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Tania Gergel [15]Tania L. Gergel [9]
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Tania Gergel
King's College London
  1. Medicine and the Individual: Is Phenomenology the Answer?Tania L. Gergel - 2012 - Journal of Evaluation in Clinical Practice 18 (5):1102-1109.
    The issue of how to incorporate the individual's first‐hand experience of illness into broader medical understanding is a major question in medical theory and practice. In a philosophical context, phenomenology, with its emphasis on the subject's perception of phenomena as the basis for knowledge and its questioning of naturalism, seems an obvious candidate for addressing these issues. This is a review of current phenomenological approaches to medicine, looking at what has motivated this philosophical approach, the main problems it faces and (...)
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  2.  73
    Reasons for Endorsing or Rejecting ‘Self-Binding Directives’ in Bipolar Disorder: A Qualitative Study of Survey Responses From UK Service Users.Tania Gergel, Preety Das, Lucy Stephenson, Gareth Owen, Larry Rifkin, John Dawson, Alex Ruck Keene & Guy Hindley - 2021 - The Lancet Psychiatry 8.
    Summary Background Self-binding directives instruct clinicians to overrule treatment refusal during future severe episodes of illness. These directives are promoted as having potential to increase autonomy for individuals with severe episodic mental illness. Although lived experience is central to their creation, service users’ views on self-binding directives have not been investigated substantially. This study aimed to explore whether reasons for endorsement, ambivalence, or rejection given by service users with bipolar disorder can address concerns regarding self-binding directives, decision-making capacity, and human (...)
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  3.  56
    Too Similar, Too Different? The Paradoxical Dualism of Psychiatric Stigma.Tania Gergel - 2014 - The Psychiatric Bulletin 38 (4):148-151.
    Challenges to psychiatric stigma fall between a rock and a hard place. Decreasing one prejudice may inadvertently increase another. Emphasising similarities between mental illness and ‘ordinary’ experience to escape the fear-related prejudices associated with the imagined ‘otherness’ of persons with mental illness risks conclusions that mental illness indicates moral weakness and the loss of any benefits of a medical model. An emphasis on illness and difference from normal experience risks a response of fear of the alien. Thus, a ‘likeness-based’ and (...)
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  4. “Shock Tactics”, Ethics, and Fear. An Academic and Personal Perspective on the Case Against ECT.Tania Gergel - forthcoming - British Journal of Psychiatry.
    Despite extensive evidence for its effectiveness, ECT remains the subject of fierce opposition from those contesting its benefits and claiming extreme harms. Alongside some reflections on my experiences of this treatment, I examine the case against ECT, and find that it appears to rest primarily on unsubstantiated claims about major ethical violations, rather than clinical factors such as effectiveness and risk.
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  5.  48
    Conference Report: Interdisciplinary Workshop in the Philosophy of Medicine: Parentalism and Trust.Emma Bullock, Tania Gergel & Elselijn Kingma - 2015 - Journal of Evaluation in Clinical Practice 21 (3):542-8.
    On the 13th June 2014, the Centre for the Humanities and Health (CHH) at King’s College London hosted a one-day workshop on ‘Parentalism and Trust.’ This workshop was the sixth in a series of workshops whose aim is to provide a new model for high-quality open interdisciplinary engagement between medical professionals and philosophers. The term ‘Parentalism’ rather than paternalism is chosen and used throughout because of some of the derisory and unfortunate gender connotations associated with paternalism (and/or its counterpart ‘maternalism’). (...)
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  6. The Greek Sophists.John M. Dillon & Tania Gergel (eds.) - 2003 - Penguin Books.
    The Sophists, who rose to prominence in democratic Athens during the mid-fifth century b.c., understood the art of rhetoric and the importance of being able to transform effective reasoning into persuasive public speaking. Their inquiries-into the gods, the origins of religion, and whether virtue can be taught-influenced the next generation of classical philosophers and formed the foundations of the European prose style and formal oratory. In this new translation each chapter is organized around the work of one character, including Gorgias, (...)
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  7.  97
    Gender Medicine and Phenomenological Embodiment.Tania Gergel - 2016 - In The Bloomsbury Companion to Contemporary Philosophy of Medicine. Bloomsbury.
  8.  9
    Psychosis and Identity: Alteration or Loss?Tania Gergel & Eduardo Iacoponi - 2017 - Journal of Evaluation in Clinical Practice 23 (5):1029-1037.
    The onset of psychotic disorders often brings major changes to an individual, which, for some, are never fully reversed and remain a dominant force. Despite such changes, the individual still experiences themselves as a continuous person and must find some way to assimilate these shifts into their self‐concept. From a philosophical perspective, the various models of continuing identity all depend upon some notion of fundamental stability, which seems a poor fit for the trajectory associated with psychotic disorders. This article will (...)
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  9.  22
    Illness Perception, Time Perception and Phenomenology – an Extended Response to Borrett.Tania L. Gergel - 2013 - Journal of Evaluation in Clinical Practice 19 (3):501-508.
  10.  53
    Coercion in Community Health Care-an Ethical Analysis.Tania Gergel & George Szmukler - 2016 - In A. Molodynski, J. Rugkasa & T. Burns (eds.), Coercion in Community Mental Health Care: International Perspectives. Oxford University Press.
    A book chapter exploring the potential consquences and ethical ramifications of using coercive measures within community mental healthcare. We argue that, althogh the move towards 'care in the community' may have had liberalising motivations, the subsequent reduction in inpatient or other supported residential provision, means that there has been an increasing move towards coercive measures outside of formal inpatient detention. We consider measures such as Community Treatment Orders, inducements, and other forms of leverage, explaining the underlying concepts, aims, and exploring (...)
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  11.  80
    Fluctuating Capacity and Advanced Decision Making – Self-Binding Directives and Self-Determination’.Tania Gergel & Gareth Owen - 2015 - International Journal of Law and Psychiatry 105 (40):92-101.
    For people with Bipolar Affective Disorder, a self-binding (advance) directive (SBD), by which they commit themselves to treatment during future episodes of mania, even if unwilling, can seem the most rational way to deal with an imperfect predicament. Knowing that mania will almost certainly cause enormous damage to themselves, their preferred solution may well be to allow trusted others to enforce treatment and constraint, traumatic though this may be. No adequate provision exists for drafting a truly effective SBD and efforts (...)
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  12.  55
    Choice, Compulsion, and Capacity in Addiction’ - A Commentary on Charland, L. ‘Consent and Capacity in the Age of the Opioid Epidemic: The Drug Dealer’s Point of View’.Tania Gergel - 2021 - Bulletin of the Association for the Advancement of Philosophy and Psychiatry 27 (2).
    Charland's article suggests that we need to think more about whether decision-making capacity is impaired in severe addiction, working from the idea that drug dealers rely on this understanding of addiction to draw in their clients. Charland argues that it is possible to make a choice without being in control (to make decisions without having decision-making capacity). I argue in support of Charland's ideas by examining the reasons supporting a medical model of addiction and its importance. (For Charland's article and (...)
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  13. Paternalism and Factitious Disorder: Medical Treatment in Illness Deception.Anthony Fry & Tania L. Gergel - 2016 - Journal of Evaluation in Clinical Practice 22 (4):565-574.
    The primary aims are to consider whether a range of paternalistic medical interventions can be justified in the treatment of factitious disorder (FD) and to show that the particularities of FD and its management make it an ideal phenomenon to highlight the difficulties of balancing respect for self‐determination, responsibility and duty of care in psychiatry. FD is usually classified as a mental disorder involving deliberate and hidden feigning or inducement of illness, in order to achieve patient status. Both the nature (...)
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  14.  11
    Interdisciplinary Workshop on “Mental Disorder and Self Over Time”.Natalie Gold, Jillian Craigie & Tania Gergel - 2017 - Journal of Evaluation in Clinical Practice 23 (5):999-1005.
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  15.  82
    Manic Temporality.Wayne Martin, Tania Gergel & Gareth S. Owen - 2018 - Philosophical Psychology 32 (1):72-97.
    ABSTRACTTime-consciousness has long been a focus of research in phenomenology and phenomenological psychology. We advance and extend this tradition of research by focusing on the character of temporal experience under conditions of mania. Symptom scales and diagnostic criteria for mania are peppered with temporally inflected language: increased rate of speech, racing thoughts, flight-of-ideas, hyperactivity. But what is the underlying structure of temporal experience in manic episodes? We tackle this question using a strategically hybrid approach. We recover and reconstruct three hypotheses (...)
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  16.  62
    Rhetoric and Reason: Structures of Argument in Plato’s Crito.Tania L. Gergel - 2000 - Ancient Philosophy 20 (2):289-310.
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  17.  18
    Kahn Plato and the Socratic Dialogue. The Philosophical Use of a Literary Form. Cambridge UP, 1996. Pp Xx + 431. 0521433258. [REVIEW]Tania L. Gergel - 1999 - Journal of Hellenic Studies 119:190-191.
  18. Review: Antiphon the Sophist: The Fragments. [REVIEW]Tania Gergel - 2005 - The Classical Review 55 (2):411-413.
  19.  19
    Plato as Literature (J.) Annas and (C.) Rowe Eds. New Perspectives on Plato, Modern and Ancient. Harvard UP, 2002. Pp. Xii + 270. £33.50. 0674010183. (A.) Michelini Ed. Plato as Author. The Rhetoric of Philosophy. Leiden and Boston: Brill, 2003. Pp. Vii + 359. €40/$50. 9004128786. (S.) Blondell The Play of Character in Plato's Dialogues. Cambridge UP, 2002. Pp. Xi + 452. £55/$75. 0521793009. [REVIEW]Tania L. Gergel - 2004 - Journal of Hellenic Studies 124:174-178.
  20.  31
    One Antiphon or Two? G. J. Pendrick: Antiphon the Sophist: The Fragments . Edited with Introduction, Translation, and Commentary. (Cambridge Classical Texts and Commentaries 39.) Pp. Xi + 472. Cambridge: Cambridge University Press, 2002. Cased, £55. ISBN: 0-521-65161-. [REVIEW]Tania Gergel - 2005 - The Classical Review 55 (02):411-.
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  21.  15
    Plato as LiteratureNew Perspectives on Plato, Modern and AncientPlato as Author. The Rhetoric of PhilosophyThe Play of Character in Plato's Dialogues. [REVIEW]Tania L. Gergel, J. Annas, C. Rowe, A. Michelini & S. Blondell - 2004 - Journal of Hellenic Studies 124:174-178.
  22.  10
    Falcon A. Aristotelianism in the First Century BCE: Xenarchus of Seleucia. Cambridge: Cambridge University Press, 2012. Pp. Xi + 227. £54. 9780521876506. [REVIEW]Tania L. Gergel - 2013 - Journal of Hellenic Studies 133:296-297.
  23.  32
    Rhetoric and Reason: Structures of Argument in Plato’s Crito.Tania L. Gergel - 2000 - Ancient Philosophy 20 (2):289-310.
  24.  4
    One Antiphon or Two? [REVIEW]Tania Gergel - 2005 - The Classical Review 55 (2):411-413.
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