Affectivity and narrativity in depression: a phenomenological study

• Published in: Medicine, health care, and philosophy health care, and philosophy, 2017-03, Vol.20 (1), p.77-88
• Main Author: Bortolan, Anna
• Format: Article
• Language: English
• Subjects: Affect; Affect (Psychology); Bioethics; Cognition; Consciousness; Depression - psychology; Education; Emotions; Ethics; Humans; Medical Law; Narration; Narratives; Phenomenology; Philosophy; Philosophy of Biology; Philosophy of Medicine; Scientific Contribution; Self awareness; Self Concept; Theory of Medicine/Bioethics
• ISSN: 1386-7423; 1572-8633
• DOI: 10.1007/s11019-016-9735-0

In this study I explore from a phenomenological perspective the relationship between affectivity and narrative self-understanding in depression. Phenomenological accounts often conceive of the disorder as involving disturbances of the narrative self and suggest that these disturbances are related to the alterations of emotions and moods typical of the illness. In this paper I expand these accounts by advancing two sets of claims. In the first place, I suggest that, due to the loss of feeling characteristic of the illness, the narratives with which the patients identified prior to the onset of depression are altered in various ways, thus leading to the weakening or abandonment of the narratives themselves. I then move to show that these autobiographical narratives are replaced by new stories which possess a distinctive structure and I argue that this is dependent upon specific configurations of affective experience, such as existential feelings of guilt, hopelessness, and isolation, and particular forms of temporal and spatial experience.