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Added by: Simon Fokt
Diversifying Syllabi: Thesis: Those affected by mental disorders whose actions are episodically influenced by their disorder are often overlooked by philosophers of moral and ethical responsibility. Allen gives us reasons for thinking it is inappropriate to either: a) “summarily exclude people with mental problems out of the universe of moral agents, reducing them to the status of rocks, trees, animals, and infants” b) “include the group on the false assumption that their moral lives are precisely like the paradigmatic moral lives of the epistemically-sound and well-regulated people never personally touched by a mental condition” We must explore a revised approach to moral and ethical responsibility and obligation for this group.Bordo, Susan. Anorexia Nervosa: Psychopathology as the Crystallization of Culture1993, In her Unbearable Weight: Feminism, Western Culture, and the Body. Berkeley: University of California Press.-
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Added by: Simon Fokt
Diversifying Syllabi: Bordo claims that the recent increase in women with Anorexia is a symptom of the “central ills” of our culture. Bordo discusses three sources of this “cultural illness” which leads to anorexia: the dualist axis, the control axis, and the gender/power axis. She spends the bulk of the paper discussing each “axis” or problematic component of society which is reflected back to us in the increasing diagnosis of anorexia. These “psychopathogolgies” are expressions of the culture, she claims.Comment: This text is most readily applicable in teaching feminist theory and social philosophy. However, it is also very useful in at least three other contexts: (1) as a critical approach to mind-body dualism, especially when teaching on Descartes or Plato's Phaedo; (2) in teaching on the ethics of mental illness and the anti-psychiatry movement, as an example of socially constructed disorders; and (3) more broadly in teaching on personal and collective moral responsibility.
Brison, Susan J.. Outliving oneself: trauma, memory, and personal identity2022, in McWeeny, J. and Maitra, K. (eds) Feminist Philosophy of Mind. New York: Oxford University Press, pp. 313-328-
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Added by: Adriana Alcaraz Sanchez and Jodie RussellAbstract:
"How can one die in Vietnam or fail to survive a death camp and still live to tell one's story? How does a life- threatening event come to be experienced as self- annihilating? And what self is it who remembers having had this experience?" By examining the lived experience of survivors from traumatic events, Brison sets to explore what exactly "the self" is. According to Brison, the self is "both autonomous and socially dependent", which makes it prone to be disrupted by traumatic events, but also, can be healed through safe and healthy relationships.Comment (from this Blueprint): Trigger warning: This article discusses accounts of trauma, including descriptions of an event of sexual assault that occurred to the author, as well as its aftermath. If used in a syllabi, this text should be presented as "optional" and students should be warned about its sensitive nature. A brief notice of TW should also be presented a the beginning of a session where the text is discussed. Also note that the suggested prompted questions for guiding reading of this article, as well as prompting discussion, also treat sensitive topics. Susan Brison provides a compelling argument about the embodied nature of the self by examining how traumatic events can have an impact on our personal identity and highly disrupt our personhood. Brison defends a relational account of the self in which the self is constructed through our interactions with others, and at the same time, affected by those interactions, making it vulnerable. By drawing first-hand from her own experience with trauma, Brison shows the importance of integrating lived experiences in the development of philosophical accounts.
Ciurria, Michelle. Is There a Duty to Use Moral Neurointerventions?2017, Topoi 38(1): 37-47.-
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Added by: Simon Fokt, Contributed by: Emma Gordon
Abstract: Do we have a duty to use moral neurointerventions to correct deficits in our moral psychology? On their surface, these technologies appear to pose worrisome risks to valuable dimensions of the self, and these risks could conceivably weigh against any prima facie moral duty we have to use these technologies. Focquaert and Schermer (Neuroethics 8(2):139–151, 2015) argue that neurointerventions pose special risks to the self because they operate passively on the subject-s brain, without her active participation, unlike ‘active- interventions. Some neurointerventions, however, appear to be relatively unproblematic, and some appear to preserve the agent-s sense of self precisely because they operate passively. In this paper, I propose three conditions that need to be met for a medical intervention to be considered low-risk, and I say that these conditions cut across the active/passive divide. A low-risk intervention must: (i) pass pre-clinical and clinical trials, (ii) fare well in post-clinical studies, and (iii) be subject to regulations protecting informed consent. If an intervention passes these tests, its risks do not provide strong countervailing reasons against our prima facie duty to undergo the intervention.Comment: Proposes an account of low-risk medical interventions and argues that the risks attached to moral enhancements falling into this category are insufficient to provide us with strong reasons against our duty to undergo the intervention. Useful to read when exploring the issue of whether we are obligated to morally enhance (as e.g. Savulescu and Persson have argued).
Cooper, Rachel. Classifying madness: a philosophical examination of the diagnostic and statistical manual of mental disorders2005, Dordrecht: Springer.-
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Added by: Simon FoktPublisher’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.Comment: The early chapters are particularly useful in teaching, as they discuss the treatment of mental disorders as natural kinds. They are particularly useful in teaching applied ethics related to mental disorders and can inform a discussion on the claims made by the members of the antipsychiatrist movement. The text can also provide good support for advanced level teaching focusing on natural kinds and social constructs.
Cooper, Rachel. Psychiatry and philosophy of science2014, Routledge.-
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Added by: Simon FoktPublisher’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.Comment: This book is written in a very approachable way and requires little prior knowledge of psychiatry or philosophy, which makes it an excellent resource for undergraduate teaching. Chapters two and three contain one of the most informative and clear reviews of the debate about the nature of mental illness. Chapters four to seven focus on the scientific status of psychiatry and look at the possibility of neurobiological reductionism. The text can be used in a number of teaching situations, stretching from moral dilemmas related to mental illness, to the philosophy of mind questions on mind-brain reductionism.
Haksar, Vinit. The responsibility of psychopaths1965, The philosophical quarterly 15(59): 135-145.-
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Added by: Simon Fokt
Content: The paper examines various arguments looking at the responsibility psychopaths bear for their immoral actions, using neurological knowledge about psychopathy.Comment: Useful in teaching about the 'mad or bad' dilemma, and about responsibility and issues in psychiatric ethics in general.
Heal, Jane. Mental disorder and the value(s) of ‘autonomy’2012, In Autonomy and Mental Disorder, Lubomira Radoilska (ed.). New York: Oxford University Press, 3-25.-
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Added by: Jamie RobertsonAbstract:
Summary (from Introduction of Autonomy and Mental Disorder, Radoilska ed.): In 'Mental disorder and the value(s) of autonomy', Jane Heal identifies and critically examines a form of thought which is implicit in discussions about what we, as a society, owe to people with mental disorder. This form of thought builds upon intuitions which link respect for a person with respect for a person's autonomy. In light of these intuitions, the issue of how to treat a person with mental disorder may seem to revolve around the question whether or not this person has the capacity for autonomy. However, Heal argues, inquiries that share this logical form are methodologically inappropriate and potentially unhelpful in answering either of the questions they put together: what we owe to people with mental disorder and what is involved in autonomy as a capacity. The reason for this is twofold. Firstly, the apparent consensus about autonomy as a capacity for self-determination that ought to be protected from interference by a corresponding right to self-determination is too shallow to ground a coherent course of action in terms of respect for autonomy. Even if we work with the assumption that autonomy is part of the Enlightenment project, we face an important dilemma since we have to choose between a Kantian or rationality oriented and a Millian or well-being oriented take on the nature and significance of autonomy. Secondly, even if we were to reach a substantive consensus on the concept of autonomy, it would arguably require an intricate array of mental capacities, outside the reach of at least some people with mental disorder. Getting clearer on what autonomy is will not help us find out what it means to treat these people respectfully.Comment: This text would be a good candidate for inclusion in a course about autonomy, philosophy of disability, or the ethics or political philosophy of mental health or aging (due to discussion of dementia). If assigned as part of a course on autonomy, students will benefit from considering Heal's approach to breaking down the logical components of the concept and her nuanced discussion of the limitations of autonomy as a moral principle for understanding our obligations toward people with mental disorders. This second element is the central question of the paper and would be of interest when examining disability or mental health from a philosophical perspective.
Jacobson, Anne J.. Norms and Neuroscience: The Case of Borderline Personality Disorder2022, In McWeeny, J. and Maitra, K. (eds) Feminist Philosophy of Mind, New York: Oxford University Press, pp.207-220-
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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.Comment (from this Blueprint): Jacobson's chapter is an insightful exemplar of feminist philosophy of neuroscience that charts a course between hard-naturalism of mind in science and the pure social-constructivist theories of mental disorder. Jacobson's case study of Boderline Personality Disorder (BPD) demonstrates the ways in which values may be embedded in psychiatric categories, but the phenomena can nevertheless be accounted for using normatively-informed neuroscience. Feminist philosophy of science at large is an influence here, and thus this chapter is an important bridge between this topic and our own, feminist philosophy of mind.
Kittay, Eva Feder. When Caring Is Just and Justice is Caring: Justice and Mental Retardation2001, Public Culture 13(3): 557-580-
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Added by: Jamie Robertson
Summary: In this paper, Kittay advances a conception of justice that 'begins with an acknowledgement of dependency and seeks to organise society so that our well-being is not inversely related to our need for care or to care' (576). Her motivation for advancing this view is that ideals of citizenship in liberal society, including independence and productivity, perpetuate the victimisation, social exclusion, or stigmatisation of people with mental retardation and their carers. This is because liberal definitions of personhood do not provide resources for responding in a morally adequate way to the mutual dependence of people with mental retardation and their carers/advocates. People with mental retardation are inescapably dependent because of their central need for attentive care. And, carers' work is so deeply other-directed that they also do not fit the liberal model of the rationally self-interested actor. Thus, both carers and their charges are vulnerable and need to be advocated for so that they can be seen as having important entitlements to public resources and claims to justice. To this end, Kittay proposes a conception of personhood that is based on relationships. Although those with mental retardation are inherently dependent, they still count as persons because they are able to participate in relationships. This makes them entitled to the satisfactions that make life worth living. To achieve the twin goal of achieving justice for familial or paid carers, Kittay advances a new principle of justice, doulia, which calls for larger society to support those who care for the inexorably dependent. Kittay takes her relational conception of personhood and her principle of doulia to ensure that appropriate forms of social organization exist to support all those who become dependent. She claims her view is needed because principles of charity and beneficence are not adequate since they are consistent with the continued stigmatization of mental retardation and care work, and ground only low-priority social obligations.Comment: This paper, with it's helpful discussions of the elements of the liberal tradition with which Kittay specifically takes issue and the inadequacies of the Americans with Disabilities Act, would be an appropriate reading for courses about the philosophy of disability or about liberal political theory.
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Allen, Anita L.. Mental Disorders and the “System of Judgmental Responsibility”
2010, Boston University Law Review 90: 621-640.
Comment: This text is useful in teaching in two main contexts: (1) in discussing ethical issues related to mental disorders; and (2) to provide a challenging case in classes on blame and responsibility. The text can be also used in the context of the free will and determinism debate, and as a further reading in classes on moral agency.