International Perspectives in Philosophy and Psychiatry – Serie
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69 produkter
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The Social Roots of Delusions argues that human sociality is essential for understanding what delusions are and how they form.Humans are cooperative and cultural animals, radically dependent on others for survival and for the knowledge we use to navigate our world. That world includes complex systems of norms, reputation, gossip, surveillance, and partner choice, along with high-stakes competition for prestige and power among individuals and shifting coalitions.Against this background, Williams, Wilkinson, and Miyazono offer a social account of delusions in two senses. First, they rethink what it means to be delusional by situating delusion attribution within norm-governed practices of epistemic gatekeeping. In this context, calling a belief delusional expresses bafflement and marks its adherents as "rational lost causes", people who seem unreachable by ordinary communication, persuasion, and argument.Second, they show how social forces help produce and sustain delusions, including both clinical delusions and collective delusions. Popular delusions arise from socially motivated cognition interacting with complex social practices that reward conformity, supply rationalisations, and shield groups from counterevidence. Clinical delusions, by contrast, are often maintained when isolation and mistrust cut people off from the shared knowledge and corrective testimony that ordinarily stabilise belief. Drawing on philosophy, cognitive science, and psychiatry, the book connects individual psychopathology with collective irrationality through a single social lens.
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Thought insertion is the delusion that one's thoughts are not one's own, which causes people to believe that external agents have inserted ideas or thoughts into their minds. More prevalent in schizophrenia, thought insertion has been regarded as one of the most complex psychiatric symptoms. It is easy to see why it is such an intriguing phenomenon, as it blurs our understanding of some of the most fundamental aspects of our mind. Typically, discussions around thought insertion have tended to be featured in the context of philosophical examinations of broader issues in philosophy and psychiatry, or treated as a footnote to discussions of more prominent topics such as motor agency or the structure of phenomenal consciousness. For this reason, discussion of the phenomenon is incomprehensive and scattered throughout the literature, making it difficult to keep track of. Intruders in the Mind is an interdisciplinary attempt to bring together high-quality contributions to some of the most fundamental debates arising from the comprehensive study of thought insertion. Making thought insertion its central topic, this compilation gathers a series of essays that, taken as a whole, offer a broad and thoughtful approach to the clinical, phenomenological, conceptual, and experimental aspects of the systematic study of the phenomenon.
549 kr
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A recent wave of research in psychiatry and neuroscience has re-examined the properties of “classic” psychedelic substances - also known as serotonergic hallucinogens - such as psilocybin, LSD, and DMT. Evidence to date suggests that psychedelics can be given safely in controlled conditions, at moderate to high doses, and may have potential as therapeutic agents in the treatment of various addictive and mood disorders. The main mechanism of action appears to be the induction of a dramatically altered state of consciousness, but the details of how psychedelic-assisted psychotherapy works are hotly debated, as are the relations between psychedelic experiences themselves and the neural changes induced by the drugs. Philosophical Perspectives on Psychedelic Psychiatry addresses the fascinating philosophical questions raised by the renewed psychiatric use of psychedelics, with chapters from leading philosophers of mind, science, and psychiatry centred around three main themes. Chapters in the “self and mind” section ask: what can we learn about the self and the mind from psychedelic science? Chapters in the “science and psychiatry” section address methodological, theoretical, and clinical questions concerning how psychedelics can best be studied scientifically and used therapeutically, and how they might work to relieve psychiatric suffering. Finally, chapters in the “ethics and spirituality” section address broader questions about the interpretation of psychedelic experience, its ethical implications, and its possible role(s) in the broader culture.
642 kr
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This is a comprehensive resource of original essays by leading thinkers exploring the newly emerging inter-disciplinary field of the philosophy of psychiatry. The contributors aim to define this exciting field and to highlight the philosophical assumptions and issues that underlie psychiatric theory and practice, the category of mental disorder, and rationales for its social, clinical and legal treatment.As a branch of medicine and a healing practice, psychiatry relies on presuppositions that are deeply and unavoidably philosophical. Conceptions of rationality, personhood and autonomy frame our understanding and treatment of mental disorder. Philosophical questions of evidence, reality, truth, science, and values give meaning to each of the social institutions and practices concerned with mental health care. The psyche, the mind and its relation to the body, subjectivity and consciousness, personal identity and character, thought, will, memory, and emotions are equally the stuff of traditional philosophical inquiry and of the psychiatric enterprise. A new research field--the philosophy of psychiatry--began to form during the last two decades of the twentieth century. Prompted by a growing recognition that philosophical ideas underlie many aspects of clinical practice, psychiatric theorising and research, mental health policy, and the economics and politics of mental health care, academic philosophers, practitioners, and philosophically trained psychiatrists have begun a series of vital, cross-disciplinary exchanges.This volume provides a sampling of the research yield of those exchanges. Leading thinkers in this area, including clinicians, philosophers, psychologists, and interdisciplinary teams, provide original discussions that are not only expository and critical, but also a reflection of their authors' distinctive and often powerful and imaginative viewpoints and theories. All the discussions break new theoretical ground. As befits such an interdisciplinary effort, they are methodologically eclectic, and varied and divergent in their assumptions and conclusions; together, they comprise a significant new exploration, definition, and mapping of the philosophical aspects of psychiatric theory and practice.
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The context for this interdisciplinary work by a philosopher and a clinician is the psychiatric care provided to those with severe mental disorders. Such a setting makes distinctive moral demands on the very character of the practitioner, it is shown, calling for special virtues and greater virtue than many other practice settings. In a practice so attentive to the patient's self identity, the authors promote a heightened awareness of cultural and particularly gender issues. By elucidating the nature of the moral psychology and character of the good psychiatrist, this work provides a sustained application of virtue theory to clinical practice. With its roots in Aristotelian writing, The Virtuous Psychiatrist presents virtue traits as habits, able to be cultivated and enhanced through training. The book describes these traits, and how they can be habituated in clinical training. A turn towards virtue theory within philosophy during the last several decades has resulted in important research on professional ethics. By approaching the ethics of psychiatric professionals in these virtue terms, Radden and Sadler's work provides an original application of this theorizing to practice. Of interest to both theorists and practitioners, the book explores the tension between the model of enduring character implicit in virtue theory and the segmented personae of role-specific moral responses. Clinical examples are provided, based upon dramaturgical vignettes (caseplays) which illustrate both the interactions of the case participants as well as the inner monologue of the clinician protagonist.
Mind, Meaning and Mental Disorder
The nature of causal explanation in psychology and psychiatry
Häftad, Engelska, 2004
1 060 kr
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Philosophical ideas about the mind, brain, and behaviour can seem theoretical and unimportant when placed alongside the urgent questions of mental distress and disorder. However, there is a need to give direction to attempts to answer these questions. On the one hand a substantial research effort is going into the investigation of brain processes and the development of drug treatments for psychiatric disorders, and on the other, a wide range of psychotherapies is becoming available to adults and children with mental health problems. These two strands reflect traditional distinctions between mind and body, and causal as opposed to meaningful explanations of behaviour. In this book, which has been written for psychiatrists, psychologists, philosophers, and others in related fields, the authors propose a radical re-interpretation of these traditional distinctions. Throughout the discussions philosophical theories are brought to bear on the particular questions of the explanation of behaviours, the nature of mental causation, and eventually the origins of major disorders including depression, anxiety disorders, schizophrenia, and personality disorder.First published in 1996, this volume played an important role in bridging the gap between philosophy and psychiatry, and introducing those in psychiatry to philosophical ideas somewhat neglected in their field. Completely updated, the new edition of this acclaimed volume draws on the strengths of the first edition, and will be a central text in the burgeoning field of philosophy of psychiatry.
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How can we better understand and treat those suffering from schizophrenia and manic-depressive illnesses? This important new book takes us into the world of those suffering from such disorders. Using self descriptions, its emphasis is not on how mental health professionals view sufferers, but on how the patients themselves experience their disorder. Central to the book is the idea that schizophrenic persons live like disembodied spirits or deanimated bodies. As disembodied spirits, they feel like abstract entities which contemplate their own existence and the world from outside. As deanimated bodies, schizophrenic people feel deprived of the possibility of living personal experiences - perceptions, thoughts, emotions - as their own. A new volume in the International Perspectives in Philosophy and Psychiatry series, this book will be of great interest to all those working with sufferers from such disorders - helping them to better understand their mental lives and providing important insights into how best to treat them.
1 060 kr
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How are we to make sense of madness and psychosis? For most of us the words conjure up images from television and newspapers of seemingly random, meaningless violence. It is something to be feared, something to be left to the experts. But is madness best thought of as a medical condition? Psychiatrists and the drug industry maintain that psychoses are brain disorders amenable to treatment with drugs, but is this actually so? There is no convincing evidence that the brain is disordered in psychosis, yet governments across the world are investing huge sums of money on mental health services that take for granted the idea that psychosis is an illness to be treated with medication. Although some people who use mental health services find medication helpful, many do not, and resist the idea that their experiences are symptoms of illnesses like schizophrenia. Consequently they are forced into having treatment against their wishes. So, how do we make sense of this situation?Postpsychiatry addresses these questions. It involves an attempt to rethink some of the fundamental assumptions of mental health work, showing how recent developments in philosophy and ethics can help us to clarify some of the dilemmas and conflicts around different understandings of madness. Throughout, the authors examine the conflicting ways in which politicians, academics, and mental health professionals appear to understand madness, and contrast this with voices and experiences that are usually excluded - those of the people who use mental health services. They then examine the power of psychiatry to shape how we understand ourselves and our emotions, before considering some of the basic limitations of psychiatry as science to make madness meaningful. In the final section of the book they draw on evidence from service users and survivors, the humanities and anthropology, to point out a new direction for mental health practice. This new direction emphasises the importance of cultural contexts in understanding madness, placing ethics before technology in responding to madness, and minimising 'therapeutic' coercion.
834 kr
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Nature and Narrative is the launch volume in a new series of books entitled International Perspectives in Philosophy and Psychiatry. The series will aim to build links between the sciences and humanities in psychiatry. Our ability to decipher mental disorders depends to a unique extent on both the sciences and the humanities. Science provides insight into the 'causes' of a problem, enabling us to formulate an 'explanation', and the humanities provide insight into its 'meanings' and helps with our 'understanding'. Psychiatry, if it is to develop as a balanced discipline, must draw on input from both of these spheres. Nature (for causes) and Narrative (for meanings) will help define the series as a whole by touching on a range of issues relevant to this 'border country'. With contributions from an international star-studded cast, representing the field of psychiatry, psychology and philosophy, this volume will set the scene for this new interdisciplinary field. This will be of interest to all those with practical experience of mental health issues, whether as providers or as users/consumers of services, as well as to philosophers, social scientists, and bioethicists.
1 060 kr
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Schizophrenia arguably is the most troubling, puzzling, and complex mental illness. No single discipline is equipped to understand it. Though schizophrenia has been investigated predominately from psychological, psychiatric and neurobiological perspectives, few attempts have been made to apply the tool kit of philosophy to schizophrenia, the mix of global analysis, conceptual insight, and argumentative clarity that is indicative of a philosophical perspective. This book is a major effort at redressing that imbalance. Recent developments in the area of philosophy known as the philosophy of psychiatry have made it clear that it is time for philosophy to contribute to our understanding of schizophrenia. The range of contributions is many and varied. Some contributors are professional philosophers; some not. Some contributions focus on matters of method and history. Others argue for dramatic reforms in our understanding of schizophrenia or its symptoms. The authors in this book are committed to the idea that philosophy can indeed help to understand schizophrenia in a way which is different from but complements traditional medical-clinical approaches.The book should appeal to every reader who wants to better understand a major mental illness, including its distinctive character, conscious content, and sources of puzzlement. Readers will find the essays gathered here afford stimulating insights into the human mind and its conditions of vulnerability.
1 200 kr
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The public, mental health consumers, as well as mental health practitioners wonder about what kinds of values mental health professionals hold, and what kinds of values influence psychiatric diagnosis. Are mental disorders socio-political, practical, or scientific concepts? Is psychiatric diagnosis value-neutral? What role does the fundamental philosophical question "How should I live?" play in mental health care? In his carefully nuanced and exhaustively referenced monograph, psychiatrist and philosopher of psychiatry John Z. Sadler describes the manifold kinds of values and value judgements involved in psychiatric diagnosis and classification systems like the DSM. Professor Sadler takes the reader on a fascinating conceptual tour of the inner workings of psychiatric diagnosis, considering the role of science, culture, sexuality, politics, gender, technology, human nature, patienthood, and professions in building his vision of a more humane psychiatric diagnostic process.
Mapping the Edges and the In-between
A critical analysis of Borderline Personality Disorder
Häftad, Engelska, 2009
929 kr
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Borderline Personality Disorder (BPD) is a diagnosis given to ten percent of all those seen in outpatient mental health facilities and twenty percent of those seen in inpatient psychiatric units. This is a significant number of people in the Western world. Yet many of the core concepts and symptoms that underlie this diagnosis are questionable. Many of the attitudes and actions of carers are based on assumptions about those with BPD that cry out for analysis, with both cultural and gender norms interacting with clinical diagnosis and treatment, to the detriment of both carers and patients. This book considers how we diagnose BPD, looking at the key constructs: identity disturbance, inappropriate or excessive anger, unstable relationships, impulsivity, self-injurious behaviour, and manipulativity. It starts by looking at the cultural and gender assumptions and norms behind BPD, drawing upon philosophical, clinical, anthropological, and sociological literature. Combining philosophical analysis with clinical experience and patients' writings, it clarifies the constructs so that the reader can understand the messiness and complexity that frames this diagnosis and treatment. After examining the current state of these constructs, and their effects on carer/patient interactions, Part II sees an application of virtue theory to therapeutic treatment with BPD patients. It looks at three virtues that are particularly important for clinicians and other carers to cultivate when working with BPD patients: trustworthiness, the virtue of giving uptake, and empathy. It argues that, in their absence, not only are clinicians' attitudes harmful to patients but that the status of the diagnosis is actually compromised. Mapping the Edges and the In-Between presents a compelling argument that Borderline Personality Disorder needs to be approached in a new light - one that will benefit patients.
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Despite the currency of the notion of mental illness, its legal and medical legitimacy, and the panoply of psychiatry and other mental health services which claim to treat it, there are those who take the radical sceptical line that mental illness is a fabrication. This is a book which takes this sceptical line seriously - perhaps more seriously than almost any other book not written by sceptics themselves. 'The Metaphor of Mental Illness' is a revaluation of the traditional philosophical disputes about the existence and nature of mental illness. Sceptics and apologists have generally focused on the legitimacy of extending illness from the physical to the mental, by means of the likeness argument. This says that claimed mental illnesses, from ADHD to schizophrenia, really are illnesses providing they are sufficiently similar to agreed physical illnesses. This book proposes that this argument is flawed: the likenesses to which the argument appeals appear when these examples have been categorised as illnesses, rather than the categorisation being evidenced by or derived from the likenesses. The categorisation of ADHD, schizophrenia, and so on, as illnesses is a matter of metaphor: an imaginative shift into the illness category. The book puts forward a new view of and resolution of the issues, to which it carefully guides the reader. It is a book which engages with many contemporary issues and styles of analysis, but is accessible to anyone not familiar with these. It is full of examples, both historical and modern. It is a book both for the postgraduate student coming to grips with the issues for the first time, for the researcher who is interested in a new approach to the issues, and for mental health workers such as psychiatrists who are interested in the fundamental assumptions of their field of work.
948 kr
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The effects of mental disorder are apparent and pervasive, in suffering, loss of freedom and life opportunities, negative impacts on education, work satisfaction and productivity, complications in law, institutions of healthcare, and more. With new editions of the 'bibles' of psychiatric diagnosis - the ICD and DSM - under development, it is timely to take a step back and re-evaluate exactly how we diagnose and define mental disorder.This new book by Derek Bolton tackles the problems involved in the definition and boundaries of mental disorder. These problems are evident now in many contexts: in the diagnostic manuals themselves, in epidemiological estimates of prevalence, in distinguishing normal sadness from depressive illness, for example, or childhood temperamental traits from developmental psychopathology, and in mental health legislation and criminal law. In many ways these problems are contemporary expressions of those identified in the heated debates surrounding psychiatry in the 1960s and 1970s: does psychiatry pathologize what is really normal life suffering? Is mental illness really social deviance, not a proper domain of medicine? Is psychiatry really a form of social control?However, these original problems have been transformed by crucial developments over the past few decades, and the book seeks to update the position taking them into account. The last few decades have seen the closing of the asylums and the appearance of care in the community: mental disorder is now in our midst, intensifying the problems of the '60s and '70s. Attempts have been made to define clearly a concept of mental disorder that is truly medical as opposed to social, inevitably relying on the distinction between human nature and culture. In the science, there is increasing evidence that this distinction is unviable, and accumulating evidence that there is no clear line between what is normal in the population and what is abnormal. What is Mental Disorder? reviews these various crucial developments and their profound impact for the concept and its boundaries in a provocative and timely book.
2 541 kr
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Dementia is an illness that raises important questions about our own attitudes to illness and aging. It also raises very important issues beyond the bounds of dementia to do with how we think of ourselves as people - fundamental questions about personal identity. Is the person with dementia the same person he or she was before? Is the individual with dementia a person at all? In a striking way, dementia seems to threaten the very existence of the self.This book brings together philosophers and practitioners to explore the conceptual issues that arise in connection with this increasingly common illness. Drawing on a variety of philosophers such as Descartes, Locke, Hume, Wittgenstein, the authors explore the nature of personal identity in dementia. They also show how the lives and selfhood of people with dementia can be enhanced by attention to their psychosocial and spiritual environment. Throughout, the book conveys a strong ethical message, arguing in favour of treating people with dementia with all the dignity they deserve as human beings. The book covers a range of topics, stretching from talk of basic biology to talk of a spiritual understanding of people with dementia. Accessibly written by leading figures in psychiatry and philosophy, the book presents a unique and long overdue examination of an illness that features in so many of our lives.
1 060 kr
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Dementia is an illness that raises important questions about our own attitudes to illness and aging. It also raises very important issues beyond the bounds of dementia to do with how we think of ourselves as people - fundamental questions about personal identity. Is the person with dementia the same person he or she was before? Is the individual with dementia a person at all? In a striking way, dementia seems to threaten the very existence of the self.This book brings together philosophers and practitioners to explore the conceptual issues that arise in connection with this increasingly common illness. Drawing on a variety of philosophers such as Descartes, Locke, Hume, Wittgenstein, the authors explore the nature of personal identity in dementia. They also show how the lives and selfhood of people with dementia can be enhanced by attention to their psychosocial and spiritual environment. Throughout, the book conveys a strong ethical message, arguing in favour of treating people with dementia with all the dignity they deserve as human beings. The book covers a range of topics, stretching from talk of basic biology to talk of a spiritual understanding of people with dementia. Accessibly written by leading figures in psychiatry and philosophy, the book presents a unique and long overdue examination of an illness that features in so many of our lives.
2 372 kr
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How should we deal with mental disorder - as an "illness" like diabetes or bronchitis, as a "problem in living", or what? This book seeks to answer such questions by going to their roots, in philosophical questions about the nature of the human mind, the ways in which it can be understood, and about the nature and aims of scientific medicine.The controversy over the nature of mental disorder and the appropriateness of the "medical model" is not just an abstract theoretical debate: it has a bearing on very practical issues of appropriate treatment, as well as on psychiatric ethics and law. A major contention of this book is that these questions are ultimately philosophical in character: they can be resolved only if we abandon some widespread philosophical assumptions about the "mind" and the "body", and about what it means for medicine to be "scientific".The "phenomenological" approach of the twentieth-century French philosopher, Maurice Merleau-Ponty is used to question these assumptions. His conception of human beings as "body-subjects" is argued to provide a more illuminating way of thinking about mental disorder and the ways in which it can be understood and treated. The conditions we conventionally call "mental disorders" are, it is argued, not a homogeneous group: the standard interpretation of the medical model fits some more readily than others. The core mental disorders, however, are best regarded as disturbed ways of being in the world, which cause unhappiness because of deviation from "human" rather than straightforwardly "biological" norms. That is, they are problems in how we experience the world and especially other people, rather than in physiological functioning - even though the nature of our experience cannot ultimately be separated from the ways in which our bodies function. This analysis is applied within the book both to issues in clinical treatment and to the special ethical and legal questions of psychiatry.Written by a well known philosopher in an accessible and clear style, this book should be of interest to a wide range of readers, from psychiatrists to social workers, lawyers, ethicists, philosophers and anyone with an interest in mental health.
1 008 kr
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How should we deal with mental disorder - as an "illness" like diabetes or bronchitis, as a "problem in living", or what? This book seeks to answer such questions by going to their roots, in philosophical questions about the nature of the human mind, the ways in which it can be understood, and about the nature and aims of scientific medicine.The controversy over the nature of mental disorder and the appropriateness of the "medical model" is not just an abstract theoretical debate: it has a bearing on very practical issues of appropriate treatment, as well as on psychiatric ethics and law. A major contention of this book is that these questions are ultimately philosophical in character: they can be resolved only if we abandon some widespread philosophical assumptions about the "mind" and the "body", and about what it means for medicine to be "scientific".The "phenomenological" approach of the twentieth-century French philosopher, Maurice Merleau-Ponty is used to question these assumptions. His conception of human beings as "body-subjects" is argued to provide a more illuminating way of thinking about mental disorder and the ways in which it can be understood and treated. The conditions we conventionally call "mental disorders" are, it is argued, not a homogeneous group: the standard interpretation of the medical model fits some more readily than others. The core mental disorders, however, are best regarded as disturbed ways of being in the world, which cause unhappiness because of deviation from "human" rather than straightforwardly "biological" norms. That is, they are problems in how we experience the world and especially other people, rather than in physiological functioning - even though the nature of our experience cannot ultimately be separated from the ways in which our bodies function. This analysis is applied within the book both to issues in clinical treatment and to the special ethical and legal questions of psychiatry.Written by a well known philosopher in an accessible and clear style, this book should be of interest to a wide range of readers, from psychiatrists to social workers, lawyers, ethicists, philosophers and anyone with an interest in mental health.
2 233 kr
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People do great wrongs to each other all the time, sometimes deliberately, sometimes accidentally. Many within the fields of mental health are centrally involved in helping people to heal from traumatic events and to come to terms with wrongs done to them by others. However, there is surprisingly little in the way of guidance, few texts that situate healing from trauma or evildoing within a combined political and philosophical context. This book looks at how people, communities, and nations can address great wrongs and how they can heal from them - taking into consideration how differences in cultures, histories, and group expectations affect the possibilities for healing.The book examines the merits of forgiveness and reconciliation in the context of civic and interpersonal relationships - looking at the role of the law compared to extra-legal and therapeutic approaches to individual and collective, personal and social, healing.Topics include gendered norms for forgiveness, the role of narrative in contrast to a search for truth when conflicts arise, and an analysis of the conception of truth that undergirds truth and reconciliation commissions. Some chapters also look at how healing can occur when power imbalances exist, how to understand and address evil, genocide, and war. Finally, the book examines the importance of relational models of human interaction to thinking about trauma and healing, and how aboriginal models for healing can contribute to our understanding of trauma and forgiveness. Throughout, each contributor considers the psychological toll of trauma on both victims and perpetrators of wrongdoing and critically inquires into value systems that enhance or inhibit healing. Several authors draw on real-life cases to support their arguments, and others provide a rich theoretical framework within which readers can think through various approaches and models in a critical manner.This highly original and thought-provoking collection of articles by authors in psychiatry, psychology, philosophy, and theology is unique in its emphasis on systems of oppression that intersect with anguish and moral uncertainty.
1 060 kr
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People do great wrongs to each other all the time, sometimes deliberately, sometimes accidentally. Many within the fields of mental health are centrally involved in helping people to heal from traumatic events and to come to terms with wrongs done to them by others. However, there is surprisingly little in the way of guidance, few texts that situate healing from trauma or evildoing within a combined political and philosophical context. This book looks at how people, communities, and nations can address great wrongs and how they can heal from them - taking into consideration how differences in cultures, histories, and group expectations affect the possibilities for healing. The book examines the merits of forgiveness and reconciliation in the context of civic and interpersonal relationships - looking at the role of the law compared to extra-legal and therapeutic approaches to individual and collective, personal and social, healing. Topics include gendered norms for forgiveness, the role of narrative in contrast to a search for truth when conflicts arise, and an analysis of the conception of truth that undergirds truth and reconciliation commissions. Some chapters also look at how healing can occur when power imbalances exist, how to understand and address evil, genocide, and war. Finally, the book examines the importance of relational models of human interaction to thinking about trauma and healing, and how aboriginal models for healing can contribute to our understanding of trauma and forgiveness. Throughout, each contributor considers the psychological toll of trauma on both victims and perpetrators of wrongdoing and critically inquires into value systems that enhance or inhibit healing. Several authors draw on real-life cases to support their arguments, and others provide a rich theoretical framework within which readers can think through various approaches and models in a critical manner. This highly original and thought-provoking collection of articles by authors in psychiatry, psychology, philosophy, and theology is unique in its emphasis on systems of oppression that intersect with anguish and moral uncertainty.
1 025 kr
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In psychiatry there is no sharp boundary between the normal and the pathological. Although clear cases abound, it is often indeterminate whether a particular condition does or does not qualify as a mental disorder. For example, definitions of subthreshold disorders and of the prodromal stages of diseases are notoriously contentious. Philosophers and linguists call concepts that lack sharp boundaries, and thus admit of borderline cases, vague. Although blurred boundaries between the normal and the pathological are a recurrent theme in many publications concerned with the classification of mental disorders, systematic approaches that take into account philosophical reflections on vagueness are rare. This book provides interdisciplinary discussions about vagueness in psychiatry by bringing together scholars from psychiatry, psychology, philosophy, history, and law. It draws together various lines of inquiry into the nature of gradations between mental health and disease and discusses the individual and societal consequences of dealing with blurred boundaries in medical practice, forensic psychiatry, and beyond. Part I starts with an overview chapter that helps readers to navigate through the philosophy of vagueness and through the various debates surrounding demarcation problems in the classification and diagnosis of mental illness. Part II encompasses historical and recent philosophical positions on gradualist approaches to health and disease. Part III approaches the vagueness of present psychiatric classification systems and the debates concerning their revision by scrutinizing controversial categories such as post-traumatic stress disorder and by looking into the difficulties of day-to-day diagnostic and therapeutic practice. Part IV finally focuses on social, moral, and legal implications that arise when being mentally ill is a matter of degree.
Philosophical issues in psychiatry III
The Nature and Sources of Historical Change
Häftad, Engelska, 2014
851 kr
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Psychiatry has long struggled with the nature of its diagnoses. The problems raised by questions about the nature of psychiatric illness are particularly fascinating because they sit at the intersection of philosophy, empirical psychiatric/psychological research, measurement theory, historical tradition and policy. In being the only medical specialty that diagnoses and treats mental illness, psychiatry has been subject to major changes in the last 150 years. This book explores the forces that have shaped these changes and especially how substantial "internal" advances in our knowledge of the nature and causes of psychiatric illness have interacted with a plethora of external forces that have impacted on the psychiatric profession. It includes contributions from philosophers of science with an interest in psychiatry, psychiatrists and psychologists with expertise in the history of their field and historians of psychiatry. Each chapter is accompanied by an introduction and a commentary. The result is a dynamic discussion about the nature of psychiatric disorders, and a book that is compelling reading for those in the field of mental health, history of science and medicine, and philosophy.
1 095 kr
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What is a religious or spiritual delusion? What does religious delusion reveal about the difference between good and bad spirituality? What is the connection between religious delusion and moral failure? Or between religious delusion and religious terrorism? Or religious delusion and despair?The Abraham Dilemma: A Divine Delusion is the first book written by a philosopher on the topic of religious delusion - on the disorder's causes, contents, consequences, diagnosis and treatment. The book argues that we cannot understand a religious delusion without appreciating three facts. One is that religiosity or spirituality is a part of human nature, whether it takes theistic or non-theistic forms. Another is that religious delusion is something to which we are all vulnerable. The third is that the delusion is not best understood by reducing it to brain chemistry, or by insisting that it is empirically false. It is best understood by examining its harmful personal and moral consequences - consequences that nearly unfolded when the biblical patriarch Abraham prepared to sacrifice his son Isaac in response to a command, he thought, from God.The book presents a fascinating and profound exploration of a phenomenon as old as mankind itself.
904 kr
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The Philosophy of Psychiatry is a unique area of research because the nature of the subject matter leads to quite distinct methodological issues.Naturalism, Interpretation, and Mental Disorder is an original new work focusing on the challenges we face when trying to interpret and understand mental illness. The book integrates a hermeneutical perspective, and shows how such an approach can reveal important facts about historical sources in psychiatry and the nature of dialogue in the therapeutic encounter. In addition, the book demonstrates how such an approach can be valuable for understanding the concept of mental disorder itself.Naturalism, Interpretation, and Mental Disorder brings fresh thinking to the philosophy of psychiatry, and will be of interest to students and scholars in the fields of Mental Health and Philosophy.
634 kr
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Advances in psychiatric research and clinical psychiatry in the last 30 years have given rise to a host of new questions that lie at the intersection of psychiatry, neuroscience, philosophy and law. Such questions include:-Are psychiatric disorders diseases of the brain, caused by dysfunctional neural circuits and neurotransmitters? -What role do genes, neuro-endocrine, neuro-immune interactions and the environment play in the development of these disorders? -How do different explanations of the etiology and pathophysiology of mental illness influence diagnosis, prognosis and decisions about treatment? -Would it be rational for a person with a chronic treatment-resistant disorder to request euthanasia or assisted suicide to end their suffering? -Could psychiatric disorders be predicted and prevented? Psychiatric Neuroethics explores these questions in a comprehensive and systematic way, discussing the medical and philosophical implications of neuroscience and the Research Domain Criteria (RDoc) in the fields of psychiatry and mental health. It examines the extent to which circuit-based criteria can offer a satisfactory explanation of psychiatric disorders and how they compare with the symptom-based criteria of the Diagnostic and Statistical Manual of Mental Disorders (DSMV).This book will be of interest to a multidisciplinary audience, including psychiatrists, neurologists, neurosurgeons, philosophers, psychologists and legal theorists.
Madness and Modernism
Insanity in the light of modern art, literature, and thought (revised edition)
Häftad, Engelska, 2017
915 kr
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The similarities between madness and modernism are striking: defiance of convention, nihilism, extreme relativism, distortions of time, strange transformations of self, and much more.In this revised edition of a now classic work, Louis Sass, a clinical psychologist, offers a radically new vision of schizophrenia, comparing it with the works of such artists and writers as Kafka, Beckett, and Duchamp, and considering the ideas of philosophers including Nietzsche, Heidegger, Foucault, and Derrida. Here is a highly original portrait of the world of insanity, along with a provocative commentary on modernist and postmodernist culture.
Madness and the demand for recognition
A philosophical inquiry into identity and mental health activism
Häftad, Engelska, 2019
659 kr
Skickas inom 5-8 vardagar
Madness is a complex and contested term. Through time and across cultures it has acquired many formulations: for some, madness is synonymous with unreason and violence, for others with creativity and subversion, elsewhere it is associated with spirits and spirituality. Among the different formulations, there is one in particular that has taken hold so deeply and systematically that it has become the default view in many communities around the world: the idea that madness is a disorder of the mind. Contemporary developments in mental health activism pose a radical challenge to psychiatric and societal understandings of madness. Mad Pride and mad-positive activism reject the language of mental 'illness' and 'disorder', reclaim the term 'mad', and reverse its negative connotations. Activists seek cultural change in the way madness is viewed, and demand recognition of madness as grounds for identity. But can madness constitute such grounds? Is it possible to reconcile delusions, passivity phenomena, and the discontinuity of self often seen in mental health conditions with the requirements for identity formation presupposed by the theory of recognition? How should society respond? Guided by these questions, this book is the first comprehensive philosophical examination of the claims and demands of Mad activism. Locating itself in the philosophy of psychiatry, Mad studies, and activist literatures, the book develops a rich theoretical framework for understanding, justifying, and responding to Mad activism's demand for recognition.
597 kr
Skickas inom 5-8 vardagar
Psychiatry Reborn: Biopsychosocial Psychiatry in Modern Medicine is a comprehensive collection of essays by leading experts in the field, and provides a timely reassessment of the biopsychosocial approach in psychiatry. Spanning the sciences and philosophy of psychiatry, the essays offer complementary perspectives on the ever more urgent importance of the biopsychosocial approach to modern medicine. The collection brings together ideas from the series of Loebel Lectures by world leaders in the field of psychiatry and associated Workshops at the University of Oxford, including revised versions of the Lectures themselves, and a wide range of related commentaries and position pieces. With contributions from psychiatry, psychology, neuroscience, and philosophy, the book provides the most comprehensive account to date of the interplay between biological, psychological, and social factors in mental health and their ethical dimensions. The 23 chapters of this multi-authored book review the history and place of the biopsychosocial model in medicine, and explore its strengths and shortcomings. In particular, it considers how understanding this interplay might lead to more effective treatments for mental health disorders, as developments in genomic and neurobiological medicine challenge traditional conceptions and approaches to the research and treatment of mental health disorders. The book explores the challenges and rewards of developing diagnostic tools and clinical interventions that take account of the inextricably intertwined bio-psycho-social domains, and the ethical implications of the conceptualization. It concludes with chapters drawing together the book's range of expertise to propose a best conception of the model, and how it might be adopted going forward in an age of exponentially increasing technological advances and of integrated/collaborative care. The volume is intended to present the BPS model as it stands today in the academy, the lab, and the clinic, and to start to address the challenges and potential that the model has for each.
938 kr
Skickas inom 5-8 vardagar
The field of psychiatry has long struggled with developing models of practice; most underemphasize the interpersonal aspects of clinical practice. This essay is unique in putting intersubjectivity front and center. It is an attempt to provide a clinical method to re-establish the fragile dialogue of the soul with oneself and with others. Throughout, the book builds on the assumption that to be human means to be in dialogue. It uses dialogue as a unitary concept to address three essential issues for clinical practice: 'What is a human being?', 'What is mental pathology'?, and 'What is care?'. To be human - it is argued - means to be in dialogue with oneself and with other persons. Thus, mental pathology is the interruption of this dialogue - both of the person with the alterity that inhabits them, and with the alterity incarnated in other persons. Therefore, therapy is a dialogue with a method whose aim is to re-enact one's interrupted dialogue with alterity. Lost in Dialogue provides a method to approximate the Other, to understand its experiences, actions, and in general, understand the world in which it lives.
1 010 kr
Skickas inom 7-10 vardagar
The revisions of both DSM-IV and ICD-10 have again focused the interest of the field of psychiatry and clinical psychology on the issue of nosology. This interest has been further heightened by a series of controversies associated with the development of DSM-5 including the fate of proposed revisions of the personality disorders, bereavement, and the autism spectrum. Major debate arose within the DSM process about the criteria for changing criteria, leading to the creation of first the Scientific Review Committee and then a series of other oversight committees which weighed in on the final debates on the most controversial proposed additions to DSM-5, providing important influences on the final decisions. Contained within these debates were a range of conceptual and philosophical issues. Some of these - such as the definition of mental disorder or the problems of psychiatric "epidemics" - have been with the field for a long time. Others - the concept of epistemic iteration as a framework for the introduction of nosologic change - are quite new.This book reviews issues within psychiatric nosology from clinical, historical and particularly philosophical perspectives. The book brings together a range of distinguished authors - including major psychiatric researchers, clinicians, historians and especially nosologists - including several leaders of the DSM-5 effort and the DSM Steering Committee. It also includes contributions from psychologists with a special interest in psychiatric nosology and philosophers with a wide range of orientations. The book is organized into four major sections: The first explores the nature of psychiatric illness and the way in which it is defined, including clinical and psychometric perspectives. The second section examines problems in the reification of psychiatric diagnostic criteria, the problem of psychiatric epidemics, and the nature and definition of individual symptoms. The third section explores the concept of epistemic iteration as a possible governing conceptual framework for the revision efforts for official psychiatric nosologies such as DSM and ICD and the problems of validation of psychiatric diagnoses.The book ends by exploring how we might move from the descriptive to the etiologic in psychiatric diagnoses, the nature of progress in psychiatric research, and the possible benefits of moving to a living document (or continuous improvement) model for psychiatric nosologic systems. The result is a book that captures the dynamic cross-disciplinary interactions that characterize the best work in the philosophy of psychiatry.