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Tim Thornton [54]Timothy Thornton [3]
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Tim Thornton
University of Central Lancashire
  1.  93
    Essential Philosophy of Psychiatry.Tim Thornton - 2007 - Oxford University Press.
    Essential Philosophy of Psychiatry is a concise introduction to the growing field of philosophy of psychiatry. Divided into three main aspects of psychiatric clinical judgement, values, meanings and facts, it examines the key debates about mental health care, and the philosophical ideas and tools needed to assess those debates, in six chapters. In addition to outlining the state of play, Essential Philosophy of Psychiatry presents a coherent and unified approach across the different debates, characterized by a rejection of reductionism and (...)
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  2.  20
    John Mcdowell.Tim Thornton - 2004 - Routledge.
    John McDowell's contribution to philosophy has ranged across Greek philosophy, philosophy of language, philosophy of mind, metaphysics and ethics. His writings have drawn on the works of, amongst others, Aristotle, Kant, Hegel, Frege, Russell, Wittgenstein, Sellars, and Davidson. His contributions have made him one of the most widely read, discussed and challenging philosophers writing today. This book provides a careful account of the main claims that McDowell advances in a number of different areas of philosophy. The interconnections between the different (...)
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  3. Radical Liberal Values‐Based Practice.Tim Thornton - 2011 - Journal of Evaluation in Clinical Practice 17 (5):988-991.
    Values based practice is a radical view of the place of values in medicine which develops from a philosophical analysis of values, illness and the role of ethical principles. It denies two attractive and traditional views of medicine: that diagnosis is a merely factual matter and that the values that should guide treatment and management can be codified in principles. But it goes further in the adoption of a radical liberal view: that right or good outcome should be replaced by (...)
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  4. Oxford Textbook of Philosophy and Psychiatry.Bill Fulford, Tim Thornton & George Graham - 2006 - Oxford University Press.
    Psychiatry is unique in medicine in being on the border between science and the humanities. Science provides insight into the 'causes' of a problem, enabling us to formulate an 'explanation', while the humanities provide insight into its 'meanings' and helps with our 'understanding'. The new interdisciplinary field of 'philosophy of psychiatry' has developed to explore the range of issues relevant to this border country. The Oxford Textbook of Philosophy and Psychiatry is a unique textbook which provides a detailed introduction to (...)
     
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  5. Why the Idea of Framework Propositions Cannot Contribute to an Understanding of Delusions.Tim Thornton - 2008 - Phenomenology and the Cognitive Sciences 7 (2):159-175.
    One of the tasks that recent philosophy of psychiatry has taken upon itself is to extend the range of understanding to some of those aspects of psychopathology that Jaspers deemed beyond its limits. Given the fundamental difficulties of offering a literal interpretation of the contents of primary delusions, a number of alternative strategies have been put forward including regarding them as abnormal versions of framework propositions described by Wittgenstein in On Certainty. But although framework propositions share some of the apparent (...)
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  6.  47
    Tacit Knowledge as the Unifying Factor in Evidence Based Medicine and Clinical Judgement.Tim Thornton - 2006 - Philosophy, Ethics, and Humanities in Medicine 1:2.
    The paper outlines the role that tacit knowledge plays in what might seem to be an area of knowledge that can be made fully explicit or codified and which forms a central element of Evidence Based Medicine. Appeal to the role the role of tacit knowledge in science provides a way to unify the tripartite definition of Evidence Based Medicine given by Sackett et al: the integration of best research evidence with clinical expertise and patient values. Each of these three (...)
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  7.  79
    Clinical Judgement, Expertise and Skilled Coping.Tim Thornton - 2010 - Journal of Evaluation in Clinical Practice 16 (2):284-291.
    Medicine involves specific practical expertise as well as more general context-independent medical knowledge. This raises the question, what is the nature of the expertise involved? Is there a model of clinical judgement or understanding that can accommodate both elements? This paper begins with a summary of a published account of the kinds of situation-specific skill found in anaesthesia. It authors claim that such skills are often neglected because of a prejudice in favour of the ‘technical rationality’ exemplified in evidence-based medicine (...)
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  8. Against Explanatory Minimalism in Psychiatry.Tim Thornton - 2015 - Frontiers of Psychiatry 6.
    The idea that psychiatry contains, in principle, a series of levels of explanation has been criticised both as empirically false but also, by Campbell, as unintelligible because it presupposes a discredited pre-Humean view of causation. Campbell’s criticism is based on an interventionist-inspired denial that mechanisms and rational connections underpin physical and mental causation respectively and hence underpin levels of explanation. These claims echo some superficially similar remarks in Wittgenstein’s Zettel. But attention to the context of Wittgenstein’s remarks suggests a reason (...)
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  9. Psychopathology and Two Kinds of Narrative Accounts of the Self.Timothy Thornton - 2003 - Philosophy, Psychiatry, and Psychology 10 (4):361-367.
  10. Wittgenstein on Language and Thought. The Philosophy of Content.Tim Thornton - 2000 - Mind 109 (435):653-657.
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  11.  26
    Delusional Atmosphere, the Everyday Uncanny, and the Limits of Secondary Sense.Tim Thornton - 2012 - Emotion Review 4 (2):192-196.
    In Paradoxes of Delusion, Sass aims to use passages from Wittgenstein to characterize the feeling of “mute particularity” that forms a part of delusional atmosphere. I argue that Wittgenstein’s discussion provides no helpful positive account. But his remarks on more everyday cases of the uncanny and the feeling of unreality might seem to promise a better approach via the expressive use of words in secondary sense. I argue that this also is a false hope but that, interestingly, there can be (...)
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  12.  60
    Wittgenstein and the Limits of Empathic Understanding in Psychopathology.Tim Thornton - 2004 - International Review of Psychiatry.
    Summary The aim of this paper is three-fold. Firstly, to briefly set out how strategic choices made about theorising about intentionality or content have actions at a distance for accounting for delusion. Secondly, to investigate how successfully a general difficulty facing a broadly interpretative approach to delusions might be eased by the application of any of three Wittgensteinian interpretative tools. Thirdly, to draw a general moral about how the later Wittgenstein gives more reason to be pessimistic than optimistic about the (...)
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  13. Psychiatric Explanation and Understanding.Tim Thornton - 2010 - European Journal of Analytic Philosophy 6 (1):95-111.
    Jaspers’s binary distinction between understanding and explanation has given way first to a proliferation of explanatory levels and now, in John Campbell’s recent work, to a conception of explanation with no distinct levels of explanation and no inbuilt rationality requirement. I argue that there is still a role for understanding in psychiatry and that is to demystify the assumption that the states it concerns are mental. This role can be fulfilled by placing rationality at the heart of understanding without a (...)
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  14. Psychopathy: What Apology Making Tells Us About Moral Agency.Gloria Ayob & Tim Thornton - 2014 - Theoretical Medicine and Bioethics 35 (1):17-29.
    Psychopathy is often used to settle disputes about the nature of moral judgment. The “trolley problem” is a familiar scenario in which psychopathy is used as a test case. Where a convergence in response to the trolley problem is registered between psychopathic subjects and non-psychopathic subjects, it is assumed that this convergence indicates that the capacity for making moral judgments is unimpaired in psychopathy. This, in turn, is taken to have implications for the dispute between motivation internalists and motivation externalists, (...)
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  15.  80
    Thought Insertion, Cognitivism, and Inner Space.Tim Thornton - 2002 - Cognitive Neuropsychiatry.
    Introduction. Whatever its underlying causes, even the description of the phenomenon of thought insertion, of the content of the delusion, presents difficulty. It may seem that the best hope of a description comes from a broadly cognitivist approach to the mind which construes content-laden mental states as internal mental representations within what is literally an inner space: the space of the brain or nervous system. Such an approach objectifies thoughts in a way which might seem to hold out the prospect (...)
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  16.  79
    Capacity, Mental Mechanisms, and Unwise Decisions.Tim Thornton - 2011 - Philosophy, Psychiatry, and Psychology 18 (2):127-132.
    The notion of capacity implicit in the Mental Capacity Act is subject to a tension between two claims. On the one hand, capacity is assessed relative to a particular decision. It is the capacity to make one kind of judgement, specifically, rather than another. So one can have capacity in one area and not have it in another. On the other hand, capacity is supposed to be independent of the ‘wisdom’ or otherwise of the decision made. (‘A person is not (...)
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  17.  49
    Mental Illness and Reductionism: Can Functions Be Naturalized?Tim Thornton - 2000 - Philosophy Psychiatry and Psychology 9 (1):229-253.
    There has been considerable recent philo- sophical work on the nature of mental illness. Two..
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  18. Paper: On the Very Idea of a Recovery Model for Mental Health.Tim Thornton & Peter Lucas - 2011 - Journal of Medical Ethics 37 (1):24-28.
    The recovery model has been put forward as a rival to the biomedical model in mental healthcare. It has also been invoked in debate about public policy for individual and community mental health and the broader goal of social inclusion. But this broader use threatens its status as a genuine model, distinct from others such as the biomedical model. This paper sets out to articulate, although not to defend, a distinct recovery model based on the idea that mental health is (...)
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  19.  26
    The New Philosophy of Psychiatry: Its (Recent) Past, Present and Future: A Review of the Oxford University Press Series International Perspectives in Philosophy and Psychiatry. [REVIEW]Natalie F. Banner & Tim Thornton - 2007 - Philosophy, Ethics, and Humanities in Medicine 2:9-.
    There has been a recent growth in philosophy of psychiatry that draws heavily (although not exclusively) on analytic philosophy with the aim of a better understanding of psychiatry through an analysis of some of its fundamental concepts. This 'new philosophy of psychiatry' is an addition to both analytic philosophy and to the broader interpretation of mental health care. Nevertheless, it is already a flourishing philosophical field. One indication of this is the new Oxford University Press series International Perspectives in Philosophy (...)
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  20.  14
    Understanding, Testimony and Interpretation in Psychiatric Diagnosis.Tim Thornton, Ajit Shah & Philip Thomas - 2009 - Medicine, Health Care and Philosophy 12 (1):49-55.
    Psychiatric diagnosis depends, centrally, on the transmission of patients’ knowledge of their experiences and symptoms to clinicians by testimony. In the case of non-native speakers, the need for linguistic interpretation raises significant practical problems. But determining the best practical approach depends on determining the best underlying model of both testimony and knowledge itself. Internalist models of knowledge have been influential since Descartes. But they cannot account for testimony. Since knowledge by testimony is possible, and forms the basis of psychiatric diagnosis, (...)
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  21.  22
    Should Comprehensive Diagnosis Include Idiographic Understanding?Tim Thornton - 2007 - Medicine, Health Care and Philosophy 11 (3):293-302.
    The World Psychiatric Association has emphasised the importance of idiographic understanding as a distinct component of comprehensive assessment but in introductions to the idea it is often assimilated to the notion of narrative judgement. This paper aims to distinguish between supposed idiographic and narrative judgement. Taking the former to mean a kind of individualised judgement, I argue that it has no place in psychiatry in part because it threatens psychiatric validity. Narrative judgement, by contrast, is a genuinely distinct complement to (...)
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  22.  11
    Is Recovery a Model?Tim Thornton - 2012 - In Abraham Rudnick (ed.), Recovery of People with Mental Illness: Philosophical and Related Perspectives. Oxford University Press. pp. 236.
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  23.  1
    The Philosophy of Psychiatry: A Companion.Tim Thornton (ed.) - 2004 - Oxford: Oxford University Press.
    This is a comprehensive resource of original essays by leading thinkers exploring the newly emerging interdisciplinary 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.
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  24.  25
    Reductionism / Anti-Reductionism.Tim Thornton - 2004 - In Jennifer Radden (ed.), The Philosophy of Psychiatry: A Companion. Oxford: Oxford University Press. pp. 191.
  25.  86
    Reasons and Causes in Philosophy and Psychopathology.Tim Thornton - 1997 - Philosophy, Psychiatry, and Psychology 4 (4):307-317.
    This paper examines the account offered by Bolton and Hill (1996) of how reasons can be causes, and thus how symptoms of mental disorders can be both caused and carry meaning. The central problem is to reconcile the causal and rationalizing powers of content-laden mental states. I draw out these two aspects by putting them in the context of recent work in analytical philosophy, including Davidson's token identity theory and his account of mental disorder. The latter, however, can be used (...)
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  26.  13
    Evidence-Based Medicine and Evaluativism.Tim Thornton - 2008 - Philosophy, Psychiatry, and Psychology 15 (2):175-178.
  27.  40
    Reliability and Validity in Psychiatric Classification: Values and Neo-Humeanism.Timothy Thornton - 2002 - Philosophy, Psychiatry, and Psychology 9 (3):229-235.
  28.  17
    Wittgensteinian Themes: Essays 1978-1989. [REVIEW]Tim Thornton - 1996 - Review of Metaphysics 49 (4):931-933.
    Wittgensteinian Themes gathers together 14 previously published essays written towards the end of Malcolm's life. The majority of essays provide exegeses of Wittgenstein's thought. It is arguable that both Wittgensteinian exegesis and Wittgensteinian philosophy run the risk of parochialism. This collection makes a commendable effort to escape that charge. Even in the exegetical essays, issue is taken with conflicting contemporary philosophers whilst four essays are direct attacks on opposing philosophical perspectives, albeit using Wittgensteinian methods.
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  29.  21
    Delusions: A Project in Understanding.Kwm Filford & Tim Thornton - 2016 - In .
    This chapter gives an illustrated overview of recent philosophical work on the concept of delusion. Drawing on a number of case vignettes, examples are given of the wide range of theories that has been advanced to explain this most challenging of experiences. Some have agreed with the philosophical founder of modern descriptive psychopathology, Karl Jaspers, that delusions are “ununderstandable.” The large majority, though, has sought to understand delusion in terms of aberrations of one kind or another either of beliefs or (...)
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  30.  20
    Phronesis and Clinical Decision-Making: The Missing Link Between Evidence and Values.K. W. M. Fulford & Tim Thornton - 2018 - In Phronesis and Decision Making in Medicine: Practical Wisdom in Action. Routledge.
    Decision-making depends on bringing evidence together with values: decision theory for example employs probabilities and utilities; health economic decisions employ measures such as quality of life. The hypothesis guiding this chapter is that bringing evidence together with values in clinical decision-making requires an exercise of phronesis. Our aim however is not to justify our guiding hypothesis. It is rather to outline an account of phronesis that is in principle fit for the purposes of clinical decision-making if our guiding hypothesis is (...)
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  31. Phronesis and Decision Making in Medicine: Practical Wisdom in Action.K. W. M. Fulford & Tim Thornton - forthcoming - Routledge.
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  32. Tacit Knowledge.Neil Gascoigne & Tim Thornton - 2013 - Routledge.
    Tacit knowledge is the form of implicit knowledge that we rely on for learning. It is invoked in a wide range of intellectual inquiries, from traditional academic subjects to more pragmatically orientated investigations into the nature and transmission of skills and expertise. Notwithstanding its apparent pervasiveness, the notion of tacit knowledge is a complex and puzzling one. What is its status as knowledge? What is its relation to explicit knowledge? What does it mean to say that knowledge is tacit? Can (...)
     
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  33. Wittgenstein’s Thought in Transition.Dale Jacquette, Brendan Wilson, Tim Thornton & Frank Cioffi - 2000 - Philosophical Quarterly 50 (198):98-104.
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  34.  27
    An Aesthetic Grounding for the Role of Concepts in Experience in Kant, Wittgenstein and McDowell.Tim Thornton - 2007 - Forum Philosophicum: International Journal for Philosophy 12 (2):227-245.
  35. An Aesthetic Grounding for the Role of Concepts in Experience in Kant, Wittgenstein and Mcdowell.Tim Thornton - 2007 - Forum Philosophicum: International Journal for Philosophy 12 (2):227-245.
    The paper begins by asking, in the context of McDowell's Mind and World, what guides empirical judgement. It then critically examines David Bell's account of the role of aesthetic judgement, or experience, in Kant and Wittgenstein, in shedding light on empirical judgement. Bell's suggestion that a Wittgensteinian account of aesthetic experience can guide the application of empirical concepts is criticised: neither the discussion of aesthetic judgement nor aesthetic experience helps underpin empirical judgement. But attention to the parallel between Wittgenstein's discussion (...)
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  36.  43
    An Intellect in View.Tim Thornton - 2009 - The Philosophers' Magazine 46 (46):108-110.
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  37.  3
    An Intellect in View. [REVIEW]Tim Thornton - 2009 - The Philosophers' Magazine 46:108-110.
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  38.  19
    Bootstrapping Conceptual Normativity?Tim Thornton - 2021 - Philosophical Investigations 44 (2):189-205.
    Both anti-reductionist and reductionist accounts of linguistic meaning and mental content face challenges accounting for acquiring concepts as part of learning a first language. Anti-reductionists cannot account for a transition from the pre-conceptual to conceptual without threatening to reduce the latter to the former. Reductionists of a representationalist variety face the challenge of Fodor’s argument that language learning is impossible. This paper examines whether Ginsborg’s account of ‘primitive normativity’ might provide some resources for addressing these issues. I argue that primitive (...)
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  39. Does Understanding Individuals Require Idiographic Judgement?Tim Thornton - unknown
    Idiographic understanding has been proposed as a response to concern that criteriological diagnosis cannot capture the nature of human individuality. It can seem that understanding individuals requires, instead, a distinct form of ‘individualised’ judgement and this claim receives endorsement by the inventor of the term ‘idiographic’, Wilhelm Windelband. I argue, however, that none of the options for specifying a model of individualised judgement, to explain what idiographic judgement might be, will work. I suggest, at the end, that narrative, rather than (...)
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  40.  44
    Intention, Rule Following and the Strategic Role of Wright’s Order of Determination Test.Tim Thornton - 1997 - Philosophical Investigations 20 (2):136–151.
    I believe that Wright’s constructivist account of intention is funda- mentally flawed [Wright 1984, 1986, 1987a, 1987b, 1988, 1989a, 1989b, 1991, 1992]. To understand why it fails it is necessary first to locate the account in its broader strategic context. That context is Wright’s response to Wittgenstein’s account of rule following. When so located the diagnosis of the account’s failure is clear. Wright’s account of intention is a species of the interpretative approach to mental content which is explicitly rejected by (...)
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  41.  13
    Naturalism and Dysfunction.Tim Thornton - 2021 - In Luc Faucher & Denis Forest (eds.), Defining Mental Disorders: Jerome Wakefield and his Critics.
    The harmful dysfunction account of disorder separates an explicitly normative or evaluative notion of harm from the idea of dysfunction which is subject to a reductionist naturalistic account. Dysfunction is analysed as a failure of function which is itself reduced via evolutionary biology. In this paper, I question this latter aspect of the account. Light can be shed on the prospect of reducing the apparently normative notion of dysfunction by comparing it with two distinct reductionist projects in the philosophy of (...)
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  42.  22
    Narrative Identity and Dementia.Tim Thornton - forthcoming - Hungarian Philosophical Review.
    It seems obvious that one of the harms that dementia does is to undermine the person’s identity. One reason for thinking this is that personal identity has long been associated with continuity of a subjective perspective on the world held together by memory that that memory is severely curtailed in dementia. Hence dementia seems to threaten an individual’s identity as a particular person, gradually undermining it. But the necessity of the connection has been criticised by a number of philosophers and (...)
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  43.  18
    Opposition Drama and the Resolution of Disputes in Early Tudor England: Cardinal Wolsey and the Abbot of Chester.Tim Thornton - 1999 - Bulletin of the John Rylands Library 81 (1):25-47.
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  44. On the Interface Problem in Philosophy and Psychiatry.Tim Thornton - 2009 - In Matthew Broome & Lisa Bortolotti (eds.), Psychiatry as Cognitive Neuroscience: Philosophical Perspectives. Oxford University Press.
  45.  14
    Psychiatric Diagnosis, Tacit Knowledge, and Criteria.Tim Thornton - 2016 - In .
    The two main psychiatric taxonomies set out codifications of psychiatric diagnoses via lists of symptoms with the aim of maximizing the reliability of diagnostic judgements. This approach has been criticized, however, for failing to capture the precise connection between diagnostic judgements and symptoms as detected by skilled clinicians. Assuming that this criticism is correct, this chapter offers two related accounts of why this might be so. First, skilled diagnostic judgement may be an exercise of tacit knowledge: a practical skill the (...)
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  46.  22
    Psychiatry’s Inchoate Wish for a Paradigm Shift and Bio-Psych-Social Model of Mental Illness.Tim Thornton - 2018 - In Rethinking the Biopsychosocial Model. Oxford University Press.
    In recent years, there have been repeated calls for a ‘paradigm shift’ in psychiatry. In this chapter, I take this idea seriously and explore its consequences. Having illustrated calls for a paradigm shift, I sketch the Kuhnian account of science from which the idea is taken and highlight the connection to incommensurability. I then outline a distinction drawn from Winch between putative sciences where the self-understanding of subjects plays no role and those where it is fundamental. I argue that psychiatry (...)
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  47.  6
    Recent Developments for Naturalizing the Mind.Tim Thornton - 2011 - Current Opinion in Psychiatry 24:502–506.
    The philosophy of mind and psychiatry seem to be complementary disciplines investigating the same central issues. What is the nature of the mind, of the brain and body, and of their relation? Much of the work of both disciplines is concerned with those central issues.
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  48. Rethinking the Biopsychosocial Model.Tim Thornton - forthcoming - Oxford University Press.
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  49. The Discursive Turn, Social Constructionism and Dementia.Tim Thornton - 2005 - In Julian Hughes, Stephen Louw & Steven R. Sabat (eds.), Dementia: Mind, Meaning, and the Person. Oxford University Press.
  50.  17
    The Implications of the Loss of Self-Respect for the Recovery Model in Mental Healthcare.Tim Thornton - unknown
    According to the recovery model, mental healthcare should be aimed towards a conception of recovery articulated by a patient or service user in accord with his or her own specific values. The model thus presupposes and emphasises the agency of the patient and opposes paternalism. Recent philosophical work on the relations between respect, self-respect, self-esteem, shame, and agency suggests, however, two ways in which mental illness itself can undermine self-respect, promote shame and undermine agency, suggesting a tension within the recovery (...)
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