The Examination of Anomalous World Experience: Implementation of Phenomenological Interview in the Context of Modern Ukrainian Culture

This research examines the application of the Examination of Anomalous World Experience (EAWE), a semi-structured phenomenological interview, within the clinical context of contemporary Ukraine, especially during wartime. The study’s primary hypothesis is that the EAWE offers superior diagnostic accuracy in differentiating schizophrenia spectrum disorders (SSD) from post-traumatic stress disorder (PTSD) with psychotic symptoms, compared to traditional methods.The authors argued that phenomenological psychopathology, unlike dominant operationalist approaches, overcomes significant epistemological gaps by focusing on the patient’s subjective experience and sociocultural context. The EAWE’s categorical framework meticulously analyses fundamental structures of experience (space, time, and intersubjectivity) to distinguish the systemic disintegration of the lifeworld in SSD from the more past-focused disruptions of PTSD. A clinical case study confirmed the EAWE’s high differential-diagnostic value. The authors concluded that integrating the EAWE into Ukrainian clinical practice is both timely and promising, but requires a systemic approach. Recommendations include developing a Ukrainian-language glossary of phenomenological concepts, creating training programs for mental health professionals, and adapting the methodology to the unique historical and cultural context, including combat-related trauma. This approach not only improves diagnostic accuracy but also humanizes psychiatry by centring the patient’s unique lifeworld and fostering a deeper therapeutic alliance.