David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Jack Alan Reynolds
Learn more about PhilPapers
Philosophy, Psychiatry and Psychology (forthcoming)
This paper explores the factors that contribute to the degree of a mood disorder patient’s self- insight, defined here as her understanding of the particular contingencies of her life that are responsive to her personal identity, interpersonal relationships, illness symptoms, and the relationship between these three necessary components of her lived experience. I consider three factors: (i) the Diagnostic Statistical Manual of Mental Disorders (DSM), (ii) the DSM culture, and (iii) the cognitive architecture of the self. I argue that the symptom-based descriptions of mood disorders which eliminate the subjective features of the patient’s illness experience, in conjunction with the features of the DSM-culture and the cognitive biases that guide the patient, contribute to the impoverishment of her self-insight. The resulting impoverished self-insight would prevent her from developing resourceful responses to her interpersonal problems. In analyzing how these factors combine to influence the patient’s self-insight, I distinguish the therapeutic impact of receiving a psychiatric diagnosis, which facilitates patient’s clinical treatment, from its reflective impact, how the diagnosis informs the patient’s reflection on who she is, how her mental disorder is expressed, and how her interpersonal relationships proceed. I substantiate my argument by considering a patient’s memoir of psychopathology.
|Keywords||self psychiatric diagnosis DSM DSM culture cognitive biases self-insight memoirs of psychopathology|
|Categories||categorize this paper)|
Setup an account with your affiliations in order to access resources via your University's proxy server
Configure custom proxy (use this if your affiliation does not provide a proxy)
|Through your library|
References found in this work BETA
No references found.
Citations of this work BETA
Serife Tekin (2013). “Will I Be Pretty, Will I Be Rich?”: The Missing Self in Antidepressant Commercials. American Journal of Bioethics 13 (5):19 - 21.
Similar books and articles
Serife Tekin (2011). Self-Concept Through the Diagnostic Looking Glass: Narratives and Mental Disorder. Philosophical Psychology 24 (3):357-380.
Serife Tekin (2010). Mad Narratives: Exploring Self-Constitutions Through the Diagnostic Looking Glass. Dissertation, York University
Karen Ritchie (1989). The Little Woman Meets Son of Dsm-III. Journal of Medicine and Philosophy 14 (6):695-708.
Shadia Kawa & James Giordano (2012). A Brief Historicity of the Diagnostic and Statistical Manual of Mental Disorders: Issues and Implications for the Future of Psychiatric Canon and Practice. [REVIEW] Philosophy, Ethics, and Humanities in Medicine 7 (1):1-9.
Matthew Broome & Lisa Bortolotti (2010). What's Wrong with 'Mental' Disorders? Psychological Medicine.
Kent Bach (1993). Emotional Disorder and Attention. In George Graham (ed.), Philosophical Psychopathology. Cambridge: MIT Press.
Shadia Kawa & James Giordano (2012). A Brief Historicity of the Diagnostic and Statistical Manual of Mental Disorders: Issues and Implications for the Future of Psychiatric Canon and Practice. Philosophy, Ethics, and Humanities in Medicine 7 (1):2-.
John Z. Sadler (2005). Values and Psychiatric Diagnosis. Oxford University Press.
Sue V. Rosser (1992). Is There Androcentric Bias in Psychiatric Diagnosis? Journal of Medicine and Philosophy 17 (2):215-231.
Jerome C. Wakefield (2010). False Positives in Psychiatric Diagnosis: Implications for Human Freedom. Theoretical Medicine and Bioethics 31 (1):5-17.
Elizabeth H. Flanagan Roger K. Blashfield (2007). Clinicians' Folk Taxonomies of Mental Disorders. Philosophy, Psychiatry, and Psychology 14 (3):pp. 249-269.
Leslie Forman & Wendy Wakefield Davis (1994). Dsm-IV Meets Philosophy. Journal of Medicine and Philosophy 19 (3):207-218.
James Phillips, Allen Frances, Michael A. Cerullo, John Chardavoyne, Hannah S. Decker, Michael B. First, Nassir Ghaemi, Gary Greenberg, Andrew C. Hinderliter, Warren A. Kinghorn, Steven G. LoBello, Elliott B. Martin, Aaron L. Mishara, Joel Paris, Joseph M. Pierre, Ronald W. Pies, Harold A. Pincus, Douglas Porter, Claire Pouncey, Michael A. Schwartz, Thomas Szasz, Jerome C. Wakefield, G. Scott Waterman, Owen Whooley & Peter Zachar (2012). The Six Most Essential Questions in Psychiatric Diagnosis: A Pluralogue Part 1: Conceptual and Definitional Issues in Psychiatric Diagnosis. [REVIEW] Philosophy, Ethics, and Humanities in Medicine 7 (1):1-29.
Rachel Cooper (2004). What is Wrong with the DSM? History of Psychiatry 15 (1):5-25.
Marga Reimer (2010). Moral Aspects of Psychiatric Diagnosis: The Cluster B Personality Disorders. Neuroethics 3 (2):173-184.
Added to index2011-10-23
Total downloads31 ( #55,889 of 1,101,091 )
Recent downloads (6 months)4 ( #81,124 of 1,101,091 )
How can I increase my downloads?