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Vol. 41, No. 6, 2008
Issue release date: October 2008
Section title: Original Paper
Psychopathology 2008;41:346–355
(DOI:10.1159/000152376)

The Phenomenology of the Psychotic Break and Huxley’s Trip: Substance Use and the Onset of Psychosis

Nelson B.a · Sass L.A.b
aORYGEN Research Centre, Parkville, Vic., Australia; bDepartment of Clinical Psychology, Graduate School of Applied and Professional Psychology (GSAPP), Rutgers University, Piscataway, N.J., USA

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Article / Publication Details

First-Page Preview
Abstract of Original Paper

Received: 10/1/2007
Accepted: 1/15/2008
Published online: 9/3/2008
Issue release date: October 2008

Number of Print Pages: 10
Number of Figures: 0
Number of Tables: 0

ISSN: 0254-4962 (Print)
eISSN: 1423-033X (Online)

For additional information: http://www.karger.com/PSP

Abstract

Background: While considerable research attention has been devoted to the causal relationship between substance use and psychosis, the phenomenology of the association between the two has largely been ignored. This is a significant shortcoming, because it blinds researchers to the possibility that there may be elements of the subjective experience of substance use and psychosis that contribute to their apparent relationship in empirical studies. Sampling and Methods: The current paper examines the phenomenology of the onset of psychosis and the phenomenology of substance intoxication through consideration of two texts: Sass’s account of the phenomenology of psychosis onset and Huxley’s account of the experience of hallucinogenic intoxication. Sass’s account of psychosis onset includes four components: Unreality, Fragmentation, Mere Being, and Apophany. Results: The analysis reveals significant parallels – and also some differences – between this account and the phenomenology of substance intoxication. Conclusions: We discuss the implications of this for the causal relationship between psychosis and substance use and suggest several ways of understanding the overlapping phenomenologies. This includes the suggestion of a shared factor, perhaps best described as psychotic-like experience, which seems to involve a breakdown of the sign-referent relationship and relationship with the common-sense, practical world. However, in the onset of psychosis, this breakdown is primarily experienced as a sense of alienation from self and world, whereas in the hallucinogenic state a sense of mystical union and revelation seems predominant. Further research may extend this analysis by looking at experiences with other drugs, particularly cannabis, and by examining the phenomenology of psychotic disorder beyond the first episode.

© 2008 S. Karger AG, Basel


Article / Publication Details

First-Page Preview
Abstract of Original Paper

Received: 10/1/2007
Accepted: 1/15/2008
Published online: 9/3/2008
Issue release date: October 2008

Number of Print Pages: 10
Number of Figures: 0
Number of Tables: 0

ISSN: 0254-4962 (Print)
eISSN: 1423-033X (Online)

For additional information: http://www.karger.com/PSP


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