Diversity Reading List

Abstract:

Autism has typically been framed as inherently harmful and at odds with both subjective happiness and objective flourishing. In recent decades, however, the view of autism as inherently harmful has been challenged by neurodiversity proponents, who draw on social and relational models of disability to reframe the harm autistic people face as arising out of the interaction between being autistic and disabling environments. Here we build on the neurodiversity perspective by arguing that autistic thriving has been rendered both invisible and unthinkable by interlocking forms of testimonial and hermeneutical injustice. On the view we propose, rather than autism being at odds with the possibility of living a good life as such, We argue that our mainstream conceptions of the good life have excluded autistic manifestations of happiness and flourishing. This leads to an epistemic catch-22-like paradoxical situation whereby one can be recognised as autistic or as thriving, but not both. We then propose four ameliorative strategies that support moving towards broader conceptions of the good human life which will allow us to recognise not just autistic, but also other neurodivergent ways, of living a good human life.

Publisher’s Note: Publisher: Classifying Madness concerns philosophical problems with the Diagnostic and Statistical Manual of Mental Disorders, more commonly known as the D.S.M. The D.S.M. is published by the American Psychiatric Association and aims to list and describe all mental disorders. The first half of Classifying Madness asks whether the project of constructing a classification of mental disorders that reflects natural distinctions makes sense. Chapters examine the nature of mental illness, and also consider whether mental disorders fall into natural kinds. The second half of the book addresses epistemic worries. Even supposing a natural classification system to be possible in principle, there may be reasons to be suspicious of the categories included in the D.S.M. I examine the extent to which the D.S.M. depends on psychiatric theory, and look at how it has been shaped by social and financial factors. I aim to be critical of the D.S.M. without being antagonistic towards it. Ultimately, however, I am forced to conclude that although the D.S.M. is of immense practical importance, it is unlikely to come to reflect the natural structure of mental disorders.

Publisher’s Note: Publisher: Psychiatry and Philosophy of Science explores conceptual issues in psychiatry from the perspective of analytic philosophy of science. Through an examination of those features of psychiatry that distinguish it from other sciences - for example, its contested subject matter, its particular modes of explanation, its multiple different theoretical frameworks, and its research links with big business - Rachel Cooper explores some of the many conceptual, metaphysical and epistemological issues that arise in psychiatry. She shows how these pose interesting challenges for the philosopher of science while also showing how ideas from the philosophy of science can help to solve conceptual problems within psychiatry. Cooper's discussion ranges over such topics as the nature of mental illnesses, the treatment decisions and diagnostic categories of psychiatry, the case-history as a form of explanation, how psychiatry might be value-laden, the claim that psychiatry is a multi-paradigm science, the distortion of psychiatric research by pharmaceutical industries, as well as engaging with the fundamental question whether the mind is reducible to something at the physical level. "Psychiatry and Philosophy of Science" demonstrates that cross-disciplinary contact between philosophy of science and psychiatry can be immensely productive for both subjects and it will be required reading for mental health professionals and philosophers alike.

Abstract: This article addresses the integration problem in psychiatry: the explanatory problem of integrating such heterogeneous factors as cause or contribute to the problems at hand, ranging from traumatic experiences, dysfunctional neurotransmitters, existential worries, economic deprivation, social exclusion, and genetics. In practice, many mental health professionals work holistically in a pragmatic and eclectic way. Such pragmatic approaches often function well enough. Yet an overarching framework provides orientation, treatment rationale, a shared language for communication with all those involved, and the means to explain treatment decisions to health insurers and to society at large. It also helps to relate findings from different areas and types of research. In this article, I introduce an enactive framework that supports holistic psychiatric practice by offering an integrating account of how the diverse aspects of psychiatric disorders relate. The article starts with a short overview both of the four main dimensions of psychiatric disorders and of the currently available models. I then introduce enactivism and the enactive notion of sense-making. Subsequently, I discuss how this enactive outlook helps explicate the relation between the four dimensions and what that implies regarding the causality involved. The article concludes with an overview of treatment implications.

Abstract: Cognitive neuroscience can offer us new explanations of episodes human behavior that, unlike many explanations traditionally available, do not draw on questionable past theories arising from cultures and traditions that are in fact patriarchal. At the same time, feminists have had a number of reasons for regarding it suspiciously as, among other things, reductive and dehumanizing. In this paper, new work on borderline personality disorder provides an illustrative example of the first. It is also used in an extended argument against the second. Cognitive neuroscience is interested principally in explaining how creatures function well in their niches. It is replete with covert references to values and interests. The paper draws an important distinction between cases in which culture creates new conditions for old functions to be realized and those where it creates new functions.

Abstract: Contrary to influential medical and cognitivist models governing how mental disorder is usually understood today, the socially embedded, disordered "mind," or subject, of feminist theory leaves little room for idiopathic causal analyses, with their narrow focus on the brain and its functioning, and reluctant acknowledgment of symptoms. Mental disorder must originate well beyond the particular brain of the person with whom it is associated, feminist analyses imply. Because the voiced distress of the sufferer cannot be reduced to the downstream, "symptomatic" effects of brain dysfunction, symptoms can be seen differently, as central to the diagnostic identity, and constitutive of (at least some) disorders. And new attention is required for the testimony of women diagnosed with mental disorder, vulnerable as it is to epistemic injustices. Corrected explanations of women's mental disorder leave remaining concerns, both epistemological and ethical, over the madwoman narrating her symptoms.

Abstract: The significance of critical phenomenology for psychiatric praxis has yet to be expounded. In this paper, Rituanno argues that the adoption of a critical phenomenological stance can remedy localised instances of hermeneutical injustice, which may arise in the encounter between clinicians and patients with psychosis. In this context, what is communicated is often deemed to lack meaning or to be difficult to understand. While a degree of un-shareability is inherent to subjective life, Rituanno argues that issues of unintelligibility can be addressed by shifting from individualistic conceptions of understanding to an interactionist view. This takes into account the contextual, historical and relational background within which meaning is co-constituted. She concludes by providing a corrective for hermeneutical injustice, which entails a specific attentiveness towards the person's subjectivity, a careful sensitivity to contingent meaning-generating structures, and a degree of hermeneutical flexibility as an attitude of openness towards alternative horizons of possibility.