Philosophy says that life must be understood backwards. But . . . it must be lived forward. . , , It is more and more evident that life can never be really understood in Time. It was a pleasure to read Jason Thompson’s serious and thought-provoking piece, and I am grateful to the editors for giving me a chance to comment. The idea that the self is revealed in narrative is a popular one among different schools of psychotherapy, both in (...) terms of technique and theory; and my response addresses both these issues in turn. As a clinician, I have always liked people’s stories. As a junior psychiatrist, I used to love the moment when I first met someone and could say to them, ‘You were born; and then what .. (shrink)

Some would say that philosophy can contribute more to the occurrence of mental disorder than to the study of it. Thinking too much does have its risks, but so do willful ignorance and selective inattention. Well, what can philosophy contribute? It is not equipped to enumerate the symptoms and varieties of disorder or to identify their diverse causes, much less offer cures (maybe it can do that-personal philosophical therapy is now available in the Netherlands). On the other hand, the scientific (...) study of mental disorder has a long way to go. There is much disagreement and uncertainty about the nature, causes, and treatment of many specific disorders, as is evident from DSM's classification of them in predominantly symptomatic terms. And even if what is reflected in DSM were a consensus rather than a compromise, still this shifts periodically with each new edition. Moreover, it is a notorious fact that many patients who clearly have psychiatric abnormalities do not fit any of the recognized diagnostic categories.1. (shrink)

This book will undoubtedly be useful to scholars and graduate students interested in the relationships between self-consciousness, emotion, the brain, and the...

assumptions about the phenomena of interest with process models. Thus, phlogiston has been replaced by combustion, caloric by random thermal motion, and vital fluid by far- from-equilibrium self-reproducing organizations of process. The most significant exceptions to this historical pattern are found in studies of the mind. Here, substance assumptions are still ubiquitous, ranging from models of representation to those of emotions to personality and psychopathology. Substance assumptions do pernicious damage to our ability to understand such phenomena. In this discussion, I (...) will focus on the problem of representation. (shrink)

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. While attempts 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. (shrink)

How does one scientifically verify a psychometric instrument designed to assess the mental competence of medical patients who are asked to consent to medical treatment? Aside from satisfying technical requirements like statistical reliability, results yielded by such a test must conform to at least some accepted pretheoretical desiderata; for example, determinations of competence, as measured by the test, must capture a minimal core of accepted basic intuitions about what competence means and what a theory of competence is supposed to do. (...) The concepts of “face validity” and “content validity” are both important here. Face validity “indicates that an instrument appears to test what it is supposed to and that it is a plausible method for doing so” (Portney and Watkins 2000, 82). Content validity “means that the test contains all the elements that reflect the variable being studied” (Portney and.. (shrink)

The phenomena of human consciousness and subjectivity are explored from the perspective of affect-logic, a comprehensive meta-theory of the interactions between emotion and cognition based mainly on cognitive and social psychology, psychopathology, neurobiology Piaget?s genetic epistemology, psychoanalysis, and evolutionary science. According to this theory, overt or covert affective-cognitive interactions are obligatorily present in all mental activity, seemingly ?neutral? thinking included. Emotions continually exert numerous so-called operator-effects, both linear and nonlinear, on attention, on memory and on comprehensive thought, or logic in (...) a broad sense. They deeply ?affect? also consciousness and subjectivity, as showed by the analysis of four crucially involved phenomena, namely (1) attention, (2) abstraction, (3) language, and (4) the prevailing affective state. The conclusion is that neither consciousness nor subjectiovity can be adequately understood without fully considering their emotional aspects. (shrink)

Erdelyi distinguishes between cognitive and emotional forms of repression, but argues that they use the same general mechanism. His discussion of experimental memory findings, on the one hand, and clinical examples, on the other, does indeed indicate considerable overlap. As an in-between level of evidence, research findings on emotion in neuroscience, as well as experimental and social/personality psychology, further support his argument.

Can the mind heal the body? The Buddhist tradition says yes--and now many Western scientists are beginning to agree. Healing Emotions is the record of an extraordinary series of encounters between the Dalai Lama and prominent Western psychologists, physicians, and meditation teachers that sheds new light on the mind-body connection. Topics include: compassion as medicine; the nature of consciousness; self-esteem; and the meeting points of mind, body, and spirit. This edition contains a new foreword by the editor.

The present volume is, we believe, the first-ever edited volume devoted to the emotion of disgust. In this chapter we address the following issues: 1. Why was disgust almost completely ignored until about 1990, 2. Why has there been a great increase in attention to disgust since about 1990?, 3. The outline of an integrative, body-to-soul preadaptation theory of disgust, 4. Some specific features of disgust that make it particularly susceptible to laboratory research and particularly appropriate to address some fundamental (...) issues in psychology. In the final section, we outline some new questions that arise from the recent increased interest in disgust in the areas of brain mechanisms, psychopathology, the psychometric approach to the structure of disgust, and disgust and morality. We then indicate some important aspects of disgust that have yet to receive systematic investigation. (shrink)

Routledge is now re-issuing this prestigious series of 204 volumes originally published between 1910 and 1965.

The field of philosophical psychopathology is basically the philosophical study of mental disorders such as schizophrenia, bipolar disorder, depression, autism, as well as more specific symptoms and signs such as Capgras’ delusion (the delusion that your spouse, for example, is an impostor) or the anarchic hand sign (where your hand seems to act on its own intentions). This simple epithet covers a multitude of approaches: how can philosophy help to explain mental disorder? What does mental disorder tell us about consciousness, (...) cognition, emotion and ‘self’? What does the study of mental disorder tell us about phenomenology? What does philosophical phenomenology tell us about mental disorder? What do mental disorders tell us about reasoning, rationality and belief formation? What are the particular ethical aspects of mental disorder and its treatment? If philosophical.. (shrink)

Lewis makes a strong case for the interdependence and integration of emotion and cognitive processes. Yet, these processes exhibit considerable independence in early life, as well as in certain psychopathological conditions, suggesting that the capacity for their integration emerges as a function of development. In some circumstances, the concept of highly interactive emotion and cognitive systems seems a viable alternative hypothesis to the idea of systems integration.

As is widely known, the last 25 years have seen an acceleration in the development of theories of emotion. Perhaps less well-known is that the last three years have seen an extended defense of a predominant, though not universally accepted, framework for the understanding of emotion in philosophy and psychology. The central claim of this framework is that emotions are a form of evaluative response to their intentional objects, centrally involving cognition or something akin to cognition, in which the evaluation (...) of the object relates to the concerns, interests, or well-being of the subject. I aim to summarize and review the work of five authors on three of the central themes of this framework, and to note some implications for the understanding of emotion in different psychotherapeutic approaches. (shrink)

Erdelyi argues persuasively for his unified theory of repression. Beyond this, what can studying repression bring to our understanding of other aspects of emotional function? Here we consider ways in which work on repression might inform the study of, on one hand, emotional memory, and on the other, the emotional numbing seen in patients with chronic persistent depersonalization symptoms.

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, 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. (shrink)

I outline the early Heidegger's views on mood and emotion, and then relate his central claims to some recent finding in neuropsychology. These findings complement Heidegger in a number of important ways. More specifically, I suggest that, in order to make sense of certain neurological conditions that traditional assumptions concerning the mind are constitutionally incapable of accommodating, something very like Heidegger's account of mood and emotion needs to be adopted as an interpretive framework. I conclude by supporting Heidegger's insistence that (...) the sciences constitute a derivative means of disclosing the world and our place within it, as opposed to an ontologically and epistemologically privileged domain of inquiry. (shrink)

In this paper, I will attempt to follow Winnicott's thoughts on the intrinsic connection between symbolic play and the way we understand other minds. Phenomenological, conceptual and empirical difficulties in the account will be presented and taken into consideration. Winnicott's account proves to be a fruitful guide into the issue and can help us clarify impaired symbolic play in autism.