September 1968

Pathogenesis of Acute Schizophrenic PsychosisAn Experiential Approach

Author Affiliations

New Haven, Conn
From the Department of Psychiatry, Yale University, New Haven, Conn.

Arch Gen Psychiatry. 1968;19(3):348-355. doi:10.1001/archpsyc.1968.01740090092009

THIS paper will attempt to describe the process of the transformation of human experience into that which is known as psychotic. It will treat this transformation from the point of view of the individual in whom it is occurring. Thus it is an empirical study in the alteration of the content of human consciousness; it is a descriptive work in this sense.

Methodology  The study of consciousness is frustrating. Though we utilize each day a basic faith that our experience is closely akin to that of our fellows, it is categorical that we can never demonstrate scientifically that we are in fact observing another's conscious experience. We can ask ("What are you thinking?" or "What were you feeling?"), but we can never be sure of the validity of the ensuing report. Yet we proceed operationally in all phases of human encounter, and we

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