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Volume 30 no. 1
Diana Fuss
Corpse Poem
Dennis Kezar
Shakespeare's Addictions
Benjamin Robinson    
The Specialist on the Eichmann Precedent: Morality, Law, and Military Sovereignty
Michael Taussig
The Language of Flowers
Oren Izenberg
Language Poetry and Collective Life
Susan Lanzoni
An Epistemology of the Clinic: Ludwig Binswager's Phenomenology of the Other
Peter Havholm and Philip Sandifer:
Critical Response:
Corporate Authorship: A Response to Jerome Christensen

Jerome Christensen:
Critical Response:
Taking It to the Next Level: You've Got Mail, Havholm and Sandifer


See Also
Dominick LaCapra:
History and Psychoanalysis (Winter 1987)
Jean-Luc Marion:
Metaphysics and Phenomenology: A Relief for Theology (Summer 1994)

Susan Lanzoni
is an NSF postdoctoral fellow and research associate at the Center for Philosophy and History of Science at Boston University. This essay originated from her dissertation, "Bridging Phenomenology and the Clinic: Ludwig Binswanger's Science of Subjectivity," completed at the history of science department at Harvard University. She is presently working on a history of empathy.

An Epistemology of the Clinic: Ludwig Binswanger's Phenomenology of the Other
by Susan Lanzoni

Binswanger's phenomenology of the clinical encounter stressed the role of the clinician as the epistemological instrument of perception and feeling and offered a striking alternative to the patient-psychiatrist encounter as described by psychoanalysis. Binswanger's work thus stands in a phenomenological psychotherapeutic tradition that departs significantly from Freudian psychoanalysis and that has had profound influence in Central Europe, as well as in England and the United States8 In the years following World War II, Binswanger's rendering of the phenomenological vision would inspire Maurice Merleau-Ponty as well as the young Michel Foucault. 9 As a source of intersubjective and social definitions of mental disorder, it would also provide philosophical fuel for the antipsychiatry movement. 10In formulating a hybrid science melding the domains of philosophy and psychiatry, Binswanger went further than most in demonstrating the potential of phenomenology to bridge intellectual and practical worlds: from European psychiatric asylum practice, to critiques of psychoanalysis, to philosophical discourse on intersubjectivity.

It is perhaps obvious that a clinical psychiatrist, especially the director of a psychiatric asylum, would take an interest in intersubjectivity as it pertained to the clinical encounter. New therapeutic practices-suggestion and hypnosis in the late nineteenth century and psychoanalytic transference in the early twentieth-had focused attention on the healing possibilities of doctor-patient contact. For the majority of Binswanger's asylum patients, however, who suffered from psychotic disturbances such as mania and schizophrenia, these therapeutic techniques had limited value. For such cases, the more basic challenge to the practicing psychiatrist was merely to understand schizophrenic experience, which seemed so unlike the normal, both cognitively and emotionally. Jaspers, one of the pioneers of phenomenological psychiatry, found phenomenological methods useful for understanding individual psychotic symptoms but did not think they could lead to a comprehensive understanding of psychosis11 Binswanger, in contrast, boldly claimed that phenomenological intuition and empathy could provide a direct pathway to understanding the psychotic person holistically.

8. It is only recently that scientific psychologies with debts to phenomenology have become a research topic for historians of psychology and psychiatry. The classic work is Spiegelberg's Phenomenology in Psychology and Psychiatry. See also Max Herzog, Phänomenologische Psychologie: Grundlagen und Entwicklungen (Heidelberg, 1992). Mitchell G. Ash chronicles the history of Gestalt psychology, with particular attention to its phenomenological roots, in Gestalt Psychology in German Culture, 1890-1967: Holism and the Quest for Objectivity (Cambridge, 1998). See also Anne Harrington, Reenchanted Science: Holism in German Culture from Wilhelm II to Hitler (Princeton, N.J., 1996), for a discussion of holism and phenomenology in the work of the neurologist Kurt Goldstein and psychologist Max Wertheimer. Martin Kusch discusses phenomenology and life-philosophy in the history of disciplinary disputes between philosophers and psychologists in Germany in Psychologism: A Case Study in the Sociology of Philosophical Knowledge (London, 1995). Kusch also examines the Würzburg school of thought-psychology, which made use of Husserlian ideas, in Psychological Knowledge: A Social History and Philosophy (London, 1999). Katherine Arens explores developments in conceptual psychology, focusing on Franz Brentano, Dilthey, and Husserl, in Structures of Knowing: Psychologies of the Nineteenth Century (Dordrecht, 1989). Louis Sass explores three phenomenological approaches to schizophrenia in Louis Sass, "Self and World in Schizophrenia: Three Classic Approaches," Philosophy, Psychiatry, and Psychology 8 (Dec. 2001): 251 – 70.
9.Binswanger's first existential essay, "Dream and Existence," was famously introduced to a French-speaking audience by Michel Foucault in 1954. See Michel Foucault, "Dream, Imagination, and Existence," in Foucault and Binswanger, Dream and Existence, ed. Keith Hoeller (1954; Atlantic Highlands, N.J., 1993). Maurice Merleau-Ponty, Phenomenology of Perception, trans. Colin Smith (London, 1989) cites Binswanger's work on hysteria and the body; see p. 160.
10. R. D. Laing is a major figure in the antipsychiatry movement (along with Foucault) with strong connections to existential psychiatry; see R. D. Laing, The Divided Self: An Existential Study in Sanity and Madness (1959; New York, 1990), pp. 17 – 38.
11. See Karl Jaspers, Allgemeine Psychopathologie: Für Studierende ärzte und Psychologen (1913; Berlin, 1923). In a letter to Jaspers, Binswanger said that despite his criticism of Jaspers's methods, they were united in the attempt to turn psychology in the direction of subjectivity; see Binswanger, letter to Jaspers, 1 Nov. 1922, Binswanger Archive 443/17, Tübingen University Archive, Tübingen, Germany; hereafter abbreviated UAT.