Schizophrenic hallucinations can be understood only as a function of the totality of the schizophrenic's personality, that is, only in the context of the person's entire being-in-the-world. For essential reasons, there is a predominance of auditory hallucinations in schizophrenia, and these typically take the form of human voices. This paper argues that the essential reasons here are human reasons. That is, hallucinations arise primarily on account of a human or personal deficit. We argue that the deficit in question is, most (...) fundamentally, the radical one of a disturbed relation between the subject and the world in general. The schizophrenic slackens the normal "intentional arc" that casts the subject out into a world. Our thesis is that this slackening has interpersonal roots and that hallucination can be understood as a desperate attempt to compensate for the impoverishment of being-in-the-world and, specifically, for the deficiency in human relations; hence, the "human" voices. (shrink)

Existential a prioris are fundamental elements of the a priori structure of one's being-in-the-world. They relate to Heidegger's existentials, although in psychiatry the analysis is mainly at the ontic level of concrete existence. The English term "existential" does not discriminate between the German "existenziell" and "existenzial". Here we mean with "existential" what in German is called "existenziell". In this paper schizophrenic delusions and hallucinations are considered secondary phenomena, being founded in a primary alteration of the existential a prioris. In schizophrenia (...) the alteration of the existential a prioris is recognized as a certain mode of being, different from ours, which is evident in the alteration of spatialization and temporalization, being-with others and bodily being. This is discussed by the so-called technical delusions and hallucinations, which are psychotic symptoms experienced as being infl uenced by means of technical instruments. The recognition of the alteration of these basic pre-objective structures is very important for the understanding and therapy of people with schizophrenia. (shrink)