Abstract
The paper examines both the phenomenology of the manic self as well as critical aspects of manic neurobiology, focusing, with respect to both domains, on manic temporality. We argue that the distortions of lived time in mania exceed mere acceleration and are fundamental for manic affectivity. Mania involves radical acceleration and radical asynchronicity, which result in an instantaneous existence. People with mania rebel against the facticity of reality and suffer from an existential leap towards the future, in which the self abandons normal temporal boundaries. Excerpts from the interviews with persons with mania who experienced psychosis illustrate this phenomenon. Commenting upon disrupted circadian rhythms in mania and the role of lithium in its treatment the paper posits manic temporality as the link through which manic phenomenology and manic neurobiology intertwine.
Highlights
Disturbances of temporality in mania, readily apparent in the disorder, are under-emphasized in present-day accounts
Our intention in this paper is to examine both the phenomenology of mania as well as critical aspects of manic neurobiology, focusing, with respect to both domains, on manic temporality
One reportedly diagnosed with a hypomanic episode, describes the moments before the outburst of psychosis as: BExplosion of happenings in the little amount of time" and a sense of acceleration Bskipping into few moments^
Summary
Disturbances of temporality in mania, readily apparent in the disorder, are under-emphasized in present-day accounts. They are not included among the criteria for a manic episode in DSM-IV, DSM-5, ICD-10 or the Beta Version of ICD-11. The frequency and length of manic episodes that situates them in clock time is diagnostically relevant. A. Schwartz of time is central to the disorder. Our intention in this paper is to examine both the phenomenology of mania as well as critical aspects of manic neurobiology, focusing, with respect to both domains, on manic temporality. We will come to see, is a link, if not the link, through which manic phenomenology and manic neurobiology intertwine. Major implications for the treatment of mania ensue – both pharmacologically with substances such as lithium, and non-pharmacologically with the aid of zeitgebers
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