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Philosophical ideas about the mind, brain, and behavior 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 in 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 behavior. 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 behaviors, 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.
This open access book is a systematic update of the philosophical
and scientific foundations of the biopsychosocial model of health,
disease and healthcare. First proposed by George Engel 40 years
ago, the Biopsychosocial Model is much cited in healthcare settings
worldwide, but has been increasingly criticised for being vague,
lacking in content, and in need of reworking in the light of recent
developments. The book confronts the rapid changes to psychological
science, neuroscience, healthcare, and philosophy that have
occurred since the model was first proposed and addresses key
issues such as the model's scientific basis, clinical utility, and
philosophical coherence. The authors conceptualise biology and the
psychosocial as in the same ontological space, interlinked by
systems of communication-based regulatory control which constitute
a new kind of causation. These are distinguished from physical and
chemical laws, most clearly because they can break down, thus
providing the basis for difference between health and disease. This
work offers an urgent update to the model's scientific and
philosophical foundations, providing a new and coherent account of
causal interactions between the biological, the psychological and
social.
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 a new edition of
the 'bible' of psychiatric diagnosis - the DSM - under
developmental, it is timely to take a step back and re-evalutate
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. It addresses two main
questions regarding mental illness. Firstly, what is the basis of
the standards or norms by which we judge that a person has a mental
disorder - that the person's mind is not working as it should, that
their mental functioning is abnormal? Controversies about these
questions have been dominated by the contrast between norms that
are medical, scientific or natural, on the one hand, and social
norms on the other. The norms that define mental disorder seem to
belong to psychiatry, to be medical and scientific, but are they
really social norms, hijacked and disguised by the medical
profession?
Secondly, what is the validity of the distinction between mental
disorder and order, between abnormal and normal mental functioning?
To what extent, notwithstanding appearances, does mental disorder
involve meaningful reactions and problem-solving? These responses
may be to normal problems of living, or to not so normal problems -
to severe psycho-social challenges. Is there after all order in
mental disorder?
With the closing of asylums and the appearance of care in the
community, mental disorder is now in our midst. Whileattempts have
been made to define clearly a concept of mental disorder that is
truly medical as opposed to social, there is increasing evidence
that such a distinction is unviable - 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.
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