com

Russian Federation, 199106, St.-Petersburg, Vasiljevsky island, 21-st line, 8а

к.м.н., доцент кафедры

Elena V. Uryson

Russian Language Institute named after V.V. Vinogradov of the Russian Academy of Sciences

Email: uryson@gmail.com

Russian Federation, 119019, Moscow, Volhonka str., 18/2

д. филол. н., главный научный сотрудник сектора теоретической семантики

References

  1. Давтян Е.Н., Ильичёв А.Б., Давтян С.Э. Симптом диалогического расщепления «я» как начальный этап нарушения внутренней речи при шизофрении. Психиатрия и психофармакотерапия. 2017; 19 (6): 62–70. [Davtian E.N., Ilʹichev A.B., Davtian S.E. Simptom dialogicheskogo rasshchepleniya «ya» kak nachalʹnyy ehtap narusheniya vnutrenney rechi pri shizofrenii. Psikhiatriya i psikhofarmakoterapiya. 2017; 19 (6): 62–70. (In Russ.)]
  2. Стёпин В.С. Философия науки. Общие проблемы. Учебник для аспирантов и соискателей учёной степени кандидатов наук. М.: Гардарики. 2006; 384 с. [Stepin V.S. Filosofiya nauki. Obshchie problemy. Uchebnik dlya aspirantov i soiskateley uchenoy stepeni kandidatov nauk. Moscow: Gardariki. 2006; 384 p. (In Russ.)]
  3. Давтян С.Э., Давтян Е.Н. О природе человека в свете постнеклассической науки (биперсональная модель личности). Неврологич. вестн. 2017; XLIX (1): 61–68. [Davtian S.E., Davtian E.N. O prirode cheloveka v svete postneklassicheskoy nauki (bipersonalʹnaya modelʹ lichnosti). Nevrologicheskiy vestnik. 2017; XLIX (1): 61–68. (In Russ.)]

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Copyright (c) 2021 Davtian E.N., Davtian S.E., Uryson E.V.

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