精神病合并症已被证明是一个一贯的挑战。最近的方法强调需要从症状簇的分类描述转向精神障碍的维度视图。从现象学精神病理学的角度来看，这种转变是不够的，更详细地了解病人的生活经历也是必要的。一种现象学的方法表明，我们可以通过个性化的网络模型更好地了解精神疾病的性质，以显著节点的形式全面描述一个人的生活世界以及它们之间的关系。我们提供了一个有多种合并症的患者的详细案例研究，适应不良的应对机制，和不利的童年经历。
■此案被追踪了两年，在此期间，我们收集了多个数据流，从现象学访谈，神经心理学评估，语言分析,和半结构化访谈(反常的自我经验的检查和反常的世界经验的检查)。我们分析构建了他的生活世界的个性化网络模型。
■我们确定了一个经验类别“客观性危机”作为他生活世界的核心心理病理学主题。它指的是他对他获得的任何信息的持续不信任，他认为这些信息源于他的主观性。我们可以从发展上追溯到他不利的童年经历的客观性危机，以及他认真经历精神病发作。为了弥补精神病症状，他开发了各种适应不良的应对机制。有趣的是,我们发现了他的主观报告和其他数据来源之间的对应关系。
■Hernan在多个研究领域标准构建中表现出困难。虽然我们可以说社会感觉运动，正价，和负效价系统功能障碍可能与原发性缺陷（起源于他不利的童年经历）有关，他的认知症状可能与他的适应不良应对机制有关(尽管，它们也可能与他的原发性疾病有关)。
UNASSIGNED: Psychiatric comorbidities have proven a consistent challenge. Recent approaches emphasize the need to move away from categorical descriptions of symptom clusters towards a dimensional view of mental disorders. From the perspective of phenomenological psychopathology, this shift is not enough, as a more detailed understanding of patients\' lived experience is necessary as well. One phenomenology-informed approach suggests that we can better understand the nature of psychiatric disorders through personalized network models, a comprehensive description of a person\'s lifeworld in the form of salient nodes and the relationships between them. We present a detailed case study of a patient with multiple comorbidities, maladaptive coping mechanisms, and adverse childhood experiences.
UNASSIGNED: The case was followed for a period of two years, during which we collected multiple streams of data, ranging from phenomenological interviews, neuropsychological assessments, language analysis, and semi-structured interviews (Examination of Anomalous Self Experience and Examination of Anomalous World Experience). We analytically constructed a personalized network model of his lifeworld.
UNASSIGNED: We identified an experiential category \"the crisis of objectivity\" as the core psychopathological theme of his lifeworld. It refers to his persistent mistrust towards any information that he obtains that he appraises as originating in his subjectivity. We can developmentally trace the crisis of objectivity to his adverse childhood experience, as well as him experiencing a psychotic episode in earnest. He developed various maladaptive coping mechanisms in order to compensate for his psychotic symptoms. Interestingly, we found correspondence between his subjective reports and other sources of data.
UNASSIGNED: Hernan exhibits difficulties in multiple Research Domain Criteria constructs. While we can say that social sensorimotor, positive valence, and negative valence systems dysfunctions are likely associated with primary deficit (originating in his adverse childhood experience), his cognitive symptoms may be tied to his maladaptive coping mechanisms (although, they might be related to his primary disorder as well).
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