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A Theory of Feelings Anger and Forgiveness Philosophizing Madness from Nietzsche to Derrida"My Madness Saved Me"10 Good Questions about Life and Death12 Modern Philosophers50 Reasons People Give for Believing in a GodA Cabinet of Philosophical CuriositiesA Case for IronyA Companion to BioethicsA Companion to Buddhist PhilosophyA Companion to FoucaultA Companion to GenethicsA Companion to GenethicsA Companion to HumeA Companion to KantA Companion to Phenomenology and ExistentialismA Companion to PragmatismA Companion to the Philosophy of ActionA Companion to the Philosophy of BiologyA Companion to the Philosophy of LiteratureA Conceptual History of PsychologyA Critical Overview of Biological FunctionsA Critique of Naturalistic Philosophies of MindA Cursing Brain?A Decent LifeA Delicate BalanceA Farewell to AlmsA Fragile LifeA Frightening LoveA Future for PresentismA Guide to the Good LifeA History of PsychiatryA History of the MindA Life Worth LivingA Manual of Experimental PhilosophyA Map of the MindA Metaphysics of PsychopathologyA Mind So RareA Minimal LibertarianismA Natural History of Human MoralityA Natural History of Human ThinkingA Natural History of VisionA Parliament of MindsA Philosopher Looks at The Sense of HumorA Philosophical DiseaseA Philosophy for the Science of Well-BeingA Philosophy of BoredomA Philosophy of Cinematic ArtA Philosophy of CultureA Philosophy of EmptinessA Philosophy of FearA Philosophy of PainA Physicalist ManifestoA Place for ConsciousnessA Question of TrustA Research Agenda for DSM-VA Revolution of the MindA Sentimentalist Theory of the MindA Stroll With William JamesA Tapestry of ValuesA Tear is an Intellectual ThingA Theory of FreedomA Thousand MachinesA Universe of ConsciousnessA Very Bad WizardA Very Bad Wizard: Morality Behind the CurtainA Virtue EpistemologyA World Full of GodsA World Without ValuesAbout FaceAbout the Beginning of the Hermeneutics of the SelfAction and ResponsibilityAction in ContextAction Theory, Rationality and CompulsionAction, Contemplation, and HappinessAction, Emotion and WillAdam SmithAdaptive DynamicsAddictionAddictionAddiction and ResponsibilityAddiction and Self-ControlAddiction Is a ChoiceAdvances in Identity Theory and ResearchAftermathAfterwarAgainst AdaptationAgainst AutonomyAgainst BioethicsAgainst HappinessAgainst HealthAgainst MarriageAgency and ActionAgency and AnswerabilityAgency and EmbodimentAgency and ResponsibilityAgency, Freedom, and Moral ResponsibilityAl-JununAlain BadiouAlain BadiouAlasdair MacIntyreAlien Landscapes?Altered EgosAmbivalenceAn Anthology of Psychiatric EthicsAn Ethics for TodayAn Intellectual History of CannibalismAn Interpretation of DesireAn Introduction to EthicsAn Introduction to Kant's Moral Philosophy An Introduction to Philosophy of EducationAn Introduction to the Philosophy of MindAn Introduction to the Philosophy of MindAn Introduction to the Philosophy of PsychologyAn Introductory Philosophy of MedicineAn Odd Kind of FameAnalytic FreudAnalytic Philosophy in AmericaAncient AngerAncient Models of MindAncient Philosophy of the SelfAngerAnimal LessonsAnimal MindsAnimals Like UsAnnihilationAnother PlanetAnswers for AristotleAnti-ExternalismAnti-Individualism and KnowledgeAntigone’s ClaimAntipsychiatryAre We Hardwired?Are Women Human?Arguing about DisabilityArguing About Human NatureAristotle and the Philosophy of FriendshipAristotle on Practical WisdomAristotle's ChildrenAristotle's Ethics and Moral ResponsibilityAristotle's WayAristotle, Emotions, and EducationArt & MoralityArt After Conceptual ArtArt in Three DimensionsArt, Self and KnowledgeArtificial ConsciousnessArtificial HappinessAspects of PsychologismAsylum to ActionAt the Existentialist CaféAtonement and ForgivenessAttention is Cognitive UnisonAutobiography as PhilosophyAutonomyAutonomy and Mental DisorderAutonomy and the Challenges to LiberalismBabies by DesignBackslidingBadiouBadiou's DeleuzeBadiou, Balibar, Ranciere: Rethinking EmancipationBare Facts And Naked TruthsBasic Desert, Reactive Attitudes and Free WillBattlestar Galactica and PhilosophyBe Like the FoxBeautyBecoming a SubjectBecoming HumanBefore ConsciousnessBehavingBehavioral Genetics in the Postgenomic EraBeing AmoralBeing HumanBeing Mentally Ill: A Sociological Theory Being No OneBeing Realistic about ReasonsBeing ReducedBeing YourselfBelief's Own EthicsBending Over BackwardsBerlin Childhood around 1900Bernard WilliamsBertrand RussellBest ExplanationsBetter than BothBetter Than WellBetween Two WorldsBeyond HealthBeyond Hegel and NietzscheBeyond KuhnBeyond LossBeyond MelancholyBeyond Moral JudgmentBeyond PostmodernismBeyond ReductionBeyond SchizophreniaBeyond the DSM StoryBioethicsBioethics and the BrainBioethics in the ClinicBiological Complexity and Integrative PluralismBiology Is TechnologyBiosBipolar ExpeditionsBlackwell Companion to the Philosophy of EducationBlindsight & The Nature of ConsciousnessBlues - Philosophy for EveryoneBlushBob Dylan and PhilosophyBody ConsciousnessBody Image And Body SchemaBody ImagesBody LanguageBody MattersBody WorkBody-Subjects and Disordered MindsBoundBoundaries of the MindBoyleBrain Evolution and CognitionBrain FictionBrain, Mind, and Human Behavior in Contemporary Cognitive ScienceBrain-WiseBrainchildrenBrains, Buddhas, and BelievingBrainstormingBrave New WorldsBreakdown of WillBrief Child Therapy Homework PlannerBrief Inquiry into the Meaning of Sin and FaithBrief Therapy Homework PlannerBritain on the CouchBritish Idealism and the Concept of the SelfBrute RationalityBuffy the Vampire Slayer and PhilosophyBut Is It Art?Camus and SartreCartesian LinguisticsCartographies of the MindCarving Nature at Its JointsCase Studies in Biomedical Research EthicsCassandra's DaughterCategories We Live ByCato's TearsCausation and CounterfactualsCauses, Laws, and Free WillChanging Conceptions of the Child from the Renaissance to Post-ModernityChanging the SubjectChaosophyCharacter and Moral Psychology Character as Moral FictionCharles DarwinCharles S. Peirce's PhenomenologyCherishmentChildhood and the Philosophy of EducationChildrenChildren, Families, and Health Care Decision MakingChoices and ConflictChoosing Not to ChooseChristmas - Philosophy for EveryoneCinema, Philosophy, BergmanCinematic MythmakingCity and Soul in Plato's RepublicClassifying MadnessClear and Queer ThinkingClinical EthicsClinical Psychiatry in Imperial GermanyCodependent ForevermoreCoffee - Philosophy for EveryoneCognition and the BrainCognition of Value in Aristotle's EthicsCognition Through Understanding: Self-Knowledge, Interlocution, Reasoning, ReflectionCognitive BiologyCognitive FictionsCognitive Neuroscience of EmotionCognitive Systems and the Extended MindCognitive Systems and the Extended Mind Cognitive Theories of Mental IllnessCoherence in Thought and ActionCollected Papers, Volume 1Collected Papers, Volume 2College SexComedy IncarnateCommitmentCommunicative Action and Rational ChoiceCompassionate Moral RealismCompetence, Condemnation, and CommitmentConcealment And ExposureConcepts and Causes in the Philosophy of DiseaseConceptual Analysis and Philosophical NaturalismConceptual Art and PaintingConceptual Issues in Evolutionary BiologyConfessionsConfucianismConnected, or What It Means to Live in the Network SocietyConquest of AbundanceConscience and ConvenienceConsciousnessConsciousnessConsciousnessConsciousness ConsciousnessConsciousness and Fundamental RealityConsciousness and Its Place in NatureConsciousness and LanguageConsciousness and Mental LifeConsciousness and MindConsciousness and the NovelConsciousness and the SelfConsciousness EmergingConsciousness EvolvingConsciousness ExplainedConsciousness in ActionConsciousness RecoveredConsciousness RevisitedConsciousness, Color, and ContentConsole and ClassifyConstructing the WorldConstructive AnalysisContemporary Debates In Applied EthicsContemporary Debates in Moral TheoryContemporary Debates in Philosophy of BiologyContemporary Debates in Philosophy of MindContemporary Debates in Political PhilosophyContemporary Debates in Social PhilosophyContemporary Perspectives on Natural LawContested Knowledge: Social Theory TodayContesting PsychiatryContext and the AttitudesContinental Philosophy of ScienceControlControlling Our DestiniesConversations About Psychology and Sexual OrientationCopernicus, Darwin and FreudCrazy for YouCreating a Life of Meaning and CompassionCreating ConsilienceCreating HysteriaCreating Mental IllnessCreating Scientific ConceptsCreating the American JunkieCreation, Rationality and AutonomyCreatures Like Us?Crime and CulpabilityCrime, Punishment, and Mental IllnessCrimes of ReasonCritical New Perspectives on Attention Deficit/Hyperactivity DisorderCritical PsychiatryCritical PsychologyCritical ResistanceCritical Thinking About PsychologyCritical VisionsCross and KhoraCruel CompassionCTRL [SPACE]Cultural Psychology of the SelfCultural Theory: An IntroductionCulture and Psychiatric DiagnosisCulture and Subjective Well-BeingCulture of DeathCultures of NeurastheniaCurious EmotionsCurrent Controversies in Experimental PhilosophyCurrent Controversies in Values and ScienceCustom and Reason in HumeCustomers and Patrons of the Mad-TradeCutting God in Half - And Putting the Pieces Together AgainCylons in AmericaDamaged IdentitiesDamasio's Error and Descartes' TruthDangerous EmotionsDaniel DennettDaniel DennettDark AgesDarwin and DesignDarwin's Dangerous IdeaDarwin's LegacyDarwin, God and the Meaning of LifeDarwinian PsychiatryDarwinian ReductionismDarwinizing CultureDating: Philosophy for EveryoneDeathDeathDeath and CharacterDeath and CompassionDeath and the AfterlifeDebating DesignDebating HumanismDecision Making, Personhood and DementiaDecomposing the WillDeconstructing PsychotherapyDeconstruction and DemocracyDeeper Than DarwinDeeper than ReasonDefending Science - within ReasonDefining Psychopathology in the 21st CenturyDegrees of BeliefDeleuze and the Concepts of CinemaDelusion and Self-DeceptionDelusions and Other Irrational BeliefsDelusions and the Madness of the MassesDementiaDemons, Dreamers, and MadmenDennett and Ricoeur on the Narrative SelfDennett’s PhilosophyDepression Is a ChoiceDepression, Emotion and the SelfDepthDerrida, Deleuze, PsychoanalysisDescartesDescartes and the Passionate MindDescartes' CogitoDescartes's Changing MindDescartes's Concept of MindDescribing Inner Experience?Descriptions and PrescriptionsDesembodied Spirits and Deanimated Bodies Desert Islands and Other Texts (1953-1974)Desire and AffectDesire, Love, and IdentityDesire, Practical Reason, and the GoodDeveloping the VirtuesDiagnosing the Diagnostic and Statistical Manual of Mental DisordersDialectics of the SelfDid My Neurons Make Me Do It?Difference and IdentityDigital SoulDimensional Models of Personality DisordersDisability, Difference, DiscriminationDisjunctivismDisorders of VolitionDisorientation and Moral LifeDispatches from the Freud WarsDisrupted LivesDistractionDisturbed ConsciousnessDivided Minds and Successive SelvesDo Apes Read Minds?Do Fish Feel Pain?Do We Still Need Doctors?Does Consciousness Cause Behavior?Does the Woman Exist?Doing PhilosophyDoing without ConceptsDon't be FooledDon't Believe Everything You ThinkDonald DavidsonDonald Davidson on Truth, Meaning, and the MentalDoubting Darwin?Down GirlDreaming and Other Involuntary MentationDSM-IV SourcebookDSM-IV SourcebookDSM-IV-TR CasebookDworkin and His CriticsDying to KnowDynamics in ActionDysthymia and the Spectrum of Chronic DepressionsEccentricsEducational MetamorphosesEffective IntentionsElbow Room: The Varieties of Free Will Worth WantingEmbodied Minds in ActionEmbodied RhetoricsEmbodied Selves and Divided MindsEmbryos under the MicroscopeEmergencies in Mental Health PracticeEmerging Conceptual, Ethical and Policy Issues in BionanotechnologyEmotionEmotion and ConsciousnessEmotion and PsycheEmotion ExperienceEmotion RegulationEmotion, Evolution, And RationalityEmotional IntelligenceEmotional ReasonEmotional ReasonEmotional TruthEmotions in Humans and ArtifactsEmotions in the Moral LifeEmotions in the Moral LifeEmotions, Value, and AgencyEmpathyEmpathy and AgencyEmpathy and Moral DevelopmentEmpathy and MoralityEmpathy in the Context of PhilosophyEmpirical Ethics in PsychiatryEnactivist InterventionsEnchanted LoomsEngaging BuddhismEngineering the Human GermlineEnjoymentEnvyEpicureanismEpistemic LuckEpistemologyEpistemology and EmotionsEpistemology and the Psychology of Human JudgmentEros and the GoodErotic MoralityEssays in Social NeuroscienceEssays in the Metaphysics of Mind Essays on Derek Parfit's On What MattersEssays on Free Will and Moral ResponsibilityEssays on Nonconceptual ContentEssays on Philosophical CounselingEssays on Reference, Language, and MindEssays on the Concept of Mind in Early-Modern PhilosophyEssential Sources in the Scientific Study of ConsciousnessEsssential Philosophy of PsychiatryEternal Sunshine of the Spotless MindEthical Conflicts in PsychologyEthical Issues in Forensic Mental Health ResearchEthical Issues in Human CloningEthical TheoryEthicsEthicsEthics and the A PrioriEthics and the Metaphysics of MedicineEthics and Values in PsychotherapyEthics Beyond the LimitsEthics Done RightEthics ExpertiseEthics in Plain EnglishEthics in PracticeEthics in Psychiatric ResearchEthics of PsychiatryEthics without OntologyEuropean Review of Philosophy. Vol. 5Everyday IrrationalityEvil in Modern ThoughtEvolutionEvolution and the Human MindEvolution's RainbowEvolutionary Origins of MoralityEvolutionary PsychologyExamined LifeExamined LivesExistential AmericaExistentialismExistentialism and Romantic LoveExperimental PhilosophyExperimental PhilosophyExperimental PhilosophyExperimental Philosophy, Rationalism, and NaturalismExperiments in EthicsExplaining ConsciousnessExplaining the BrainExplaining the Computational MindExplanatory PluralismExploding the Gene MythExploring HappinessExploring the SelfExpression and the InnerExpressions of JudgmentExtraordinary Science and PsychiatryFaces of IntentionFact and ValueFact and Value in EmotionFacts and ValuesFacts, Values, and NormsFads and Fallacies in the Social SciencesFaith and Wisdom in ScienceFatherhoodFear of KnowledgeFearless SpeechFeeling Pain and Being in PainFeelings and EmotionsFeelings of BeingFellow CreaturesFellow-Feeling and the Moral LifeFeminism and Its DiscontentsFeminism and Philosophy of ScienceFeminist Ethics and Social and Political PhilosophyFeminist Interpretations of Rene DescartesFeminist TheoryField Notes from ElsewhereFinding Consciousness in the BrainFingerprints of GodFlesh in the Age of ReasonFolk Psychological NarrativesFolk Psychology Re-AssessedForces of HabitForgivenessForgiveness and LoveForgiveness and RetributionFoucault 2.0Foucault and PhilosophyFoucault NowFoucault, Psychology and the Analytics of PowerFoundational Issues in Human Brain MappingFoundations of Ethical Practice, Research, and Teaching in PsychologyFour Views on Free WillFrank Ramsey (1903-1930)Free WillFree WillFree WillFree WillFree Will and Action ExplanationFree Will and LuckFree Will And Moral ResponsibilityFree Will as an Open Scientific ProblemFree Will, Agency, and Meaning in LifeFree: Why Science Hasn't Disproved Free WillFreedomFreedom and DeterminismFreedom And NeurobiologyFreedom and ResponsibiltyFreedom and ValueFreedom EvolvesFreedom RegainedFreedom vs. InterventionFreedom, Fame, Lying, and BetrayalFreudFreud and the Question of PseudoscienceFreud As PhilosopherFreud's AnswerFreud, the Reluctant PhilosopherFriedrich NietzscheFrom Chance to ChoiceFrom Clinic to ClassroomFrom Complexity to LifeFrom Enlightenment to ReceptivityFrom Knowledge to Wisdom: A Revolution for Science and the HumanitiesFrom Morality to Mental HealthFrom Passions to EmotionsFrom Philosophy to PsychotherapyFrom Valuing to ValueFrontiers of ConsciousnessFrontiers of JusticeFurnishing the MindGalileo in PittsburghGenderGender and Mental HealthGender in the MirrorGender TroubleGenesGenes, Women, EqualityGenetic Nature/CultureGenetic ProspectsGenetic ProspectsGenetic SecretsGenocide's AftermathGenomes and What to Make of ThemGerman Idealism and the JewGerman PhilosophyGetting HookedGilles DeleuzeGlobal PhilosophyGluttonyGod and Phenomenal ConsciousnessGoffman's LegacyGoing Amiss in Experimental ResearchGoodness & AdviceGrassroots SpiritualityGrave MattersGrave MattersGreedGreek Models of Mind and SelfGut ReactionsHabilitation, Health, and AgencyHabits of MindHallucinationHandbook of BioethicsHandbook of EmotionsHappinessHappinessHappinessHappinessHappiness and EducationHappiness and the Good LifeHappiness Is OverratedHappiness, Death, and the Remainder of LifeHard LuckHarmful ThoughtsHaving the World in ViewHealing PsychiatryHealing the Soul in the Age of the BrainHealth, Illness and DiseaseHealth, Science, and Ordinary LanguageHegelHeidegger and a Metaphysics of FeelingHeidegger, Metaphysics and the Univocity of BeingHermann von Helmholtz's MechanismHermeneutics As PoliticsHeterophobiaHeterosyncraciesHeuristics and BiasesHeuristics and the LawHidden ResourcesHidden SelvesHiding from HumanityHigh Art LiteHistorical OntologyHistory of Psychiatry and Medical PsychologyHistory, Historicity And ScienceHobbesHomosexualitiesHope and Dread in PsychoanalysisHot ThoughtHow Can I Be Trusted?How Can the Human Mind Occur in the Physical Universe?How Children Learn the Meanings of WordsHow Could Conscious Experiences Affect Brains?How Do We Know Who We Are?How Emotions WorkHow Emotions WorkHow History Made the MindHow Images ThinkHow is Nature Possible?How Propaganda WorksHow Science WorksHow Scientific Practices MatterHow Scientists Explain DiseaseHow The Body Shapes The MindHow the Body Shapes the Way We ThinkHow the Mind Explains BehaviorHow the Mind Uses the BrainHow to Be a StoicHow to Make Opportunity EqualHow to Solve the Mind-Body Problemhow to stop timeHow to Think More About SexHow We HopeHow We ReasonHuman CloningHuman Development, Language and the Future of MankindHuman EnhancementHuman Evolution, Reproduction, and MoralityHuman GoodnessHuman Identity and BioethicsHuman NatureHuman NatureHuman Nature and the Limits of ScienceHuman-Built WorldHumanismHumanism, What's That?HumanityHumans, Animals, MachinesHumeHumeHumeHume on Motivation and VirtueHume's True ScepticismHume’s Moral Philosophy and Contemporary PsychologyHusserlHystoriesI Am Dynamite!I of the VortexI Was WrongIdeas that MatterIdentifying the MindIdentity and Agency in Cultural WorldsIgnorance and ImaginationIllnessImagination and Its PathologiesImagination and the Meaningful BrainImagining NumbersImmortal RemainsImproving Nature?In Defense of an Evolutionary Concept of HealthIn Defense of SentimentalityIn Love With LifeIn Praise of Athletic BeautyIn Praise of DesireIn Praise of Natural PhilosophyIn Praise of the WhipIn Pursuit of HappinessIn Search of HappinessIn the Name of GodIn the Name of IdentityIn the Space of ReasonsIn the SwarmIn Two MindsInclusive EthicsIncompatibilism's AllureIndividual Differences in Conscious ExperienceInfinity and PerspectiveInformation ArtsInformed Consent in Medical ResearchIngmar Bergman, Cinematic PhilosopherInhuman ThoughtsInner PresenceInsanityIntegrating Psychotherapy and PharmacotherapyIntegrity and the Fragile SelfIntelligent VirtueIntentionIntentionality, Deliberation and AutonomyIntentions and IntentionalityIntentions and IntentionalityInterpreting MindsInterpreting NietzscheIntroducing Greek PhilosophyIntrospection and ConsciousnessIntrospection VindicatedIntuition, Imagination, and Philosophical MethodologyIntuitionismInvestigating the Psychological WorldIrrationalityIrrationalityIs Academic Feminism Dead?Is It Me or My Meds?Is Long-Term Therapy Unethical?Is Oedipus Online?Is Science Neurotic?Is Science Value Free?Is the Visual World a Grand Illusion?Is There a Duty to Die?Issues in Philosophical CounselingJacques LacanJacques RancièreJacques RanciereJean-Paul SartreJohn McDowellJohn SearleJohn Searle's Ideas About Social RealityJohn Stuart MillJohn Stuart Mill and the Writing of CharacterJoint AttentionJokesJonathan EdwardsJudging and UnderstandingJustice for ChildrenJustice in RobesJustice, Luck, and KnowledgeKantKant and MiltonKant and the Fate of AutonomyKant and the Limits of AutonomyKant and the Role of Pleasure in Moral ActionKant on Freedom, Law, and HappinessKant on Moral AutonomyKant's Anatomy of EvilKant's Anatomy of the Intelligent MindKant's Theory of VirtueKarl JaspersKarl PopperKarl Popper, Science and EnlightenmentKey Concepts in PhilosophyKierkegaardKierkegaard as PhenomenologistKierkegaard's Concept of DespairKierkegaard's MuseKinds of MindsKinds, Things, and StuffKnowing EmotionsKnowing, Knowledge and BeliefsKnowledge MonopoliesKnowledge, Belief, and CharacterKnowledge, Possibility, and ConsciousnessLacanLack of CharacterLack of CharacterLanguageLanguage in ContextLanguage, Consciousness, CultureLanguage, Culture, and MindLanguage, Vision, and MusicLaw and the BrainLaw, Liberty, and PsychiatryLaws, Mind, and Free WillLeaving YouLectures on the History of Political PhilosophyLevelling the Playing FieldLiberal Education in a Knowledge SocietyLiberatory PsychiatryLife and ActionLife at the Texas State Lunatic Asylum, 1857-1997Life Is Not a Game of PerfectLife of the MindLife's FormLife's ValuesLife, Death, & MeaningLife, Death, and Meaning: Key Philosophical Readings on the Big Questions Life, Liberty, and the Pursuit of UtilityLife, Sex, and IdeasLight in the Dark RoomLike a Splinter in Your MindLiving and Dying WellLiving NarrativeLiving Outside Mental IllnessLiving with DarwinLiving With One’s PastLockeLocke LockeLogic and the Art of Memory Loneliness in Philosophy, Psychology, and LiteratureLooking for SpinozaLooking for The StrangerLost in DialogueLost SoulsLOT 2LoveLoveLove's ConfusionsLove's VisionLove, Friendship, and the SelfLove, Sex & TragedyLuckyLudwig WittgensteinLustLyingMachine ConsciousnessMad for FoucaultMad TravelersMade with WordsMadness And Death In PhilosophyMadness and DemocracyMadness at HomeMadness Is CivilizationMaking Natural KnowledgeMaking Sense of EvolutionMaking Sense of Freedom and ResponsibilityMaking the DSM-5Making the Social WorldMaking TruthMale Female EmailMan, Beast, and ZombieMandated Reporting of Suspected Child AbuseManiaManic Depression and CreativityMapping the Edges and the In-betweenMapping the Future of BiologyMarcus AureliusMaster PassionsMatters of the MindMe++Meaning and Moral OrderMeaning and Value in a Secular AgeMeaning in LifeMeaning in Life and Why It MattersMeaning, Basic Self-Knowledge, and MindMeanings of ArtMeasuring HappinessMeasuring PsychopathologyMedia MadnessMedical Enhancement and PosthumanityMedical NihilismMedical ReasoningMedicine and Philosophy in Classical AntiquityMedicine of the PersonMedicine, Mental Health, Religion, Science and Well-BeingMeditations on Self-Discipline and FailureMelancholy And the Care of the SoulMelancholy and the Otherness of GodMementoMemory and NarrativeMental ActionsMental CausationMental Causation and OntologyMental HealthMental Health At The CrossroadsMental Health Policy in BritainMerit, Meaning, and Human BondageMerleau-PontyMerleau-Ponty and the Possibilities of PhilosophyMetacognition and Theory of MindMetacreationMetaethical SubjectivismMetaethicsMetal and FleshMetaphors of MemoryMetapoliticsMethods in MindMichel FoucaultMidlifeMill's UtilitarianismMindMindMindMind and ConsciousnessMind and CosmosMind and MechanismMind GamesMind in a Physical WorldMind in Everyday Life and Cognitive ScienceMind in LifeMind the BodyMind TimeMind's LandscapeMind, Brain and the Elusive SoulMind, Brain, and Free WillMind, Reason and ImaginationMinding MindsMindreadersMindreading AnimalsMinds and PersonsMinds, Brains, and LawMinds, Ethics, and ConditionalsMindshapingMindsightMindworldsMirror, MirrorMixed FeelingsMockingbird YearsModels of the SelfModern Social ImaginariesModern Theories of JusticeModernity and SubjectivityModernity and TechnologyMoody Minds DistemperedMoral BrainsMoral DimensionsMoral FailureMoral ImaginationMoral LiteracyMoral MachinesMoral ParticularismMoral PsychologyMoral Psychology and Human AgencyMoral Psychology, Volume 1Moral Psychology, Volume 2Moral Psychology, Volume 3Moral Psychology: Volume IVMoral RepairMoral Responsibility and Alternative PossibilitiesMoral TribesMoral Value and Human DiversityMorality and Self-InterestMorality in a Natural WorldMorality, Moral Luck and ResponsibilityMotherhoodMotive and RightnessMoving Beyond Prozac, DSM, and the New PsychiatryMultiple Analogies in Science and PhilosophyMultiple Identities & False MemoriesMusic, Madness, and the Unworking of LanguageMy Brain Made Me Do ItMy Double UnveiledMy WayNarrativeNarrative and IdentityNarrative MedicineNarrative PsychiatryNarrative Theory and the Cognitive SciencesNatural Ethical FactsNatural Kinds and Conceptual ChangeNatural MindsNatural-Born CybogsNaturalism and the First-Person PerspectiveNaturalism and the Human ConditionNaturalism in the Philosophy of HealthNaturalism in the Philosophy of HealthNaturalized BioethicsNaturalizing the MindNatureNature and NarrativeNear Death ExperienceNeither Bad nor MadNeither Victim nor SurvivorNeuro-Philosophy and the Healthy MindNeuroethicsNeuroethicsNeuroexistentialismNeurological Foundations of Cognitive Neuroscience Neurophilosophy at WorkNeurophilosophy of Free WillNeuropoliticsNeuropsychoanalysis in PracticeNeuroscience and PhilosophyNew Essays on the Explanation of ActionNew Philosophy for a New MediaNew Versions of VictimsNew Waves in Philosophy of ActionNietzscheNietzsche and Buddhist PhilosophyNietzsche and PsychotherapyNietzsche and Suffered Social HistoriesNietzsche on Ethics and PoliticsNietzsche's TherapyNietzsche, Culture and EducationNietzsche: The Man and His PhilosophyNihil UnboundNoir AnxietyNormative EthicsNormativityNorms of NatureNotebooks 1951-1959Notes Toward a Performative Theory of AssemblyNothing So AbsurdOblivionOn AnxietyOn ApologyOn Being AuthenticOn Being AuthenticOn BeliefOn BetrayalOn BullshitOn DelusionOn DesireOn EmotionsOn HashishOn Human NatureOn Human RightsOn Loving Our EnemiesOn Nature and LanguageOn PersonalityOn ReflectionOn Romantic LoveOn the EmotionsOn the Freud WatchOn the Government of the LivingOn the Human ConditionOn the InternetOn the Meaning of LifeOn the Philosophy of LawOn the Pragmatics of CommunicationOn the Punitive SocietyOn TruthOn Virtue EthicsOn What MattersOn What We Owe to Each OtherOne Hundred DaysOnflowOnly a Promise of HappinessOntology of ConsciousnessOpen MindedOpen Your EyesOrgans without BodiesOther MindsOur Last Great IllusionOur Own MindsOur Posthuman FutureOur StoriesOut of Its MindOut of Our HeadsOxford Guide to the MindOxford Handbook of Psychiatric EthicsOxford Studies in Experimental PhilosophyOxford Studies in Normative EthicsOxford Studies in Normative Ethics, Volume 7Oxford Textbook of Philosophy of PsychiatryPanic DisorderPanpsychismPanpsychism in the WestPartialityPassionate EnginesPassionate EnginesPathologies of BeliefPathologies of ReasonPatient Autonomy and the Ethics of ResponsibilityPC, M.D.Perceiving the WorldPerception & CognitionPerception and Basic BeliefsPerception, Hallucination, and IllusionPerceptual ExperiencePerfecting VirtuePerplexities of ConsciousnessPersistencePersonal AutonomyPersonal Autonomy in SocietyPersonal IdentityPersonal Identity and EthicsPersonal Identity and Fractured SelvesPersonhood and Health CarePersonsPersons and BodiesPersons, Humanity, and the Definition of DeathPersons, Souls and DeathPerspectives on ImitationPerspectives on PragmatismPessimismPhenomenal Concepts and Phenomenal KnowledgePhenomenal ConsciousnessPhenomenal IntentionalityPhenomenologyPhenomenology and ExistentialismPhenomenology and Philosophy of MindPhenomenology of IllnessPhilosophersPhilosophers on MusicPhilosophers without GodsPhilosophical CounselingPhilosophical Counselling and the UnconsciousPhilosophical DevicesPhilosophical Foundations of NeurosciencePhilosophical History and the Problem of ConsciousnessPhilosophical Issues in PharmaceuticsPhilosophical Issues in PsychiatryPhilosophical Issues in PsychiatryPhilosophical Issues in Psychiatry IIPhilosophical MethodologyPhilosophical MidwiferyPhilosophical Myths of the FallPhilosophical Perspectives on DepictionPhilosophical Perspectives on Technology and PsychiatryPhilosophical PracticePhilosophical Reflections on DisabilityPhilosophizing About Sex Philosophizing the EverydayPhilosophy and HappinessPhilosophy and LivingPhilosophy and PsychiatryPhilosophy and PsychotherapyPhilosophy and Science FictionPhilosophy and the EmotionsPhilosophy and the EmotionsPhilosophy and the Interpretation of Pop CulturePhilosophy and the Moving ImagePhilosophy and the NeurosciencesPhilosophy and This Actual WorldPhilosophy As FictionPhilosophy BitesPhilosophy Bites BackPhilosophy for Counselling and PsychotherapyPhilosophy for LifePhilosophy in a New CenturyPhilosophy in an Age of SciencePhilosophy in Children's LiteraturePhilosophy in the Roman EmpirePhilosophy of ActionPhilosophy of ActionPhilosophy of Action from Suarez to AnscombePhilosophy of BiologyPhilosophy of BiologyPhilosophy of BiologyPhilosophy of BiologyPhilosophy of BodyPhilosophy of Film and Motion PicturesPhilosophy of LovePhilosophy of Love, Sex, and MarriagePhilosophy of Love, Sex, and Marriage: An IntroductionPhilosophy of MedicinePhilosophy of MindPhilosophy of Mind and CognitionPhilosophy of Personal Identity and Multiple PersonalityPhilosophy of PsychologyPhilosophy of Public HealthPhilosophy of SciencePhilosophy of SciencePhilosophy of Technology: The Technological ConditionPhilosophy of the Social SciencesPhilosophy on TapPhilosophy PracticePhilosophy the Day after TomorrowPhilosophy Within Its Proper BoundsPhilosophy's Role in Counseling and PsychotherapyPhilosophy, Neuroscience and ConsciousnessPhilosophy, Politics, DemocracyPhotography and PhilosophyPhysical RealizationPhysicalism and Its DiscontentsPhysicalism and Mental CausationPhysicalism, or Something Near EnoughPhysician-Assisted DyingPillar of SaltPin-up GrrrlsPlant MindsPlatoPlatoPlato, Not Prozac!Platonic Ethics, Old and NewPleasurePluralistic CasuistryPolarities of ExperiencesPolitical EmotionsPopper, Objectivity and the Growth of KnowledgePornPorn StudiesPornographyPornography, Sex, and FeminismPortrait of the Psychiatrist as a Young ManPositive NihilismPost-TruthPostcolonial DisordersPostpsychiatryPosttraumatic Stress DisorderPower and the SelfPower SplitPractical Autonomy and BioethicsPractical ConflictsPractical Identity and Narrative AgencyPractical PhilosophyPractical RulesPractical Tortoise RaisingPractically ProfoundPracticing Feminist Ethics in PsychologyPragmatic BioethicsPragmatismPragmatism, Old And NewPraise and BlamePredicative MindsPreferences and Well-BeingPrescriptions for the MindPresocraticsPrimary and Secondary QualitiesPrimates and PhilosophersPrimitive ColorsPrivacyPrivileged AccessProblems in MindProblems of RationalityProzac As a Way of LifeProzac BacklashProzac on the CouchPsyche and EthosPsyche and SomaPsychiatric Aspects of Justification, Excuse and Mitigation in Anglo-American Criminal Law Psychiatric Cultures ComparedPsychiatric Diagnosis and ClassificationPsychiatric EthicsPsychiatric HegemonyPsychiatric PowerPsychiatric SlaveryPsychiatry and Philosophy of SciencePsychiatry and ReligionPsychiatry as a Human SciencePsychiatry as Cognitive NeurosciencePsychiatry in SocietyPsychiatry in the New MilleniumPsychiatry in the Scientific ImagePsychiatry, Psychoanalysis, And The New Biology Of MindPsycho-Physical Dualism TodayPsychoanalysis and Narrative MedicinePsychoanalysis and the Philosophy of SciencePsychological Concepts and Biological PsychiatryPsychology and PhilosophyPsychology and the Question of AgencyPsychology's Interpretive TurnPsychology, Psychotherapy, Psychoanalysis, and the Politics of Human RelationshipsPsychotherapy and ConfidentialityPsychotherapy As PraxisPublic PhilosophyPunishmentPure ImmanencePurple HazePursuing MeaningQuality of Life and Human DifferenceQueer PhilosophyQuestions for FreudQuestions for FreudQuine and Davidson on Language, Thought and RealityRaceRace in Contemporary MedicineRadiant CoolRadical AlterityRadical ExternalismRadical HopeRational and Social AgencyRational CausationRational Choice in an Uncertain WorldRationality + Consciousness = Free WillRationality and FreedomRationality and the Reflective MindRationality in ActionRawls, Dewey, and ConstructivismRe-creating MedicineRe-EmergenceRe-Engineering Philosophy for Limited BeingsReading AutobiographyReading Bernard WilliamsReading SartreReadings in the Philosophy of TechnologyReal MaterialismReal Natures and Familiar ObjectsReal ScienceRealism in ActionReason & EmancipationReason in ActionReason in PhilosophyReason's GriefReasonably ViciousReasoning About Rational AgentsReasoning in Biological DiscoveriesReasons from WithinReasons without RationalismReclaiming CognitionReclaiming the SoulReconceiving SchizophreniaReconstructing Reason and RepresentationReconstructing the Cognitive WorldRecreative MindsRediscovering EmotionRediscovering EmpathyReference and ExistenceReference and the Rational MindReflections on Ethics and ResponsibilityReflections On How We LiveReframing Disease ContextuallyRefusing CareRegard for Reason in the Moral MindRegulating SexReinventing the SoulRelativism and Human RightsRelativism and the Foundations of PhilosophyRelativism and the Foundations of PhilosophyReliable ReasoningReligion without GodRelying on OthersRemembering HomeResponsibility and PunishmentResponsibility and PunishmentResponsibility from the MarginsRestraining RageRethinking ExpertiseRethinking IntrospectionRethinking Mental Health and DisorderRethinking RapeRethinking the DSMRethinking the Sociology of Mental HealthRethinking the Western Understanding of the SelfReturn to ReasonRevolt, She SaidRichard RortyRichard RortyRichard RortyRichard RortyRichard RortyRichard Rorty's New PragmatismRightsRights, Democracy, and Fulfillment in the Era of Identity PoliticsRise And Fall of Soul And SelfRitalin NationRobert NozickRousseauRousseau and the Dilemmas of Modernity Routledge Philosophy Guidebook to 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The Bloomsbury Companion to Philosophy of PsychiatryReview - The Bloomsbury Companion to Philosophy of Psychiatry
by Serife Tekin and Robyn Bluhm (Editors)
Bloomsbury Academic, 2019
Review by G. Scott Waterman
Apr 16th 2019 (Volume 23, Issue 16)

Assessments of the value of philosophical inquiry range from Socrates' principled assertion at his trial that "the unexamined life is not worth living" to the snarky (albeit clever) crack, often attributed to physicist Richard Feynman, that "philosophy of science is about as useful to scientists as ornithology is to birds." Practitioners, investigators, and teachers of psychiatry and related disciplines would be well advised to put aside whatever suspicions about philosophy they might share with the jury pool of classical Athens or with self-assured modern physicists and engage in a serious examination of the foundations of their discipline. In the present edited volume, philosophers Şerife Tekin and Robyn Bluhm have brought together an outstanding, international cast of authors whose product will facilitate exactly that. Although theirs is not the first compendium of the wide range of scholarly work that comes under the heading "philosophy of psychiatry," it is doubtless the most accessible up-to-date work currently available. In addition to students, trainees, and practitioners of psychiatry and clinical psychology, it will be of enormous value to undergraduate and graduate students of philosophy and to professional philosophers looking to augment their understandings of a rapidly evolving arena within their discipline.

          The book is divided into eight parts, each (following the introductory section) relating to an aspect or subdiscipline of philosophy as it intersects with psychiatry. Although one could question particular elements of this taxonomy, or quibble with the placements of some of the chapters within it, the organization of the volume generally works well, aggregating related topics and supplying an internal logic that can be difficult to achieve in multiply authored edited works. For the most part, the earlier chapters of each section address more fundamental philosophical topics while later chapters cover more specialized ones. Readers with only casual acquaintance with philosophy of psychiatry might be surprised at the range of questions to which its practitioners address themselves. They (particularly those past a certain age) might also be shocked at the omission of psychoanalysis as an object of philosophical scrutiny. To the extent that field has become an academic dead letter, the editors' decision against its inclusion is defensible. And to the extent that such decisions contribute to its continuing demise, its resurrection seems improbable. As with all such edited works, the assumed level of prior knowledge is not homogenous across chapters, although the disparities are not dramatic. As alluded to above, the greatest strength of the book lies in the expertise of so many of its authors, whose early-career statuses in several instances provide cause for great optimism about the future of this vital subdiscipline. The commentary that follows is divided into the eight sections of the volume under review.

 

PART 1: INTRODUCTION

In Chapter 1, "Introduction to Philosophy of Psychiatry," the book's editors employ the widely recognized diagnostic construct of ADHD to introduce readers to the likelihood that they have already engaged in philosophy of psychiatry, lending familiarity to some of its core questions. Chapter 2, "What is Psychiatry?," is authored by Mona Gupta and provides a useful introduction for students (and others) unfamiliar with psychiatry and the structure of medicine as a discipline. 

 

PART 2: PHILOSOPHY OF MIND AND PSYCHIATRY

This section begins with Chapter 3, "Understanding the Nature of Mental States," in which Jesse Butler provides a superb introduction to the mind-body problem and its relevance for psychiatry, and to functionalism as a popular solution – albeit one that leaves significant problems unaddressed. Although he makes a cogent case for explanatory pluralism, he arguably puts too much stock in the biopsychosocial model as an exemplar of such pluralism, answering some objections to it persuasively while inadequately attending to its failures, both conceptual and practical/clinical. In Chapter 4, "Frequently Asked Questions About Mental Disorders," Ginger Hoffman explicates some of the most common ways in which modern psychiatry and neuroscience are misunderstood (including by their own practitioners) – e.g., "Aren't mental disorders just chemical imbalances?" She provides wonderful explanations of how philosophical questions as applied to psychiatry and neuroscience are anything but arcane and are, instead, implicit and vital to those disciplines. This chapter should be read by all medical students, residents in psychiatry and neurology, and many others. Chapter 5, "Psychopathy, Autism, and Basic Moral Emotions," authored by Erick Jose Ramirez, addresses whether – and, if so, how – moral judgement is rooted in emotional experience. He introduces and then challenges the notion that a handful of "basic emotions" constitute a universal foundation for adjudicating disagreements about morality. The chapter brings to bear research on psychopathy and autism to support updated theories about emotional experience, the nature and origin of empathy, and related matters. Finally, in Chapter 6, "Anorexia Nervosa and the Embodied Mind," Lana Kühle articulates an argument for a less "brainbound" approach to both philosophy of mind and psychiatry, invoking the phenomenon of anorexia nervosa to suggest an "embodied mind" approach as a potentially more successful means of conceptualizing and treating that condition.

 

PART 3: PHENOMENOLOGY AND PSYCHIATRY

The third part of the book consists of two chapters. Chapter 7, "Merleau-Ponty and the Foundations of Psychopathology," by Anthony Vincent Fernandez, is conceptually challenging, at least for those of us less skilled at grasping the Continental philosophical tradition. The author helpfully outlines the development of phenomenological approaches to psychopathology and points out the difficulties entailed in applying phenomenological methodology – especially identifying and suspending implicit presuppositions so that "the matters themselves" can be examined and understood. In Chapter 8, "Transformation through Dialogue," Constantin-Alexander Mehmel employs the theories of Hans-Georg Gadamer to understand depression as a problem of impaired intersubjectivity. For readers without backgrounds in this sort of philosophy, the material in this chapter will likely prove more elusive than that in other parts of the book.

 

PART 4: PHILOSOPHY OF SCIENCE AND PSYCHIATRY

This section begins with Chapter 9, "Philosophy of Science, Psychiatric Classification, and the DSM." Following a helpful, capsulized history of the DSM project, Jonathan Tsou expresses concerns about the validity of DSM categories but arguably devotes too little attention to what "validity" in this context might mean. Thus, although he entertains seriously the objections to assumptions that the DSM can classify natural kinds (e.g., Hacking's "looping" effects), he seems to subscribe to a roughly essentialist ontology of mental disorders – and one that is best (and even currently) described in terms drawn from (neuro)biology. For example, he asserts, at least tentatively, that "depression can – to a large extent – be identified with a stable set of biological properties (e.g., deficient activity of serotonin) …" (p. 190), a notion whose empiric support is thin at best. Nevertheless, his conclusion that the DSM project has failed in its explicit aims is both accurate and important for the field to acknowledge. Aaron Kostko's Chapter 10, "Inductive Risks and Psychiatric Classification," provides a rigorous, interesting, and important discussion of the roles of, and potential conflicts between, epistemic and non-epistemic values in psychiatric research, referring specifically to information used in making decisions regarding revisions of DSM diagnostic criteria. He (perhaps necessarily) adopts what could be viewed as an overly credulous/realist stance toward the status of DSM categories like "bipolar II disorder," invoking concerns about "false negative" and "false positive" outcomes of the psychiatric diagnostic process. Although over-inclusiveness and under-inclusiveness are both problems with which those who formulate diagnostic criteria must contend, in the present context, in which the ontological status of the categories themselves are at issue, it is unclear what evidence for or against revisions of the criteria by which diagnoses are assigned would even look like. More broadly, however, the chapter's systematic assessment of what its author labels value-free versus value-laden ideals in conceptualizing psychiatry is cogently presented.

          In Chapter 11, "Causal Explanation in Psychiatry," Tuomas Pernu points out that the matter of causal explanation is absolutely core to the medical enterprise, and with respect to philosophy of psychiatry the vital question relates to whether genuine mental causation is possible, or compatible with physicalism. Some of the author's choices of areas on which to expand (or not) seem odd. The chapter could have benefitted from greater specificity on the "dependency" versus "production" views of the nature of causation, and on what the "interventionist" account of causation means in the medical/psychiatric context. Similarly, the author's challenges to the proposition that mental states are multiply realized are insufficiently developed for the reader to accept his apparent assimilation of the notion of mental states with broad categories of mental/behavioral phenotypes like schizophrenia and addiction, and thus the implications claimed therefrom. The chapter does, however, make clear that this is an active arena of current work with great relevance to psychiatry, and will stimulate readers to think and read more about it. The section closes with Chapter 12, "Trauma-Informed Psychiatric Research," in which Ami Harbin provides an overview of trauma-related research in clinical psychology. She defines "trauma-informed approaches" to practice and research, pointing out that trauma is conceptualized in non-individualistic ways – i.e., as a societal phenomenon whose social and political dimensions are inextricable parts of it. The author asserts that research on trauma is thus value laden from the start, calling for application of a trauma-informed lens in order to attend to its intrinsic social and political elements.

 

PART 5: ETHICS AND PSYCHIATRY

The first entry of this section, Chapter 13, "Informed Consent in Psychiatry," is co-authored by Claire Pouncey and Jon Merz. This is an arena of more obvious import and familiarity to clinicians and researchers than some of the others addressed in the book. The authors present a comprehensive and clearly articulated treatment of the subject, including philosophical, legal, and clinical (including clinical research) perspectives, applicable to general medical/surgical (i.e., psychiatric consultation) and primary psychiatric settings. They emphasize throughout that informed consent entails both moral and epistemic agency and they make clear that while psychiatric illness complicates the problems of informed consent, it does not obviate the centrality of the principles involved. Chapter 14, "The Ethics of Coercion and Other Forms of Influence," deals with what is perhaps the single most important element in ethics as it relates to psychiatry. Its author, Kelso Cratsley, provides a theoretical background on this fraught matter that is carefully and precisely written and that will reward the attentive reader. He adduces more empirical data than one might expect of philosophical analyses. Such evidence is clearly useful even if empiric findings can never be dispositive with respect to conceptual and normative claims. The chapter's philosophical and scientific rigor is commensurate with its practical focus on clinical ethics. In Chapter 15, "Voice, Silencing, and Listening Well," Nancy Potter articulates her plea for "real democracy," exposing neoliberalism as an impediment to it, and structural violence and oppression based on actual or perceived group membership as manifestations of its absence. She identifies mental illness, via the mechanism of stereotyping (among others), as one object of such oppression. Structural violence and oppression are shown to manifest in the realm of communication, in which those who represent disfavored groups are epistemically discounted and thereby silenced. The author takes a while to return to applications to psychiatry, but the more general material is well worth readers' time, as it expertly and compellingly explains contemporary work in this area. The chapter could arguably fit into the (later) Social and Political Philosophy section of the book, but its implications for clinical practice must be taken as serious ethical imperatives, thus justifying its placement in the section on ethics.

          Michelle Ciurria, in Chapter 16, "Mental Illness, Agency, and Responsibility," seeks an alternative to the blanket assumption that mental illness and responsibility are incompatible – which seems untenable from both principled and practical perspectives. After reviewing some alternative theoretical formulations of responsibility, she settles on the agency-enhancement view of Manuel Vargas. Rather than approaching the question of agency and responsibility as qualities that are or are not possessed by particular people at particular points in time, she takes a sort of functionalist approach, essentially asking, "What would praise or blame accomplish (therapeutically) for this person at this point in time?" Responsibility is defined in reference to answers to that question. Although the author credits the DSM and its diagnostic categories well beyond what they warrant (e.g., taking seriously the notion of "intermittent aggressive disorder"), the adverse effects on her overall argument are minimal. The content of the final chapter of this section, Chapter 17, "Philosophers, Psychopaths, and Neuroethics," overlaps to some extent with that of the previous chapter, but its focus is on psychopathy. Its author, Matthew Ruble, draws on the work of Peter Strawson on "reactive attitudes." He reviews philosophical claims that psychopaths lack the conditions for moral responsibility and cogently exposes the ways by which adducing neuroscientific (functional imaging in this case) evidence to draw philosophical conclusions is prone to serious reasoning errors. The author concludes that reconceptualizing the object of opprobrium from the psychopathic actor to his or her act obviates some of the problems found in this area of work.

 

PART 6: SOCIAL AND POLITICAL PHILOSOPHY AND PSYCHIATRY

In Chapter 18, "Neurodiversity Theory and Its Discontents," Robert Chapman points out that neurodiversity is at this point a grassroots movement to which little serious academic attention has been paid. He outlines the neurodiversity paradigm, contrasting it with the pathology model and revealing that disagreements between the two are sometimes question-begging, given the various paradigmatic/axiomatic assumptions inherent in each perspective. Autism and schizophrenia are presented as test cases, taking seriously the applications of as well as objections to the neurodiversity paradigm for each. The author challenges readers to consider whether the suffering associated with phenomena routinely conceived within the pathology paradigm might be better understood as sequelae of social marginalization and oppression. In Chapter 19, "Managing Individuals and Populations through Psychiatric Classification," Devonya Havis and Melissa Mosko invoke the work of Michel Foucault to assert that psychiatry as a social institution exercises both disciplinary power over individuals and biopower over groups through classification of abnormality that must be "managed." The objects of such classification and management include women who fail to embody the social expectations of femininity and docility, and the poor and members of racial minorities who are seen as dangerous and prone to criminal behavior. Lastly in this section, Chapter 20, "The North African Syndrome: Traversing the Distance to the Cultural 'Other,'" takes to task claims that asymmetries of power and vulnerability in psychiatry have vanished in the face of increasing attention to the importance of the therapeutic alliance and its democratic underpinnings. The argument of its author, Bryan Mukandi, is beautifully – even poetically – presented and illustrated. He employs Frantz Fanon's 1952 essay, "The North African Syndrome," to great effect in demonstrating the depth of the chasm of understanding separating clinicians of dominant cultures from patients who represent a "cultural other," making contemporary efforts at "cultural competence" seem banal and grossly inadequate to the vital task of bridging it.

 

PART 7: METAPHYSICS, EPISTEMOLOGY, AND PSYCHIATRY

The penultimate division of the book draws together material that is foundational to the theory and practice of psychiatry. Although its chapters could have been apportioned to other sections, coalescing them here seems justifiable. Chapter 21, "Mental Disorder, Free Will, and Personal Autonomy," written by Christian Perring, addresses a core area of philosophy of psychiatry with relevance to folk-philosophical formulations, family relations, and legal contexts, among other arenas. The author provides a brief introduction to the broader question of free will/determinism that is tailored well to the more specific task at hand in this chapter. He moves on to review philosophical accounts of personal autonomy as preparation for addressing the question of whether mental illness can validly be characterized as entailing a loss of it. The chapter concludes with humility about the likelihood that the question of whether mental illness (using addiction as a prototype) entails loss of autonomy and responsibility will be answered definitively, suggesting the possibility that the consequences of our attitudes toward the addicted might (at least tentatively) legitimately drive our conclusions. One of the most fundamental problems in philosophy of psychiatry is the subject of Chapter 22, "Metaphysical Problems in Psychiatric Classification and Nosology." Its author, Peter Zachar, divides his remit into three sections: ontology, causality, and the nature of clinical entities. In the first he introduces the Szaszian repudiation of the very concept of mental illness, alongside the naturalist accounts of Christopher Boorse and Jerome Wakefield. On the subject of causality, a precis of Hume's account underpins a discussion of the problematic nature of causality in general and its complicated applications to psychiatry. The final section contrasts three metaphysical views – medical, factor-analytic, and causal network models – of what psychiatric disorders are. The net effect is to reveal that metaphysics, far from being excessively esoteric, is central to all scientific enterprises.

          In Chapter 23, "Scientific Realism, Antirealism, and Psychiatric Diagnosis," Sam Fellowes picks up on the ontological questions of the previous chapter, focusing on the "realist"/"antirealist" dichotomy regarding psychiatric diagnoses. He distinguishes metaphysical from epistemic (the latter term employed here in a somewhat idiosyncratic but nevertheless understandable sense) forms of realism/antirealism and maps that distinction onto Haslam's four types of "kinds" (natural, discrete, fuzzy, and practical) account, showing the complexities involved in defining "realist" and "antirealist" in this context. The upshot is that the question of whether psychiatric diagnoses reflect the structure of the natural world or are instead reflective of decisions made by psychiatrists is an important one, even if the realist/antirealist distinction is not itself one that is cleanly defined or implemented. The section concludes with Chapter 24, "Social Epistemology and Psychiatry," in which Anke Bueter presents an unusual density of important conceptual background and insight, reflected among other ways in her exhaustive reference list. She suggests that individualistic accounts of knowledge and belief are inadequate, both descriptively and prescriptively, and that social contexts and practices need to be incorporated into such formulations. This material is highly relevant in the context of current attention to and concerns about epistemic justice in psychiatric settings and democratic pluralism in the production, evaluation, and application of socially important knowledge (e.g., regarding conceptualization and classification of psychiatric disorder). The author presents a sophisticated and nuanced treatment that notes that the aim of social epistemology is not wholesale rejection of claims of scientific objectivity but, rather, improvement of understanding of the socially embedded nature of the knowledge-production enterprise.

 

PART 8: PHILOSOPHY OF MEDICINE AND PSYCHIATRY

The book closes with two broadly based chapters. Chapter 25, "The Functions of Diagnoses in Medicine and Psychiatry," authored by Hane Htut Maung, begins with a useful and articulate summary of the conceptual foundations of diagnosis in general medicine. Although the functions of diagnosis are several, the author makes a strong case for the proposition that the job of explanation is central to justifying the other roles of diagnosis, including but not limited to prediction and intervention. He points out that, in psychiatry, diagnoses are descriptive rather than explanatory – i.e., that psychiatric diagnoses are constituted by their symptoms and thus cannot explain them. This, combined with questions about the likely complex causal structures of psychiatric phenomena, is shown to relate to several recent critiques of psychiatric diagnosis. The chapter contrasts psychiatric diagnosis with a somewhat idealized notion of diagnosis in general medicine (ignoring constructs like, for example, fibromyalgia and irritable bowel syndrome that are constituted by, and thus cannot explain, their symptoms and which comprise a significant portion of general medical practice), but its points are no less important for that. In Chapter 26, "Mental Health and Illness: Past Debates and Future Directions," Reinier Schuur begins with a focus on Szaszian analysis and responses to it regarding what might be meant by "mental illness," which could have found a home in the introductory section or in the section on metaphysics and epistemology. But he goes on to make use of that material to question whether traditional tools of conceptual analysis, and acceptance of the fact/value distinction, can elucidate the fundamental question of the status and nature of mental illness. He suggests that recent developments in philosophical methodology – in particular those that place greater emphases on empirical findings and practical applicability – might benefit what are now quite old debates on this topic. To the extent that the chapter is thereby forward looking, it is an appropriate one with which to finish. Moreover, it points out the near certainty that this outstanding compendium will warrant amendments over time. 

 

CONCLUSION

If psychiatry is to meet the challenges of the substantial – and well earned – critiques currently directed at it, the conceptual underpinnings of its theories and practices must be subjected to rigorous examination and, where warranted, overhaul. Compiling a volume of this importance and scope is an ambitious undertaking; completing one of this quality is a prodigious achievement. The field is indebted to Professors Tekin and Bluhm and to the other 27 scholars who contributed chapters to this volume. Their work surely augmented my understanding of myriad aspects of an ever-broadening subdiscipline in which none of us can keep abreast of all developments. I look forward to using this resource in my teaching and I am confident that I will have ample company in that decision.

 

© 2019 G. Scott Waterman

                   

G. Scott Waterman, M.D., M.A., is Professor of Psychiatry Emeritus at the University of Vermont in Burlington.


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