David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Jack Alan Reynolds
Learn more about PhilPapers
Philosophical Psychology 24 (3):357-380 (2011)
This paper explores how the diagnosis of mental disorder may affect the diagnosed subject’s self-concept by supplying an account that emphasizes the influence of autobiographical and social narratives on self-understanding. It focuses primarily on the diagnoses made according to the criteria provided by the Diagnostic Statistical Manual of Mental Disorders (DSM), and suggests that the DSM diagnosis may function as a source of narrative that affects the subject’s self-concept. Engaging in this analysis by appealing to autobiographies and memoirs written by people diagnosed with mental disorder, the paper concludes that a DSM diagnosis is a double-edged sword for self- concept. On the one hand, it sets the subject’s experience in an established classificatory system which can facilitate self-understanding by providing insight into subject’s condition and guiding her personal growth, as well as treatment and recovery. In this sense, the DSM diagnosis may have positive repercussions on self-development. On the other hand, however, given the DSM’s symptom-based approach and its adoption of the Biomedical Disease model, a diagnosis may force the subject to make sense of her condition divorced from other elements in her life that may be affecting her mental- health. It may lead her frame her experience only as an irreversible imbalance. This form of self-understanding may set limits on the subject’s hopes of recovery and may create impediments to her flourishing.
|Keywords||Diagnostic Statistical Manual of Mental Disorders (DSM) Looping Effects Mental Disorder Narrative Psychiatry Self-Concept|
|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
Derek Parfit (1984). Reasons and Persons. Oxford University Press.
John Locke (2008/1995). An Essay Concerning Human Understanding. Oxford University Press.
Charles Taylor (1989). Sources of the Self: The Making of the Modern Identity. Harvard University Press.
Timothy D. Wilson (2002). Strangers to Ourselves: Discovering the Adaptive Unconscious. Harvard University Press.
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.
Ami Harbin (2014). Disorientation and the Medicalization of Struggle. International Journal of Feminist Approaches to Bioethics 7 (1):99-121.
Similar books and articles
Serife Tekin (2010). Mad Narratives: Exploring Self-Constitutions Through the Diagnostic Looking Glass. Dissertation, York University
Serife Tekin (2014). Self-Insight in the Time of Mood Disorders: After the Diagnosis, Beyond the Treatment. Philosophy, Psychiatry and Psychology 21 (2):139-155.
Gerben Meynen (2010). Free Will and Mental Disorder: Exploring the Relationship. Theoretical Medicine and Bioethics 31 (6):429-443.
Alfredo Gaete (2009). The Concept of Mental Disorder: A Proposal. Philosophy, Psychiatry, and Psychology 15 (4):327-339.
Bernard Gert (1992). A Sex Caused Inconsistency in Dsm-III-R: The Definition of Mental Disorder and the Definition of Paraphilias. Journal of Medicine and Philosophy 17 (2):155-171.
Massimiliano Aragona (2009). The Concept of Mental Disorder and the DSM-V. Dialogues in Philosophy, Mental and Neuro Sciences 2 (1):1-14.
Rachel Cooper (2004). What is Wrong with the DSM? History of Psychiatry 15 (1):5-25.
Elizabeth H. Flanagan Roger K. Blashfield (2007). Clinicians' Folk Taxonomies of Mental Disorders. Philosophy, Psychiatry, and Psychology 14 (3):pp. 249-269.
Kent Bach (1993). Emotional Disorder and Attention. In George Graham (ed.), Philosophical Psychopathology. Cambridge: MIT Press
Matthew Broome & Lisa Bortolotti (2010). What's Wrong with 'Mental' Disorders? Psychological Medicine.
Jerome C. Wakefield (2010). False Positives in Psychiatric Diagnosis: Implications for Human Freedom. Theoretical Medicine and Bioethics 31 (1):5-17.
Jonathan Y. Tsou (2008). The Reality and Classification of Mental Disorders. Dissertation, University of Chicago
Dusan Kecmanovic (2011). Why the Mental Disorder Concept Matters. Dialogues in Philosophy, Mental and Neuro Sciences 4 (1):1-9.
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.
Derek Bolton (2008). What is Mental Disorder?: An Essay in Philosophy, Science, and Values. Oxford University Press.
Added to index2011-03-19
Total downloads171 ( #11,987 of 1,726,249 )
Recent downloads (6 months)29 ( #33,428 of 1,726,249 )
How can I increase my downloads?