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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.
Jennifer Radden here provides a re-interpretation of the classic
text by 17th century scholar Robert Burton, The Anatomy of
Melancholy. Her new reading of Burton's essential text brings
several key facets of his thought to light: the role of imagination
in inciting and averting melancholy as disorder; the part played by
daily habits of thought in engendering severe and incurable
conditions; the multi-directional feedback loops linking feeling
and thought in his model of mind; and an emphasis on symptoms and
natural history in his understanding of disease. Much of Burton's
account is derived from classical, medieval and renaissance writing
about melancholy, yet he brought them together into something new:
an account that - while it stands in contrast to many of the
assumptions of later psychology - concurs surprisingly well with
present day cognitivism. Moreover, although seventeenth century
melancholy bears only a loose relationship to present day mood
disorders such as depression and anxiety, on this reading the
Anatomy anticipates a considerable number of findings and
hypotheses associated with present day psychiatry, including its
network models of depression, for example, and its emphasis on the
part played by rumination and mind wandering in engendering
affective disorder. Radden's new reading of a classic text should
interest readers in philosophy of mind and psychiatry, clinical
psychiatry and the history of medicine.
In recent years there has been increased recognition of the global
burden of mental disorders, which in turn has led to the expansion
of preventive initiatives at the community and population levels.
The application of such public health approaches to mental health
raises a number of important ethical questions. The aim of this
collection is to address these newly emerging issues, with special
attention to the principle of prevention and the distinctive
ethical challenges in mental health. The collection brings together
an interdisciplinary group of experts in bioethics, mental health,
public health, and global health.
Originally published in 1985, this book provides a philosophical
analysis of the concepts of madness and moral responsibility. It
challenges the view that because they are victims of mental
illness, the insane should not be blamed for actions resulting from
their condition. The author urges a return to the neglected
equation between madness and a want of reason, arguing that the
impulse to excuse the criminally insane must be grounded in an
appeal to their irrationality and unreasonableness. Through
meticulous examination of the psychological states and behaviour
patterns of major mental abnormalities, such as schizophrenia and
depression, the author develops a notion of exculpating unreason.
This is an interdisciplinary book which encompasses analytical
philosophy, abnormal psychology and law.
Originally published in 1985, this book provides a philosophical
analysis of the concepts of madness and moral responsibility. It
challenges the view that because they are victims of mental
illness, the insane should not be blamed for actions resulting from
their condition. The author urges a return to the neglected
equation between madness and a want of reason, arguing that the
impulse to excuse the criminally insane must be grounded in an
appeal to their irrationality and unreasonableness. Through
meticulous examination of the psychological states and behaviour
patterns of major mental abnormalities, such as schizophrenia and
depression, the author develops a notion of exculpating unreason.
This is an interdisciplinary book which encompasses analytical
philosophy, abnormal psychology and law.
In Moody Minds Distempered philosopher Jennifer Radden assembles
several decades of her research on melancholy and depression. The
chapters are ordered into three categories: those about
intellectual and medical history of melancholy and depression;
those that emphasize aspects of the moral, psychological and
medical features of these concepts; and finally, those that explore
the sad and apprehensive mood states long associated with
melancholy and depressive subjectivity. A newly written
introduction maps the conceptual landscape, and draws out the
analytic and thematic interconnections between the chapters.
Radden emphasizes and develops several new themes: the
implications, theoretical phenomenological and moral, of
recognizing melancholy and depressive states as mood states;
questions of method, as they affect how we understand and
characterize claims about melancholy and depression; and the
persistence and force of cultural tropes linking such states to
brilliance, creativity, and sagacity. Insights from literature and
the history of medicine, psychology, and psychiatry are woven
together with those from the more recent disciplines of feminist
theory and cultural studies. This is interdisciplinary writing at
its best-part analytic philosophy, and part history of ideas.
Spanning 24 centuries, this anthology collects over thirty selections of important Western writing about melancholy and its related conditions by philosophers, doctors, religious and literary figures, and modern psychologists. Truly interdisciplinary, it is the first such anthology. As it traces Western attitudes, it reveals a conversation across centuries and continents as the authors interpret, respond, and build on each other's work. Editor Jennifer Radden provides an extensive, in-depth introduction that draws links and parallels between the selections, and reveals the ambiguous relationship between these historical accounts of melancholy and today's psychiatric views on depression. This important new collection is also beautifully illustrated with depictions of melancholy from Western fine art.
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 theorizing 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, andinterdisciplinary 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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