Abstract

MARINA-GONZALEZ, Pedro A. The early phases of psychosis. Has Klaus Conrad been forgotten?. Rev. Asoc. Esp. Neuropsiq. [online]. 2023, vol.43, n.143, pp.37-54.  Epub July 31, 2023. ISSN 2340-2733.  https://dx.doi.org/10.4321/s0211-57352023000100003.

The first phases of psychosis have been the object of psychopathological attention, with special emphasis from the contributions of Jaspers and his school on. It is traditionally known that the evaluation of these phases requires an attentive and careful clinical examination. However, at the beginning of this century a current of biomedical enthusiasm led to the conviction that it was possible to identify people at risk of psychosis by means of biomarkers. In this way, preventive measures could be applied in order to avoid progression. Early-stage or first-episode programs spread widely. The promoters of these programs made a clean slate of previous psychopathological knowledge and searched in a natural space in which they found nothing. The keys to understanding psychosis are in the experience, not in biomarkers. Klaus Conrad made essential contributions to identify and describe the experiential phenomena that appear in the early stages of psychosis. Despite the time that has passed and neuroscientific contributions, they remain valid and up-to-date.

Keywords : psychosis; first episodes; phenomenology; first person account.

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