Evidence map›Paper›PMID 39866103›Full record

ArticleEuropean psychiatry : the journal of the Association of European Psychiatrists2025

How to improve psychiatric nosography in the XXI century: a phenomenologist"s viewpoint.

Giovanni Stanghellini

Abstract read
In one paragraph

Article in European psychiatry : the journal of the Association of European Psychiatrists, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

1 author.

Giovanni StanghelliniDepartment of Health Sciences, University of Florence, Florence, Italy.ORCID 0000-0001-5164-7013

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Classifications of mental disorders reflect much more the minds of psychiatrists than the patients' minds since these classifications are more focused on the interests of stakeholders (including governmental agencies, advocacy groups, medical insurance, and pharmaceutical companies) than on the experiences of patients. We live in times of rapid socio-cultural changes, and respective changes in the forms of mental suffering are increasingly characterized by fragmentariness and episodicity. These new forms of suffering may escape nosographic framing based on the identification of symptoms and syndromes. A paradigm shift in the psychiatric nosography is necessary. The way forward could be to enhance the ability of clinicians to grasp the "fragments" provided by patients rather than aggregations of symptoms. "Existential knots" can manifest themselves in these fragments to be used as "floating buoys" for clinical navigation, in the absence of exhaustive and detailed "maps" of the symptoms and syndromes that afflict patients. A tentative collection of these existential knots is provided, building on and extending the legacy of existential philosophy and phenomenological psychopathology.

Indexed as

Mental DisordersPsychiatryHumanscritique of psychiatric nosographyexistential knotsfragment-oriented listeninghumanistic approachstructural psychopathology

Identifiers

PMID39866103
PMCPMC11822955

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.