Bsp Podcast

Arthur Rose – Reorienting Breathlessness: A Case against Symptom Discordance

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Synopsis

Here is the latest of our recordings from The British Society for Phenomenology’s 2018 Annual Conference ‘The Theory and Practice of Phenomenology’. Arthur Rose is from Durham University, and his paper is titled ‘Reorienting Breathlessness: A Case against Symptom Discordance’.   Abstract: “In Phenomenology of Illness, Havi Carel identifies a ‘Janus-faced duality’ to breathlessness: ‘it is so real and overwhelming to the person experiencing it and yet so invisible to those around her’ (Carel 2016: 109). The discrepancy between external appearance and internal reality replicates a further discrepancy, known as symptom discordance, between the person’s perception of breathlessness (‘subjective experience’) and the oxygen saturation of their blood (‘objective measurement’). Not only is the breathless person challenged by another’s failure to recognize their experience, their own interoceptive ability may not match what they feel to what medicalised testing shows. Carel usefully relates this mismatch to Merleau-