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Humpston, Clara S. and Broome, Matthew R. 2016. Perplexity. In: Stanghellini, Giovanni and Aragona, Massimiliano eds. An Experiential Approach to Psychopathology: What is it like to suffer from mental disorders?, Berlin: Springer, pp. 245-264. (10.1007/978-3-319-29945-7_13)

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The sense of perplexity is a key feature of delusional mood/atmosphere which plays an important role in the phenomenology of early psychosis. Here we begin this chapter by presenting a clinical scenario of the psychosis prodrome and refer to this case study as our basis of discussion. We provide a detailed picture of psychiatric and philosophical literature to investigate in depth the phenomenon of perplexity drawing from theories such as Conrad’s stage model of beginning schizophrenia before placing the original case study into context and discuss concepts related to a loss of common sense and delusional elaboration in the pathogenesis of the perplexed feelings experienced by many prodromal individuals. We end the chapter with clinical implications and offer potential suggestions for improving the assessment, diagnosis and treatment of early psychosis, in particular the importance of recognising the individual’s suffering and acknowledge his own reality.

Item Type: Book Section
Date Type: Publication
Status: Published
Schools: Cardiff University Brain Research Imaging Centre (CUBRIC)
Subjects: B Philosophy. Psychology. Religion > BF Psychology
R Medicine > RC Internal medicine > RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry
Publisher: Springer
ISBN: 9783319299433
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Last Modified: 04 Jun 2017 08:53

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