This volume presents a novel, international research study that reconceptualizes schizophrenia through an investigation of ways in which the first-hand, lived 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.
List of Tables & FiguresList of ContributorsAcknowledgmentsForeword - John StraussIntroduction - Sarah KamensChapter 1: Psychiatric Diagnosis in History - Sarah Kamens & Frederick WertzChapter 2: The Emergence of the "Schizophrenia" Diagnosis: Conventional, Cross-Cultural, and Alternative Approaches - Sarah Kamens & Frederick WertzChapter 3: Phenomenological Accounts - Sarah Kamens & Frederick WertzChapter 4: A Multi-Site, International Project - Sarah Kamens, Frederick Wertz, Jessica Yisca Baris Ginat, Jacob Kader, David Miller, Lyra Ward, Tal Shachar-Malach, & Pesach LichtenbergChapter 5: Urhomelessness as a Way of Being-in-the-World - Sarah Kamens, Frederick Wertz, Ryan Scanlon, Jessica Yisca Baris Ginat, Jillian Minahan, Faith Forgione, Ileana Driggs, Lia Kamar, Katherine Sullivan, Caroline Silva, Oren Matar, & Mary Beth Quaranta MorrisseyChapter 6: Wandering in Exile: The Nomadic Manifestation - Sarah Kamens & Frederick WertzChapter 7: Imaginal and Ideal Home: The Settled Manifestation - Sarah Kamens & Frederick WertzChapter 8: Impossibility of Shelter: The Destitute Manifestation - Sarah Kamens & Frederick WertzChapter 9: A Continuum of Experience: Urhomelessness and Recovery - Sarah Kamens, Jessica Yisca Baris Ginat, Ryan Scanlon, Faith Forgione, Ileana Driggs, Jillian Minahan, Lia Kamar & Pesach LichtenbergChapter 10: Cultural Diversity and Sameness - Sarah Kamens, Frederick Wertz, Lia Kamar, Oren Matar, Ileana Driggs, Jillian Minahan, Faith Forgione, Ryan Scanlon & Jessica Yisca Baris GinatChapter 11: Diagnostic Heterogeneities - Sarah KamensChapter 12: Phenomenological and Interdisciplinary Literatures - Sarah KamensChapter 13: Future Directions - Sarah Kamens, Jessica Yisca Baris Ginat, Mary Beth Quaranta Morrissey, Faith Forgione, Ileana Driggs, Jillian Minahan, Ryan Scanlon, Lia Kamar & Pesach LichtenbergChapter 14: Implications for Cultural and Structural Worlds - Sarah Kamens & Pesach LichtenbergAppendix: Qualifications and Distinctions Concerning the Definition of UrhomelessnessReferencesIndex