The Phenomenology of Catatonia
from Part IV - Depression, Schizophrenia, and Dementia
Published online by Cambridge University Press: 30 October 2020
Catatonia is a severe psychiatric syndrome, characterized by specific motor abnormalities such as immobility, mutism, staring, rigidity, or psychomotor agitation. Until recently, it was often thought of as a subtype of schizophrenia. Today it is recognized to occur with different medical and psychiatric illnesses, and possibly independently thereof. Catatonia has a remarkable high incidence in the clinical setting, and its clinical presentation is often impressive and thought-provoking. Despite decades of scientific inquiry, catatonia remains poorly understood. Surprisingly, phenomenological psychopathology has only devoted little attention to the phenomenon. In order to increase our understanding of catatonia, this article investigates its phenomenology, i.e., its subjective and intersubjective presentation. We present a clinical vignette and clarify its phenomenology with emphasis on fear, embodiment, and temporality. Indirectly, this investigation will shed a different light on how trauma can affect subjectivity, in both its embodied and temporal dimension.
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