From Pleasure to Anhedonia

Forbidden Desires and the Construction of Schizophrenia

Bibliographic Data

ID20400413
AuthorsAndreas Heinz (0000-0001-5405-9065, Ruhr University Bochum, corresponding author), Martin Heinze (0000-0003-3645-1033, Berlin)
Year1999
Volume9
Issue1
Pages47-65
Publication date1999-02-01
Open AccessYes
TypeARTICLE
VenueTheory & Psychology (JOURNAL)
Journal identifiersISSN: 0959-3543 • E-ISSN: 1461-7447
PublisherSAGE Publications (PUBLISHER • US)
DOI10.1177/0959354399091003
OpenAlexW2167142965
LanguageEN
Citations received2
References cited22

Anhedonia is a negative symptom that has not always been given attention in schizophrenic patients. While phenomenologically orinted psychiatrists noticed a certain lack of emotional vivacity in schizophrenic patients, schizophrenia theory in the tradition of Bleuler emphasized a different facet of schizophrenic psychopathology. It held that the retreat into wishful fantasies, autism, is a fundamental symptom of schizophrenia. Bleuler's concept of schizophrenic psychopathology was based on J. H. Jackson's evolutionary account of mental disorders. In this view, mental diseases represent a dissolution of evolutionary progress and lead to the manifestation of primitive traits in `modem' patients. This article argues that the resulting analogies perceived between schizophrenics and `primitive' people lead to an overemphasis on wishful, irrational thinking and to the neglect of anhedonia, the inability to experience pleasure. Moreover, socially unacceptable desires were rediscovered in these supposedly `primitive' individuals. This situation changed fundamentally only after social and historical transformations occurred that shifted the center of psychiatric research from Germany to the United States and from an emphasis on the rational control of desires to the use of social reward in ensuring social conformity. As a consequence, Rado and Meehl placed anhedonia at the heart of their schizophrenia theories. Current developments in social interaction seem to stimulate another shift in schizophrenia theory, de-emphasizing social reward and providing room for a differentiated assessment of anhedonia in schizophrenia

Anhedonia · Cognitive psychology · Developmental psychology · Pleasure · Psychiatry · Psychopathology · Psychotherapist · Wishful thinking · Mental Health and Psychiatry · Obsessive-Compulsive Spectrum Disorders · Psychology · Schizophrenia research and treatment

Tools

Open DOISci-Hub