Ludwig Binswanger

In 1907 Binswanger received his medical degree from the University of Zurich. As a young man he worked and studied with some of the greatest psychiatrists of the era, such as Carl Jung, Eugen Bleuler and Sigmund Freud. He visited Freud (who had cited his uncle Otto's work on Neurasthenia) in 1907 alongside Jung, approvingly noting his host's "distaste for all formality and etiquette, his personal charm, his simplicity, casual openness and goodness". The two men became lifelong friends, Freud finding Binswanger's 1912 illness "particularly painful", and Binswanger offering Freud a refuge in Switzerland in 1938.

Binswanger became a member of the early 'Freud Group' Jung led in Switzerland; but nevertheless wrestled throughout his life over the place of psychoanalysis in his thinking - his 1921 article on 'Psychoanalysis and clinical Psychiatry' being only one landmark of that lifelong struggle.

Binswanger was further influenced by existential philosophy, particularly after World War I, through the works of Martin Heidegger, Edmund Husserl, and Martin Buber, eventually evolving his own distinctive brand of existential-phenomenological psychology.

From 1911 to 1956, Binswanger was medical director of the sanatorium in Kreuzlingen.

Binswanger is considered the first physician to combine psychotherapy with existential and phenomenological ideas, a concept he expounds in his 1942 book; Grundformen und Erkenntnis menschlichen Daseins (Basic Forms and the Realization of Human "Being-in-the-World"). In this work he explains existential analysis as an empirical science that involves an anthropological approach to the individual essential character of being human.

Binswanger saw Husserl's concept of lifeworld as a key to understanding the subjective experiences of his patients, considering that "in the mental diseases we face modifications of the fundamental structure and of the structural links of being-in-the-world". For Binswanger, mental illness involved the remaking of a world - including alterations in the lived experience of time, space, body sense and social relationships. Where for example the psychoanalyst might only see "an overly strong 'pre-oedipal' tie to the mother", Binswanger would point out that "such overly strong filial tie is only possible on the premise of a world-design exclusively based on connectedness, cohesiveness, continuity".

Binswanger's Dream and Existence — which was translated from German into French by Michel Foucault who added a substantial essay-introduction — highlighted in similar fashion the necessity of "steeping oneself in the manifest content of the dream - which, since Freud's epoch-making postulate concerning the reconstruction of latent thoughts, has in modern times receded all to[o] far into the background". Eugène Minkowski had earlier introduced Binswanger's ideas into France, influencing thereby among others the early work of Jacques Lacan.

In his study of existentialism, his most famous subject was Ellen West, a deeply troubled patient whose case-study was translated into English for the 1958 volume Existence. Binswanger ascribed "schizophrenia" to her, and her case is included in his book "Schizophrenie". But few contemporary psychiatrists would accept this diagnosis. "Anorexia nervosa" is also misplaced. She felt an extreme urge for weight loss.

Through his adoption from Buber of the importance of the concept of dialogue, Binswanger can also be seen as an ancestor to intersubjective approaches to therapy. Binswanger emphasised the importance of mutual recognition, as opposed to the counterdependency of destructive narcissism, as described by Herbert Rosenfeld for example.

Ludwig Binswanger contributed much to the idea of existence in the school of existential psychology. He believed that human existence was complex in that one has control over how one exists. As he described, humans have the choice of existing as,"being a hunter, of being romantic, of being in business, and thus (we are) free to design (ourselves) toward the most different potentialities of being." He therefore believed that such an existence "transcends the being," making the being accessible to itself in numerous different outcomes in life based on the existential path one chooses. In addition to this belief, Binswanger also thought that you can only observe one's existence and/or unique personality by looking at it holistically, emphasized in this quote from Binswanger:

"It is a question of attempting to understand and to explain the human being in the totality of his/her existence. But that is possible only from the perspective of our total existence: in other words, only when we reflect on and articulate our total existence, the "essence" and "form" of being human."

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Modes of existence

Binswanger argued that there are certain modes of existence. These modes of existence, he believed, allowed humans and non-human animals to be separated based on this concept. These modes include:

• the Umwelt (the "around world")
• the Mitwelt (the "with world")
• the Eigenwelt (the "own world")

The Umwelt can apply to both non-human animals and humans. It is the relationship between the organism and its environment. However, according to Binswanger, non-human animal cannot possess the world as humans do. Non-human animals, "can neither design world nor open up world nor decide independently in and for a situation. As for humans, they do possess the world in the way that they can transcend their being above the level of non-human animals by, "climbing above it (the world) in care and of swinging beyond it in love."

The Mitwelt refers to the mode of existence involved in inter-species relations. Specifically, this mode applies mainly to humans in the sense of human interaction. It also refers to the "shared world" that we have with other people,i.e., viewing our lives according to our relationships with other humans.

The Eigenwelt refers to a person's own subjective experience, or the "self world." In other words, the Eigenwelt is the relationship that one has with themselves. This mode of existence is the most difficult to grasp because of its vague definition.

Binswanger believed that to fully understand a person, you must take into account the specificities of all three modes of existence.

Weltanschauung

Weltanschauung (world-design) also applies to one's existence. An individual experiences the world through their own Weltanschauung, or world-design. A person's world-design is essentially how they view and open up to the world around them. This concept also is related to the modes of existence, as Binswanger points out:

"The world-design"..."is by no means confined to the environment to the world of things, or to the universe in general, but refers equally to the world of one's fellow men (Mitwelt) and to the self world (Eigenwelt)"

Being-in-the world vs. being-beyond-the-world

Two other concepts relate to Binswanger's view on existence, relating to the relationship between humans and the world or objects around them. Being-in-the-world is, "the normal and lawful interaction with the real-world environment that is considered primary to our way of existing in the world". It explains how we interact with our environment and the impact of that relationship. When "being-in-the-world," there are 3 general steps of assessment:

1. Identify the situation in reference to known objects and their properties
2. Assign general rules to that situation according to those objects and properties
3. Use logical rules in the situation and draw conclusions as to what must be done

Being-beyond-the-world is the second of these concepts. This idea refers to how people can change their circumstances in the world by using free will. Similar to the concept of being-in-the-world, a person is transcended and is able to transform their world following their own motivations. Binswanger relates this idea to love, believing that, "it (love) takes us beyond the world of one's own self to the world of we-hood".

R. D. Laing criticised Binswanger's phenomenology of space for insufficiently realizing the extent to which one's sense of space is structured by others.

Fritz Perls criticized Binswanger's existential therapy for leaning too heavily upon psychoanalysis.

• 1907: Über das Verhalten des psychogalvanischen Phänomens beim Assoziationsexperiment. Diagnostische Assoziationsstudien. (On the behavior of the psycho-galvanic phenomenon in association experiments. Diagnostic association studies).
• 1910: Über Entstehung und Verhütung geistiger Störungen. (Origin and prevention of mental disorders).
• 1922: Einführung in die Probleme der allgemeinen Psychologie (Introduction to the problems of general psychology), Berlin.
• 1928: Wandlungen in der Auffassung und Deutung des Traumes (Transformations in the view and interpretation of the dream), Berlin.
• 1930: Traum und Existenz (Dream and existence).
• 1932: Zur Geschichte der Heilanstalt Bellevue. Kreuzlingen 1857–1932 (The history of the Bellevue sanatorium. Kreuzlingen, from 1857 to 1932.
• 1933: Über Ideenflucht (On "idea escape"), Zurich.
• 1936: Freuds Auffassung des Menschen im Lichte der Anthropologie. Erweiterter Festvortrag gehalten zur Feier des 80. Geburtstags von Sigmund Freud im Akad. Verein für medizin. Psychologie. (Freud's conception of man in the light of anthropology. Extended lecture held to celebrate the 80th Birthday of Sigmund Freud in the Academic Association for Medicine).
• 1942: Grundformen und Erkenntnis menschlichen Daseins (Basic forms and realization of human existence), Zurich (3rd édition, Munich/Basle, 1962).
• 1946: Über Sprache und Denken (On language and thinking), Basle.
• 1947: Ausgewählte Aufsätze und Vorträge, Bd. 1: Zur phänomenologischen Anthropologie (Selected essays and lectures, Volume 1: To phenomenological anthropology), Bern.
• 1949: Henrik Ibsen und das Problem der Selbstrealisation in der Kunst (Henrik Ibsen and the problem of self-realization in art), Heidelberg.
• 1949: Die Bedeutung der Daseinsanalytik Martin Heideggers für das Selbstverständnis der Psychiatrie (The importance of Martin Heidegger's analysis of Dasein for the self-understanding of psychiatry).
• 1954: Über Martin Heidegger und die Psychiatrie. Festschrift zur Feier des 350jährigen Bestehens des Heinrich-Suso-Gymnasium zu Konstanz (Martin Heidegger and psychiatry. Festschrift to celebrate the 350th anniversary of Heinrich Suso-Gymnasium in Konstanz).
• 1955: Ausgewählte Vorträge und Aufsätze, Bd. II: Zur Problematik der psychiatrischen Forschung und zum Problem der Psychiatrie (Selected lectures and essays, Volume II: On the problem of psychiatric research and the problem of psychiatry) Bern.
• 1956: Erinnerungen an Sigmund Freud (Memories of Sigmund Freud), Berne.
• 1956: Drei Formen missglückten Daseins: Verstiegenheit, Verschrobenheit, Manieriertheit (Three forms of failed existence), Tübingen.
• 1957: Schizophrenie (Schizophrenia), Pfullingen.
• 1957: Der Mensch in der Psychiatrie (Man in psychiatry), Pfullingen.
• 1960: Melancholie und Manie: Phänomenologische Studien (Melancholy and mania: Phenomenological studies), Pfullingen.
• 1961: Geleitwort zu Hans Häfners "Psychopathien". Monographien aus dem Gesamtgebiet der Neurologie und Psychiatrie. (Foreword to Hans Häfner's "Psychopathic". Monographs from the entire field of neurology and psychiatry), Berlin.
• 1962: Der Musische Mensch. Vorwort zu "Musische Erziehung" (Man in arts. Preface to "Education in arts"), Amriswil.
• 1965: Wahn. Beiträge zu seiner phänomenologischen und daseinsanalytischen Erforschung (Delusion. Contributions to phenomenological and analytical investigations), Pfullingen.
• 1992: Traum und Existenz (Dream and existence), Einleitung von Michel Foucault. Verlag Gachnang & Springer, Bern / Berlin. ISBN 978-3-906127-31-6
• 2007: Aby Warburg: La guarigione infinita. Storia clinica di Aby Warburg. A cura di Davide Stimilli. Vicenza 2005 (auf Deutsch: Die unendliche Heilung. Aby Warburgs Krankengeschichte, diaphanes, Zürich/Berlin).

German editions of selected works

• Ausgewählte Werke in 4 Bänden. Roland Asanger, Heidelberg 1992–1994
  • Band 1: Formen missglückten Daseins, hrsg. v. Max Herzog, 1992, ISBN 3-89334-206-0
  • Band 2: Grundformen und Erkenntnis menschlichen Daseins, hrsg. v. Max Herzog und Hans-Jürg Braun, 1993, ISBN 3-89334-203-6 bzw. ISBN 3-89334-207-9
  • Band 3: Vorträge und Aufsätze, hrsg. v. Max Herzog, 1994, ISBN 3-89334-204-4 bzw. ISBN 3-89334-208-7
  • Band 4: Der Mensch in der Psychiatrie, hrsg. v. Alixe Holzhey-Kunz, 1994, ISBN 3-89334-205-2 bzw. ISBN 3-89334-209-5