Dysphoria as trans-diagnostic mood symptom and as lived experience. Lessons from prose, poetry and philosophy.

Autor: Stanghellini G; Department of Health Sciences, University of Florence, Italy; Centro de Estudios de Fenomenologìa y Psiquiatrìa, 'Diego Portales' University, Santiago, Chile. Electronic address: giostan@libero.it.
Jazyk: angličtina
Zdroj: Journal of affective disorders [J Affect Disord] 2024 Jun 01; Vol. 354, pp. 673-678. Date of Electronic Publication: 2024 Mar 18.
DOI: 10.1016/j.jad.2024.03.091
Abstrakt: This paper attempts to provide a characterisation of it from a first-person perspective of dysphoria, answering the question 'how it feels like to be dysphoric?'. Starting with a definition of emotions as embodied phenomena that provide the person with a felt motivation to move, a rich characterisation of dysphoria is provided centred on the coenesthetic and kinesthetic feelings inherent to this emotion. To fulfil this task, a selected choice of literary, poetic, theatrical and philosophical texts is used to compensate for the quasi-ineffability of the contrasting feelings inherent to dysphoria. Current definitions of dysphoria only highlight the 'negative' side of dysphoria, including irritability, discontent, surrender and interpersonal resentment. A more accurate characterisation necessitates the recognition of the 'positive' side of dysphoria and the ambiguities and contradictions inherent in this emotion. Dysphoric persons feel burdened by a weight that prevents them from moving and simultaneously incites movement. The inertia that accompanies dysphoria is inextricably tied in with a vital urge, however disordered and purposeless. Dysphoria is experienced both as a deadly stagnation and as a chaotic, wild impulse that brings with it an inane aspiration to explore the darkest parts of one's self in search of a glimmer of meaning and authenticity. This characterisation of dysphoria can help to differentiate it from other emotions such as sadness, anger, anxiety and anguish, and thus to identify it more precisely within the spectrum of mood disorders.
Competing Interests: Declaration of competing interest I declare that I have I do not have any actual or potential conflict of interest including any financial, personal or other relationships with other people or organizations within three (3) years of beginning the work submitted that could inappropriately influence, or be perceived to influence, this work.
(Copyright © 2024 Elsevier B.V. All rights reserved.)
Databáze: MEDLINE
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