Values and Psychiatric Diagnosis

Values and Psychiatric Diagnosis

by John Z. Sadler
     
 

ISBN-10: 0198526377

ISBN-13: 9780198526377

Pub. Date: 12/23/2004

Publisher: 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…  See more details below

Overview


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 of values and value judgements involved in psychiatric diagnosis and classification systems like the DSM. Professor Sadler takes the reader on a fascinating conceptual tour of the inner workings of psychiatric diagnosis, considering the role of science, culture, sexuality, politics, gender, technology, human nature, patienthood, and professions in building his vision of a more humane psychiatric diagnostic process.

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Product Details

ISBN-13:
9780198526377
Publisher:
Oxford University Press
Publication date:
12/23/2004
Series:
International Perspectives in Philosophy and Psychiatry Series
Edition description:
New Edition
Pages:
556
Product dimensions:
9.00(w) x 6.00(h) x 1.20(d)

Table of Contents

1. Introduction
1.1. Background
1.2. Why psychiatric diagnosis/classification?
1.3. A brief personal history of nosological controversy
1.4. Defining "values"
1.5. Overview of the book
2. Methods
2.1. Background
2.2. Kuhn on scientific theory change
2.3. Values, value terms and value semantics
2.4. Five heuristic types of values
2.5. Unraveling the dense fabric of values
3. Science
3.1. Background - relations between medicine and science
3.2. Basics of classification
3.3. Science and psychiatric nosology
4. Patients, professions and guilds
4.1. Background
4.2. Patients
4.3. Professions
4.4. Guild interests and classification
4.5. Weighing, patient, professional and guild interests
5. Space, time and being
5.1. Background
5.2. Defining mental disorder
5.3. World views, assumptions and ontological valaues
5.4. The constraint of ontological space - the transpersonal psychiatry critique
5.5. The constraint of ontological time - the developmentalist critique
5.6. Space and time recast - existential/phenomenological and social constructionist critiques
5.7. Three contrast cases for ontological values in psychiatry
6. Sex and gender
6.1. Background: the declassification of homosexuality
6.2. "Mad" vs "bad" in the bedroom
6.3. Mental disorder diagnosis and women: what are the issues?
6.4. Discrimination and stigma as negative value consequences
6.5. Gender concepts as entailed ontological values
6.6. Medicalization and eudaimonia
7. Culture
7.1. The cultural challenge to mental disorder classification
7.2. DSM-IV approaches to the problem of culture
7.3. Ten weird things about Western psychiatry
7.4. Relativism, absolutism, and the cross-cultural use of the DSMs
7.5. Toward an ethic for cross-cultural psychiatric diagnosis
8. Genetic nosology
8.1. Background
8.2. Barest essentials of psychiatric genetics
8.3. Psychiatric genetic nosology
8.4. Value structure of genetic vs clinical nosology
8.5. Implications of a rising psychiatric genetic nosology
9. Technology
9.1. Background: Heidegger, Dreyfus and technology
9.2. Insights from the philosophy of technology
9.3. Psychiatric classification as technological
9.4. Poietic vs technological disgnostic practice
9.5. Toward a balanced technological/poietic practice
10. Politics
10.1. Political meanings
10.2. "The politics-science dichotomy syndrome"
10.3. Externalist political landscapes and classification
10.4. Toward a political architecture for DSMs
10.5. Good politics for science and classification
11. Values and psychiatric diagnosis
11.1. What is diagnosis?
11.2. A gardener's allegory and the point of mental disorder classification
11.3. Grasping the whole of values in classification
11.4. Just how did values guide action in the DSM-IV?
11.5. Just how should values guide action in future DSMs?

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