Enara García

Several enactive-phenomenological perspectives have pointed to affectivity as a central aspect of mental disorders. Indeed, from an enactive perspective, sense-making is an inherently affective process. A question remains on the role of different forms of affective experiences (i.e., existential feelings, atmospheres, moods, and emotions) in sense-making and, consequently, in mental disorders. This work elaborates on the enactive perspective on mental disorders by attending to the primordial role of affectivity in the self-individuation process. Inspired by Husserl’s genetic methodology and Simondonian philosophy of individuation, sense-making is described as the process of progressive concretization and structuration of the self-world structures that support the intentionality of conscious experiences. Accordingly, affectivity is described as the force that anticipates a partial self-world coherence in sense-making. Structurally different types of affective experiences are integrated into the genetic picture and, on this basis, a reinterpretation and classification of certain mental disorders, such as schizophrenia, depression, and the anxiety spectrum, is provided. In this way, this work contributes to a phenomenologically informed enactive account of mental disorders as disorders of affectivity.

This chapter examines mental disorders from an enactive perspective. It explores two key ontological claims—the processual and relational nature of cognition—and their implications for our understanding of mental disorders. Rather than viewing them as isolated brain disorders, mental disorders are presented as developmental sensorimotor trajectories that are shaped by embodied interactions and social contexts. It highlights the dynamic interplay between an individual’s autonomy and their social environment in the emergence of mental disorders.

In recent years, (autonomy-centered) enactivism has been used to provide an integrative and relational account of mental conditions. A significant advancement lies in its naturalized and pluralistic treatment of normativity, which transcends traditional objectivist and normativist dichotomies. This article explores the varieties of normativity within this paradigm and their implications for understanding mental conditions. We address purported challenges associated with the integration of social normativity into the enactive naturalistic framework of cognition, particularly concerning mental conditions. Drawing upon the distinction between the constitution problem and the status problem, we conceptualize mental conditions as intersubjectively constituted with an intersubjectively negotiated status. Adopting a participatory sense-making perspective, we address three challenges posed by social movements: (1) Hermeneutical dilemmas related to the ontological openness of mental health categories. (2) The difficulties and urgency to mitigate epistemic injustices. (3) The complex attribution of (social) responsibility in psychological wellbeing. In conclusion, this perspective prompts a reevaluation of epistemological assumptions, advocating for a second-person and engaged perspective on mental conditions.

This article explores the spatial dimensions of selfhood and the pathic felt-bodily resonance, emphasizing their role in understanding the connection between health and the environment. Adopting a phenomenological perspective, it provides an overview of the relationship between embodiment, spatiality, and affectivity and their alterations in mental conditions. It highlights the significance of alterations in affective permeability and embodiment, particularly in conditions such as schizophrenia, depression, and addiction, which lead to distortions in lived space and constrictions in the field of available affordances. It suggests the concept of ‘therapeutic atmospheres’ as those that open the corporal and emotional space of the patient and flexibilize the field of affective intensities navigated by them. It highlights the relevance of the therapists’ atmospheric competence and body availability to sustain the therapeutic space.

In Enactive Psychiatry, de Haan puts forward the enactive approach as a promising theory to solve the integration problem in psychiatry by articulating the physiological, socio-cultural, experiential, and existential dimensions of human sense-making. The author provides a valuable and accessible introduction to the enactive theory, a rich analysis of the classical descriptivist-normativist debate, and a guideline for personalized diagnosis. However, the addition of the existential dimension to the enactive theory adds (ad hoc) tensions with regard to the life-mind approach.

Several enactive-phenomenological perspectives have pointed to affectivity as a central aspect of mental disorders. Indeed, from an enactive perspective, sense-making is an inherently affective process. A question remains on the role of different forms of affective experiences (i.e., existential feelings, atmospheres, moods, and emotions) in sense-making and, consequently, in mental disorders. This work elaborates on the enactive perspective on mental disorders by attending to the primordial role of affectivity in the self-individuation process. Inspired by Husserl’s genetic methodology and Simondonian philosophy of individuation, sense-making is described as the process of progressive concretization and structuration of the self-world structures that support the intentionality of conscious experiences. Accordingly, affectivity is described as the force that anticipates a partial self-world coherence in sense-making. Structurally different types of affective experiences are integrated into the genetic picture and, on this basis, a reinterpretation and classification of certain mental disorders, such as schizophrenia, depression, and the anxiety spectrum, is provided. In this way, this work contributes to a phenomenologically informed enactive account of mental disorders as disorders of affectivity.

The phenomenology of atmospheres is recently gaining attention in debates on situated affectivity. Atmospheres are defined as holistic affective qualities of situations that integrate disparate affective forces into an identifiable and unitary gestalt. They point to a blurred, pathic, relational, and pre-individual form of experience which has been described in terms of ecological affordances. Despite its relevance in diverse areas of research such as architecture, phenomenological psychiatry and aesthetics, a thorough analysis of the phenomena of affective atmospheres from an enactive-ecological perspective is missing in the literature. This article aims at clarifying how and to what extent affective atmospheres can be accommodated into ecological-enactive understandings of the environment in terms of affordances. To do so, I review four perspectives on ecological affordances – the gibsonian account, the relational account, affective affordances, and the Skill Intentionality Framework (SIF) – and contrast them with the ontological and epistemológical principles that ground the phenomenology of atmospheres. I argue that only the field perspective developed in SIF is compatible with the phenomenology of atmospheres. From this perspective, affective atmospheres can be understood as phenomenological counterparts of context sensitivity, that is, as the holistic and pathic background feelings that make certain affordances more salient than others. As a conclusion, the analysis in this article shows the potential of the phenomenology of atmospheres to enrich the ecological-enactive cognition framework. It also highlights the opportunity to construct a situated understanding of affectivity that is informed by phenomenological perspectives.

As an alternative to linear and unidimensional perspectives focused mainly on either organic or psychological processes, the enactive approach to life and mind—a branch of 4-E cognitive theories—offers an integrative framework to study mental disorders that encompasses and articulates organic, sensorimotor, and intersubjective dimensions of embodiment. These three domains are deeply entangled in a non-trivial manner. A question remains on how this systemic and multi-dimensional approach may be applied to our understanding of mental disorders and symptomatic behavior. Drawing on Gilbert Simondon’s philosophy of individuation, we provide some enactive conceptual tools to better understand the dynamic, interactive, and multi-dimensional nature of human bodies in mental disorders and psychopathological symptoms. One of such tools cursiva is sense-making, a key notion that captures the relational process of generating meaning by interacting with the sociomaterial environment. The article analyzes five aspects related to sense-making: temporality, adaptivity, the multiplicity of normativities it involves, the fundamental role of tension, and its participatory character. On this basis, we draw certain implications for our understanding of mental disorders and diverse symptoms, and suggest their interpretation in terms of difficulties to transform tensions and perform individuation processes, which result in a reduction of the field of potentialities for self-individuation and sense-making.