Results for 'psychiatric diagnosis'

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  1. False Positives in Psychiatric Diagnosis: Implications for Human Freedom.Jerome C. Wakefield - 2010 - Theoretical Medicine and Bioethics 31 (1):5-17.
    Current symptom-based DSM and ICD diagnostic criteria for mental disorders are prone to yielding false positives because they ignore the context of symptoms. This is often seen as a benign flaw because problems of living and emotional suffering, even if not true disorders, may benefit from support and treatment. However, diagnosis of a disorder in our society has many ramifications not only for treatment choice but for broader social reactions to the diagnosed individual. In particular, mental disorders impose a (...)
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  2.  60
    Moral Aspects of Psychiatric Diagnosis: The Cluster B Personality Disorders.Marga Reimer - 2010 - Neuroethics 3 (2):173-184.
    Medical professionals, including mental health professionals, largely agree that moral judgment should be kept out of clinical settings. The rationale is simple: moral judgment has the capacity to impair clinical judgment in ways that could harm the patient. However, when the patient is suffering from a "Cluster B" personality disorder, keeping moral judgment out of the clinic might appear impossible, not only in practice but also in theory. For the diagnostic criteria associated with these particular disorders (Antisocial, Borderline, Histrionic, Narcissistic) (...)
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  3.  59
    Values and Psychiatric Diagnosis.Z. Sadler John - 2004 - Oxford University Press.
    The public, mental health consumers, as well as mental health practitioners wonder about what kinds of values mental health professionals hold, and what kinds of values influence psychiatric diagnosis. Are mental disorders socio-political, practical, or scientific concepts? Is psychiatric diagnosis value-neutral? What role does the fundamental philosophical question "How should I live?" play in mental health care? In his carefully nuanced and exhaustively referenced monograph, psychiatrist and philosopher of psychiatry John Z. Sadler describes the manifold kinds (...)
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  4.  35
    Culture, Salience, and Psychiatric Diagnosis: Exploring the Concept of Cultural Congruence & its Practical Application.Mohammed Abouelleil Rashed - 2013 - Philosophy, Ethics, and Humanities in Medicine 8 (1):5.
    Cultural congruence is the idea that to the extent a belief or experience is culturally shared it is not to feature in a diagnostic judgement, irrespective of its resemblance to psychiatric pathology. This rests on the argument that since deviation from norms is central to diagnosis, and since what counts as deviation is relative to context, assessing the degree of fit between mental states and cultural norms is crucial. Various problems beset the cultural congruence construct including impoverished definitions (...)
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  5.  10
    When Psychiatric Diagnosis Becomes an Overworked Tool.George Szmukler - 2014 - Journal of Medical Ethics 40 (8):517-520.
    A psychiatric diagnosis today is asked to serve many functions—clinical, research, medicolegal, delimiting insurance coverage, service planning, defining eligibility for state benefits , as well as providing rallying points for pressure groups and charities. These contexts require different notions of diagnosis to tackle the particular problem such a designation is meant to solve. In a number of instances, a ‘status’ definition is employed to tackle what is more appropriately seen as requiring a ‘functional’ approach . In these (...)
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  6.  4
    Psychiatric Diagnosis: The Indispensability of Ambivalence.F. Callard - 2014 - Journal of Medical Ethics 40 (8):526-530.
    The author analyses how debate over the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders has tended to privilege certain conceptions of psychiatric diagnosis over others, as well as to polarise positions regarding psychiatric diagnosis. The article aims to muddy the black and white tenor of many discussions regarding psychiatric diagnosis by moving away from the preoccupation with diagnosis as classification and refocusing attention on diagnosis as a temporally and (...)
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  7.  25
    The Six Most Essential Questions in Psychiatric Diagnosis: A Pluralogue. Part 4: General Conclusion.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 - Philosophy, Ethics, and Humanities in Medicine 7 (1):14-.
    In the conclusion to this multi-part article I first review the discussions carried out around the six essential questions in psychiatric diagnosis – the position taken by Allen Frances on each question, the commentaries on the respective question along with Frances’ responses to the commentaries, and my own view of the multiple discussions. In this review I emphasize that the core question is the first – what is the nature of psychiatric illness – and that in some (...)
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  8.  21
    Realism and Operationism in Psychiatric Diagnosis.S. Brian Hood & Benjamin J. Lovett - 2011 - Philosophical Psychology 24 (2):207-222.
    In the context of psychiatric diagnosis, operationists claim that mental disorders are nothing more than the satisfying of objective diagnostic criteria, whereas realists claim that mental disorders are latent entities that are detected by applying those criteria. The implications of this distinction are substantial in actual clinical situations, such as in the co-occurrence of disorders that may interfere with one another's detection, or when patients falsify their symptoms. Realist and operationist conceptions of diagnosis may lead to different (...)
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  9.  9
    Is There Androcentric Bias in Psychiatric Diagnosis?Sue V. Rosser - 1992 - Journal of Medicine and Philosophy 17 (2):215-231.
    Flaws, biases, and ethical problems surrounding research and diagnosis may lead to inappropriate or inequitable treatments that exacerbate or fail to improve the misery that some individuals face due to their psychiatric conditions. Possible androcentric biases in the choice and definition of categories for diagnosis available in DSM-III-R may in turn influence the approaches of therapists to clients, particularly male therapists towards female clients. Androcentric bias in diagnosis, which may also be reflected in the values of (...)
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  10.  3
    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 (...)
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  11. Psychiatric Diagnosis as an Ethical Problem.E. M. Shackle - 1985 - Journal of Medical Ethics 11 (3):132-134.
    Psychiatrists diagnose mental illness in patients against a climate of opinion in which the value of diagnosis is questioned and non-medical formulations of the problems of psychiatric patients are put forward. Nevertheless the classic diagnostic terminology shows no sign of disappearing. The patients may find that a psychiatric diagnostic label is a stigma and has bad consequences. They may also object to standard methods of treatment. Given this situation the right of the patient to a full explanation (...)
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  12.  99
    The Six Most Essential Questions in Psychiatric Diagnosis: A Pluralogue Part 2: Issues of Conservatism and Pragmatism in Psychiatric Diagnosis[REVIEW]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. Waterman, Owen Whooley & Peter Zachar - 2012 - Philosophy, Ethics, and Humanities in Medicine 7 (1):8-.
    In face of the multiple controversies surrounding the DSM process in general and the development of DSM-5 in particular, we have organized a discussion around what we consider six essential questions in further work on the DSM. The six questions involve: 1) the nature of a mental disorder; 2) the definition of mental disorder; 3) the issue of whether, in the current state of psychiatric science, DSM-5 should assume a cautious, conservative posture or an assertive, transformative posture; 4) the (...)
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  13.  26
    The Six Most Essential Questions in Psychiatric Diagnosis: A Pluralogue Part 1: Conceptual and Definitional Issues in Psychiatric Diagnosis[REVIEW]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 - Philosophy, Ethics, and Humanities in Medicine 7 (1):1-29.
    In face of the multiple controversies surrounding the DSM process in general and the development of DSM-5 in particular, we have organized a discussion around what we consider six essential questions in further work on the DSM. The six questions involve: 1) the nature of a mental disorder; 2) the definition of mental disorder; 3) the issue of whether, in the current state of psychiatric science, DSM-5 should assume a cautious, conservative posture or an assertive, transformative posture; 4) the (...)
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  14.  4
    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 (...)
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  15.  1
    The Absent Body in Psychiatric Diagnosis, Treatment, and Research.Catherine Stinson - forthcoming - Synthese.
    Discussions of psychiatric nosology focus on a few popular examples of disorders, and on the validity of diagnostic criteria. Looking at Anorexia Nervosa, an example rarely mentioned in this literature, reveals a new problem: the DSM has a strict taxonomic structure, which assumes that disorders can only be located on one branch. This taxonomic assumption fails to fit the domain of psychopathology, resulting in obfuscation of cross-category connections. Poor outcomes for treatment of Anorexia may be due to it being (...)
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  16.  46
    Psychiatric Diagnosis, Psychiatric Power and Psychiatric Abuse.T. Szasz - 1994 - Journal of Medical Ethics 20 (3):135-138.
    Psychiatric abuse, such as we usually associate with practices in the former Soviet Union, is related not to the misuse of psychiatric diagnoses, but to the political power intrinsic to the social role of the psychiatrist in totalitarian and democratic societies alike. Some reflections are offered on the modern, therapeutic state's proclivity to treat adults as patients rather than citizens, disjoin rights from responsibilities, and thus corrupt the language of political-philosophical discourse.
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  17.  31
    The Six Most Essential Questions in Psychiatric Diagnosis: A Pluralogue Part 3: Issues of Utility and Alternative Approaches in Psychiatric Diagnosis[REVIEW]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. Waterman, Owen Whooley & Peter Zachar - 2012 - Philosophy, Ethics, and Humanities in Medicine 7 (1):9-.
    In face of the multiple controversies surrounding the DSM process in general and the development of DSM-5 in particular, we have organized a discussion around what we consider six essential questions in further work on the DSM. The six questions involve: 1) the nature of a mental disorder; 2) the definition of mental disorder; 3) the issue of whether, in the current state of psychiatric science, DSM-5 should assume a cautious, conservative posture or an assertive, transformative posture; 4) the (...)
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  18.  22
    Language, Games and the Role of Interpreters in Psychiatric Diagnosis: A Wittgensteinian Thought Experiment.P. Thomas, A. Shah & T. Thornton - 2009 - Medical Humanities 35 (1):13-18.
    British society is becoming increasingly culturally and linguistically diverse. This poses a major challenge to mental health services charged with the responsibility to work in ways that respect cultural and linguistic difference. In this paper we investigate the problems of interpretation in the diagnosis of depression using a thought experiment to demonstrate important features of language-games, an idea introduced by Ludwig Wittgenstein in his late work, Philosophical investigations. The thought experiment draws attention to the importance of culture and contexts (...)
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  19.  26
    The Revolution in Psychiatric Diagnosis: Problems at the Foundations.Isaac R. Galatzer-Levy & Robert M. Galatzer-Levy - 2007 - Perspectives in Biology and Medicine 50 (2):161-180.
  20.  12
    Semiotic Perspective of Psychiatric Diagnosis.Victor Kuperman & Joseph Zislin - 2005 - Semiotica 2005 (155.1part4):1-13.
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  21.  18
    Evolutionary Foundations for Psychiatric Diagnosis: Making DSM-V Valid.Randolph M. Nesse & Eric D. Jackson - 2011 - In Pieter R. Adriaens & Andreas de Block (eds.), Maladapting Minds: Philosophy, Psychiatry, and Evolutionary Theory. Oxford University Press. pp. 167--191.
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  22.  4
    Psychiatric Diagnosis: A Double Taxonomic Swamp.Kenneth Mark Colby - 1982 - Behavioral and Brain Sciences 5 (4):596.
  23.  2
    A Footnote to the Revolution in Psychiatric Diagnosis.William M. Landau - 2009 - Perspectives in Biology and Medicine 52 (2):338-341.
  24. Comment: Psychiatric Diagnosis.M. D. JosefParnas - 2008 - In Kenneth S. Kendler & Josef Parnas (eds.), Philosophical Issues in Psychiatry: Explanation, Phenomenology, and Nosology. Johns Hopkins University Press. pp. 383.
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  25. Semiotic Perspective of Psychiatric Diagnosis.Victor Kuperman & Joseph Zislin - 2005 - Semiotica 2005 (155):1-13.
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  26. Psychiatric-Diagnosis and the Market.R. Uren - 1992 - Perspectives in Biology and Medicine 35 (4):612-616.
  27. Psychiatric Classification and Diagnosis. Delusions and Confabulations.Lisa Bortolotti - 2011 - Paradigmi (1):99-112.
    In psychiatry some disorders of cognition are distinguished from instances of normal cognitive functioning and from other disorders in virtue of their surface features rather than in virtue of the underlying mechanisms responsible for their occurrence. Aetiological considerations often cannot play a significant classificatory and diagnostic role, because there is no sufficient knowledge or consensus about the causal history of many psychiatric disorders. Moreover, it is not always possible to uniquely identify a pathological behaviour as the symptom of a (...)
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  28.  83
    Self-Insight in the Time of Mood Disorders: After the Diagnosis, Beyond the Treatment.Serife Tekin - 2014 - Philosophy, Psychiatry and Psychology 21 (2):139-155.
    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 (...)
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  29.  10
    The Challenge of Psychiatric Nosology and Diagnosis.Drozdstoj Stoyanov, Peter K. Machamer, Kenneth F. Schaffner & Rayito Rivera‐Hernández - 2012 - Journal of Evaluation in Clinical Practice 18 (3):704-709.
  30. Diagnosis, Health Beliefs, and Risk of HIV Infection in Psychiatric Patients.Daniel K. Winstead - 1993 - Hastings Center Report 23 (2).
     
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  31. A Mania for Diagnosis : Unravelling the Aims of Nineteenth-Century French Psychiatrists Jan Goldstein, Console and Classify, The French Psychiatric Profession in the Nineteenth Century, Cambridge: Cambridge University Press, 1988, 30.00, Xiii+414 Pp. [REVIEW]Joel P. Eigen - 1989 - History of the Human Sciences 2 (2):241-251.
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  32.  34
    The Bioethics of Diagnosis: A Biocultural Critique of Certainty. [REVIEW]Lennard J. Davis - 2010 - Journal of Bioethical Inquiry 7 (2):227-235.
    This article argues that traditional models of diagnosis are incomplete in their reliance on a models of certainty that are no longer tenable in a postmodern world. Further, it argues that the current form of diagnosis, as applied to psychiatric and affective disorders, reduces patient agency and reinscribes the effects of biopower.
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  33.  4
    Making Diagnoses in Psychiatric Clinical Practice: The Point of View of the Psychotherapeutic Attitude. [REVIEW]Paolo Curci & Cesare Secchi - 2004 - Medicine, Health Care and Philosophy 8 (1):63-68.
    Using a “psychotherapeutic attitude”, as a criterion and measure of the psychiatrist’s involvement in clinical relationship (with the “trial identification” according to Fliess), some phenomenological and epistemological considerations are offered about diagnostic assessments, as a synchronic and diachronic recognising process. Inspired by Gehlen’s notion of “exoneration” (i.e., the reducing and focusing of the perceptive experience as applied to the wealth of the perceptible), this paper examines how the mind of a skilled diagnostician might work. Three levels are explored: firstly, “the (...)
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  34. Rationality, Diagnosis and Patient Autonomy.Jillian Craigie & Lisa Bortolotti - 2014 - Oxford Handbook Psychiatric Ethics.
    In this chapter, our focus is the role played by notions of rationality in the diagnosis of mental disorders, and in the practice of overriding patient autonomy in psychiatry. We describe and evaluate different hypotheses concerning the relationship between rationality and diagnosis, raising questions about what features underpin psychiatric categories. These questions reinforce widely held concerns about the use of diagnosis as a justification for overriding autonomy, which have motivated a shift to mental incapacity as an (...)
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  35.  8
    Notes on a Few Issues in the Philosophy of Psychiatry.A. R. Singh & S. A. Singh - 2009 - Mens Sana Monographs 7 (1):128.
    _The first part called the Preamble tackles: (a) the issues of silence and speech, and life and disease; (b) whether we need to know some or all of the truth, and how are exact science and philosophical reason related; (c) the phenomenon of Why, How, and What; (d) how are mind and brain related; (e) what is robust eclecticism, empirical/scientific enquiry, replicability/refutability, and the role of diagnosis and medical model in psychiatry; (f) bioethics and the four principles of beneficence, (...)
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  36.  12
    Should Comprehensive Diagnosis Include Idiographic Understanding?Tim Thornton - 2008 - 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 (...)
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  37.  16
    Diagnosis, Power and Certainty: Response to Davis. [REVIEW]Malcolm Parker - 2010 - Journal of Bioethical Inquiry 7 (3):291-297.
    Lennard Davis’s Biocultural Critique of the alleged certainty of diagnosis (Davis Journal of Bioethical Inquiry 7:227−235, 2010) makes errors of fact concerning psychiatric diagnostic categories, misunderstands the role of power in the therapeutic relationship, and provides an unsubstantiated and vague alternative to the management of psychological distress via a conceptually outdated model of the relationships between physical and psychological disease and illness. This response demonstrates that diagnostic knowledge vouchsafes legitimate power to physicians, and via them relief to patients (...)
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  38.  2
    Commentary on" The Stoic Conception of Mental Disorder".Emilio Mordini - 1997 - Philosophy, Psychiatry, and Psychology 4 (4):297-301.
    Stoic conception of mental disorders is still interesting and could be fruitful used in the current debate on psychiatric classification.
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  39.  35
    The Name Game: Toward a Sociology of Diagnosis.Phil Brown - 1990 - Journal of Mind and Behavior 11 (3-4):385-406.
    Although diagnosis is integral to the theory and practice of psychiatry, social scientists have not developed a comprehensive approach to diagnosis. This paper presents a preliminary outline of the issues which a sociology of diagnosis should integrate. These include bias and social control in psychiatric diagnosis, diagnosis as part of a new extension of the biopsychiatric medical model, and flaws in contemporary diagnostic categorization. These issues are then viewed in terms of professional practice styles, (...)
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  40.  3
    Paranoid Atmospheres: Psychiatric Knowledge and Delusional Realities. [REVIEW]Jann E. Schlimme - 2009 - Philosophy, Ethics, and Humanities in Medicine 4 (1):1-12.
    In this paper I investigate the topic of paranoid atmospheres. This subject is especially of interest with respect to persons who are deluded, and also, I will demonstrate, sheds light upon the psychiatrist's "gaze" and knowledge of delusions. In my argument I will follow a path initially outlined by Karl Jaspers (1883-1969): modern psychiatric diagnosis of delusions is a diagnosis of form and not content. Jaspers' emphasis on the form of delusions enables psychiatrists to be self-critical about (...)
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  41.  7
    Symptom Networks and Psychiatric Categories.Nick Haslam - 2010 - Behavioral and Brain Sciences 33 (2-3):158-159.
    The network approach to psychiatric phenomena has the potential to clarify and enhance psychiatric diagnosis and classification. However, its generally well-justified anti-essentialism views psychiatric disorders as invariably fuzzy and arbitrary, and overlooks the likelihood that the domain includes some latent categories. Network models misrepresent these categories, and fail to recognize that some comorbidity may represent valid co-occurrence of discrete conditions.
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  42. Symptom Modelling Can Be Influenced by Psychiatric Categories: Choices for Research Domain Criteria.Sam Fellowes - 2017 - Theoretical Medicine and Bioethics 38 (4):279-294.
    Psychiatric researchers typically assume that the modelling of psychiatric symptoms is not influenced by psychiatric categories; symptoms are modelled and then grouped into a psychiatric category. I highlight this primarily through analysing research domain criteria. RDoC’s importance makes it worth scrutinizing, and this assessment also serves as a case study with relevance for other areas of psychiatry. RDoC takes inadequacies of existing psychiatric categories as holding back causal investigation. Consequently, RDoC aims to circumnavigate existing (...) categories by directly investigating the causal basis of symptoms. The unique methodological approach of RDoC exploits the supposed lack of influence of psychiatric categories on symptom modelling, taking psychiatric symptoms as the same regardless of which psychiatric category is employed or if no psychiatric category is employed. But this supposition is not always true. I will show how psychiatric categories can influence symptom modelling, whereby identical behaviours can be considered as different symptoms based on an individual’s psychiatric diagnosis. If the modelling of symptoms is influenced by psychiatric categories, then psychiatric categories will still play a role, a situation which RDoC researchers explicitly aim to avoid. I discuss four ways RDoC could address this issue. This issue also has important implications for factor analysis, cluster analysis, modifying psychiatric categories, and symptom based approaches. (shrink)
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  43. The Right Not to Know: The Case of Psychiatric Disorders.Lisa Bortolotti & Heather Widdows - 2011 - Journal of Medical Ethics 37 (11):673-676.
    This paper will consider the right not to know in the context of psychiatric disorders. It will outline the arguments for and against acquiring knowledge about the results of genetic testing for conditions such as breast cancer and Huntington’s disease, and examine whether similar considerations apply to disclosing to clients the results of genetic testing for psychiatric disorders such as depression and Alzheimer’s disease. The right not to know will also be examined in the context of the (...) of psychiatric disorders that are associated with stigma or for which there is no effective treatment. (shrink)
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  44. Normativity and Rationality in Delusional Psychiatric Disorders.Jose Luis Bermudez - 2001 - Mind and Language 16 (5):457-493.
    Psychiatric treatment and diagnosis rests upon a richer conception of normativity than, for example, cognitive neuropsychology. This paper explores the role that considerations of rationality can play in defining this richer conception of normativity. It distinguishes two types of rationality and considers how each type can break down in different ways in delusional psychiatric disorders.
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  45.  52
    A Brief Historicity of the Diagnostic and Statistical Manual of Mental Disorders: Issues and Implications for the Future of Psychiatric Canon and Practice. [REVIEW]Shadia Kawa & James Giordano - 2012 - Philosophy, Ethics, and Humanities in Medicine 7 (1):1-9.
    The Diagnostic and Statistical Manual (DSM) of the American Psychiatric Association, currently in its fourth edition and considered the reference for the characterization and diagnosis of mental disorders, has undergone various developments since its inception in the mid-twentieth century. With the fifth edition of the DSM presently in field trials for release in 2013, there is renewed discussion and debate over the extent of its relative successes - and shortcomings - at iteratively incorporating scientific evidence on the often (...)
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  46.  16
    Rationality and Sanity: The Role of Rationality Judgments in Understanding Psychiatric Disorders.Lisa Bortolotti - 2013 - In K. W. M. Fulford (ed.), The Oxford Handbook of Philosophy and Psychiatry. Oxford University Press. pp. 480.
    The main objective in this chapter is to examine the role of judgments of rationality in the current understanding of psychiatric disorders. To what extent are the criteria for classification and diagnosis independent of judgments of rationality? The typical symptoms of many psychiatric disorders are described as instances of epistemic, procedural, or emotional irrationality, and references to such forms of irrationality are frequently made in the current classificatory and diagnostic criteria for schizophrenia, dementia, depression, and personality disorders. (...)
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  47.  37
    Philosophical Conceptions of Rationality and Psychiatric Notions of Competency.Ruth Macklin - 1983 - Synthese 57 (2):205 - 224.
    Psychiatrists are frequently called upon to make assessments of the rationality or irrationality of persons for a variety of medical-legal purposes. A key category is that of evaluations of a patient's capacity to grant informed consent for a medical procedure. A diagnosis of mental illness is neither a necessary nor a sufficient condition for a finding of incompetence. The notion of competency to grant consent, which is a mixed psychiatric-legal concept, shares some features with philosophical conceptions of rationality, (...)
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  48.  10
    Debating DSM-5: Diagnosis and the Sociology of Critique.M. D. Pickersgill - 2014 - Journal of Medical Ethics 40 (8):521-525.
    The development of the fifth edition of the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders—the DSM-5—has reenergised and driven further forward critical discourse about the place and role of diagnosis in mental health. The DSM-5 has attracted considerable criticism, not least about its role in processes of medicalisation. This paper suggests the need for a sociology of psychiatric critique. Sociological analysis can help map fields of contention, and cast fresh light on the assumptions and (...)
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  49.  4
    Psychiatric Diagnoses: A Continuing Controversy.James L. Mathis - 1992 - Journal of Medicine and Philosophy 17 (2):253-261.
    Psychiatric Medicine has been accused justly of making its diagnoses on the patient's report of symptoms and the physician's subjective observations of the patient. The main problem has been the lack of reliable data compounded by the stigma of a mental diagnosis. More recently, third-party pressures have become an added threat to objectivity. New knowledge of brain function, especially neurotransmitters, and more specific and effective medication have made the need for accurate diagnoses more acute. Psychiatry has responded by (...)
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  50. Normativity and Rationality in Delusional Psychiatric Disorders.L. Bermúdez José - 2001 - Mind and Language 16 (5):493-457.
    Psychiatric treatment and diagnosis rests upon a richer conception of normativity than, for example, cognitive neuropsychology. This paper explores the role that considerations of rationality can play in defining this richer conception of normativity. It distinguishes two types of rationality and considers how each type can break down in different ways in delusional psychiatric disorders.
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