The question "What is mental illness?" raises many issues in many contexts, personal, social, legal, and scientific. This chapter reviews mental health problems as they appear to the person with the problems, and to family and friends-before the person attends the clinic and is given a diagnosis-a time in which whether there really is a problem, as opposed to life's normal troubles and variations, is undecided, as also the nature of the problem, if such it be, and the related matter (...) what kind of expert advice should be sought. Once at the clinic, a diagnosis may be given-using criteria well-worked-out in the diagnostic manuals. The chapter discusses the conceptualizations of mental disorder in the diagnostic manuals, their rationale, and what can and cannot be reasonably expected of them. There are more position statements than definitions, and while they signal many dilemmas, they do not resolve them. Attempts to do so in the surrounding literature on the concept of mental illness are reviewed in the chapter, with conclusions favoring the features emphasized in the diagnostic manuals: distress and impairment. Finally the chapter considers how far the science may help draw boundaries around mental illness. (shrink)

This open access book is a systematic update of the philosophical and scientific foundations of the biopsychosocial model of health, disease and healthcare. First proposed by George Engel 40 years ago, the Biopsychosocial Model is much cited in healthcare settings worldwide, but has been increasingly criticised for being vague, lacking in content, and in need of reworking in the light of recent developments. The book confronts the rapid changes to psychological science, neuroscience, healthcare, and philosophy that have occurred since the (...) model was first proposed and addresses key issues such as the model’s scientific basis, clinical utility, and philosophical coherence. The authors conceptualise biology and the psychosocial as in the same ontological space, interlinked by systems of communication-based regulatory control which constitute a new kind of causation. These are distinguished from physical and chemical laws, most clearly because they can break down, thus providing the basis for difference between health and disease. This work offers an urgent update to the model’s scientific and philosophical foundations, providing a new and coherent account of causal interactions between the biological, the psychological and social. (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)

This new edition of Mind, Meaning, and Mental Disorder addresses key issues in the philosophy of psychiatry, drawing on both philosophical and scientific theory. The main idea of the book is that causal models of mental disorders have to include meaningful processes as well as any possible lower-level physical causes, and this propsoal is illustrated with detailed discussion of current models of common mental health problems. First published in 1996, this volume played an important role in bridging the gap between (...) philosophy and psychiatry, and introducing those in psychiatry to philosophical ideas somewhat neglected in their field. Completely updated, the new edition of this acclaimed volume draws on the strengths of the first edition, and will be a central text in the burgeoning field of philosophy of psychiatry. (shrink)

I respond to the 4 commentaries by Awais Aftab & Kristopher Nielsen, Hane Htut Maung, Diane O’Leary and Kathryn Tabb under 3 main headings: “What is the BPSM really?” & Why update it?; “Is our approach foundationally compromised?”, and finally, “Antagonists or fellow travellers?”.

Debates about the concept of mental disorder involve social values, the medical model, and the sciences. It is generally agreed that the concept involves values, though how it does this continues to be disputed, and it is also recognized that the label of mental disorder or illness is stigmatizing. Wakefield's proposed definition of mental disorder in terms of harmful dysfunction locates the concept in an evolutionary theoretic framework. However, recent commentaries on Wakefield's analysis have suggested that research programs in evolutionary (...) biology and psychology envisage a broader class of "treatable conditions" that may involve no dysfunction, and hence no disorder in this sense. (shrink)

In this paper I shall suggest that philosophy which bases itself firmly inlife is incompatible with idealism. The example of such a philosophy to be discussed is the later work of Wittgenstein, and I shall define in what sense this is ‘based in life’, with particular reference to his concept of ‘Lebensform’, or ‘life-form’. I shall understand idealism to be, in general terms, the doctrine that idea is the primary, or the only, category of being. Various kinds of idealism may (...) then be distinguished according to the precise definition each gives of ‘idea’, and of the category, if any, which is held to be less fundamental. Thus, in brief, in Platonic idealism, absolute immaterial being is ontologically prior to the changing world given to sense-experience; in the idealistic systems of more modern thought, mind is more fundamental than matter; or again, subject, or spirit, is more fundamental than object. While the various systems of idealism are properly classed together so far as they assign priority to the concept idea , it is clear that they differ in their interpretations of the concept. When one has in mind these differences, it is of course misconceived to speak of idealism as a single doctrine; nevertheless, it is plausible to suppose that philosophers have been led to apply the term ‘idealism’ to various systems despite their differences, because there is indeed a common tendency of thought to be found in them. The present paper takes this supposition as a working hypothesis, with the particular aim of establishing that philosophy based in life is incompatible with philosophy based in idea, whatever be reasonably meant by ‘idea’. In brief my argument will be this: that life is no idea. (shrink)

In this paper I shall suggest that philosophy which bases itself firmly inlife is incompatible with idealism. The example of such a philosophy to be discussed is the later work of Wittgenstein, and I shall define in what sense this is ‘based in life’, with particular reference to his concept of ‘Lebensform’, or ‘life-form’. I shall understand idealism to be, in general terms, the doctrine that idea is the primary, or the only, category of being. Various kinds of idealism may (...) then be distinguished according to the precise definition each gives of ‘idea’, and of the category, if any, which is held to be less fundamental. Thus, in brief, in Platonic idealism, absolute immaterial being is ontologically prior to the changing world given to sense-experience; in the idealistic systems of more modern thought, mind is more fundamental than matter; or again, subject, or spirit, is more fundamental than object. While the various systems of idealism are properly classed together so far as they assign priority to the concept idea, it is clear that they differ in their interpretations of the concept. When one has in mind these differences, it is of course misconceived to speak of idealism as a single doctrine; nevertheless, it is plausible to suppose that philosophers have been led to apply the term ‘idealism’ to various systems despite their differences, because there is indeed a common tendency of thought to be found in them. The present paper takes this supposition as a working hypothesis, with the particular aim of establishing that philosophy based in life is incompatible with philosophy based in idea, whatever be reasonably meant by ‘idea’. In brief my argument will be this: that life is no idea. (shrink)

This book offers a broad, systematic philosophical approach to mental disorder. The authors spend the first half of the book presenting their basic philosophical allegiances, and they go on to apply their philosophical approach to mental disorder. As the authors note, psychiatry has been largely neglected by contemporary philosophy of mind, and this book is a laudable attempt to rectify the situation by producing a sustained and clinically well-informed philosophical treatment of mental disorder.

The concept of regulation pervades biology, for example in models of genetic regulatory networks and the endocrine system. Regulation has a normative opposite, dysregulation, which figures prominently in biomedical models of disease. The use of normative concepts in biology, however, has been thought to present some challenges for the physicalist view of the world, and various resolutions have been proposed. Up to now the problem of biological normativity has been debated largely in connection with the concept of biological information. In (...) this paper we shift focus to the concept of biological regulation, proposing that it provides a promising new approach to these issues. Models of regulatory systems have several features: they are causal, but they do not deal with the energy exchanges and transformations covered by physics and chemistry; further, and entirely connected, regulatory systems can break down, and this is because they and their causal-regulatory properties are dependent on fragile molecular structures. Biological regulatory systems exhibit normativity, because they are not determined by physical and chemical laws, but their close relationship with physical laws and physicalist ontology is transparent. (shrink)

The epistemological principles underlying randomized, controlled trials and evidence-based medicine generally have not received the attention they require. Broadly speaking, they are the application of work done over several centuries in philosophy and scientific method. The epistemological base is sound, but it also implies internal limitations, having to do with decreasing generality, which particularly affect application to psychological problems. The principles also have nothing to say about values. The question of the 'objective validity' of scientific method is briefly discussed.

Shepherd propounds a theory of mind with a fair claim to be better than Hume’s at explaining the sources of commonly held human beliefs about causal necessity due largely to her relational theory of sense perception. In comparison with Hume’s account, it incorporates a more sophisticated treatment of mental representation, especially the role of relational structure and logical form. Most important, perhaps, Shepherd’s theory enforces the division, obscured by Hume, between the evidence of necessity and the metaphysical foundation of necessity.

The nature of the real self -- Whole person and duality -- How nature is dual -- Real self and false self -- A primary certainty -- Certainty in the self -- The original cogito argument -- Overcoming representation -- The theory of right and wrong -- The defining principle -- Narrowing the definition -- The centrality of reason -- A question of proof -- Reason and intelligence -- A universal activity -- Human and animal consciousness -- Anti-spiritual assumptions -- (...) Intellect and religious ideals -- Creativity and spirituality -- The anomaly of creativity -- An archetypal view of creation -- Creativity resistant to systems -- Conforming to the divine pattern -- Happiness and the extension of time -- Happiness distinct from pleasure -- Implications for ascetic values -- Collective suffering -- Transcendence and normal experience -- The inner duality of consciousness -- The core of consciousness -- Theology and reductionism -- A radical conclusion -- The abstract and the concrete -- Common sense concreteness -- Mediation by living organisms -- Spirituality and power -- The freedom of the will -- Confusions about free will -- Free will and release from fate -- Arguments for free will -- Freedom and knowledge of truth -- The law of action and reaction -- Sources in scripture -- The causal principle and continuity -- What controls the world? -- Causality includes free will -- Choice of the lesser evil -- Apparent breaches of the law -- The insentience of the active faculties -- Cosmic reaction and judgement -- Consequences for modern religion -- Providence and fate -- Forms of cosmic order -- Providence and archetypal order -- Fate, providence, and salvation -- Fate and astrology. (shrink)

This book brings together anthropological studies of human-animal relations among Indigenous Peoples in three regions of the Americas: the Andes, Amazonia and the American Arctic. Through ethnographic essays, the authors illustrate and compare entanglements of human and other-than-human lives.

This chapter discusses reasons why we have no prospect of knowing whether or not matter thinks. It focuses on the mechanist hypothesis, its purported explanatory scope, and John Locke's commitment to it. The chapter then demonstrates God's immateriality and its implications for the possibility that God has given perception and thought to some material things. It addresses the notion of divine superaddition elaborated in letters to Stillingfleet and considers how thinking, extension, solidity, and motion are connected in case they do (...) coexist in the same substance. The whole difference between Locke and his opponents on the epistemic possibility of thinking matter comes down to this. He maintains, and they deny, that we know the fixed nature of substances of various kinds, a constituent of a substance that determines the powers it necessarily has and those it necessarily lacks. (shrink)

It’s intuitive to think that an intentional action requires that the agent knows that she’s doing so. In light of some apparent counterexamples, Setiya suggests that this intuitive insight is better captured in terms of credence: performing an intentional action requires the agent to have a higher credence that she’s doing so than she would have otherwise. I argue that there is no such thing as an agent’s credence for what she’s doing. After distinguishing this thesis from an idea some (...) defend under the slogan “deliberation crowds out prediction”, I explore the thesis’s broader epistemological implications for the belief-credence relation. (shrink)

This book introduces and applies Foucault's most important concepts and procedures, and does so specifically for a psychology readership. Drawing on the recently published Collège de France lectures Abnormal (2003) and Psychiatric Power (2006), Foucauldian Analytics and Psychology is as useful to those concerned with Foucault's engagement with the "psy-disciplines" as it is to those interested in the practical application of Foucault's critical research methods.

Scientists often make surprising claims about things that no one can observe. In physics, chemistry, and molecular biology, scientists can at least experiment on those unobservable entities, but what about researchers in fields such as paleobiology and geology who study prehistory, where no such experimentation is possible? Do scientists discover facts about the distant past or do they, in some sense, make prehistory? In this book Derek Turner argues that this problem has surprising and important consequences for the scientific (...) realism debate. His discussion covers some of the main positions in philosophy of science - realism, social constructivism, empiricism, and the natural ontological attitude - and shows how they relate to issues in paleobiology and geology. His original and thought-provoking book will be of wide interest to philosophers and scientists alike. (shrink)

In the first monograph on Lyotard and education, Derek R. Ford approaches Lyotard's thought as pedagogical in itself. The result is a novel, soft, and accessible study of Lyotard organized around two inhuman educations: that of "the system" and that of "the human." The former enforces an interminable process of development, dialogue and exchange, while the latter finds its force in the mute, secret, opaque, and inarticulable. Threading together a range of Lyotard's work through four pedagogical processes-reading, writing, voicing, (...) and listening-the author insists on the distinct educational logics that can uphold or interrupt different ways of being-together in the world, touching on a range of topics from literacy and aesthetics to time and political-economy. While Inhuman Educations can serve as an introduction to Lyotard's philosophy, it also constitutes a singular, provocative, and fresh take on his thought. (shrink)

This paper attempts to specify the conditions under which a psychological explanation can undermine or debunk a set of beliefs. The focus will be on moral and religious beliefs, where a growing debate has emerged about the epistemic implications of cognitive science. Recent proposals by Joshua Greene and Paul Bloom will be taken as paradigmatic attempts to undermine beliefs with psychology. I will argue that a belief p may be undermined whenever: (i) p is evidentially based on an intuition which (...) (ii) can be explained by a psychological mechanism that is (iii) unreliable for the task of believing p; and (iv) any other evidence for belief p is based on rationalization. I will also consider and defend two equally valid arguments for establishing unreliability: the redundancy argument and the argument from irrelevant factors. With this more specific understanding of debunking arguments, it is possible to develop new replies to some objections to psychological debunking arguments from both ethics and philosophy of religion. (shrink)

Is there one univocal or generic notion of ground? Monists answer yes, while pluralists answer no. Pluralists argue that monism cannot meet plausible constraints on an adequate theory of ground. My aim in this paper is to articulate a monist theory of ground that can satisfy the pluralist constraints in a way that leaves the pluralists with no reasons not to endorse the monist picture of ground. I do this by adopting a tripartite conception of ground and then showing that (...) it has the resources to vindicate monism while satisfying the pluralist constraints on a theory of ground. (shrink)

By creating certain marks on paper, or by making certain sounds-breathing past a moving tongue-or by articulation of hands and bodies, language users can give expression to their mental lives. With language we command, assert, query, emote, insult, and inspire. Language has meaning. This fact can be quite mystifying, yet a science of linguistic meaning-semantics-has emerged at the intersection of a variety of disciplines: philosophy, linguistics, computer science, and psychology. Semantics is the study of meaning. But what exactly is "meaning"? (...) What is the exact target of semantic theory? Much of the early work in natural language semantics was accompanied by extensive reflection on the aims of semantic theory, and the form a theory must take to meet those aims. But this meta-theoretical reflection has not kept pace with recent theoretical innovations. This volume re-addresses these questions concerning the foundations of natural language semantics in light of the current state-of-the-art in semantic theorising. (shrink)