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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.
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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.
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Added by: Simon FoktIntroduction: Bernard Williams's integrity objection against utilitarianism has made a very influential contribution to the view that utilitarianism is so demanding that it cannot be a serious option. Utilitarians, on the other hand, have generally denied that a suitably sophisticated version of utilitarianism is incompatible with agents' integrity. I argue here that, if we examine what a valuable conception of integrity consists in, we can see that it actually commits us, in the current state of the world, to extremely demanding moral obligations, on any plausible account of our moral obligations, including Williams's own. I then argue, however, that any such account of these obligations has difficulty in providing a rationale for how a fundamental conflict between them and agents' pursuit of their personal projects can be avoided. I conclude that it is, in fact, a strength of utilitarianism that it acknowledges that this conflict cannot be resolved and makes explicit the extent to which our integrity is currently compromised. I lastly argue that there is a practically realizable state of the world in which utilitarian moral obligations would not seriously conflict with agents' pursuit of their personal projects.
Comment: This text offers a discussion of some of the major objections to utilitarianism. It is useful as a core reading in teaching advanced modules on moral theories, or as a further reading in a more general ethics course.
Reprinted in Crisp R. and Slote M. (eds.), Virtue ethics . Oxford: Oxford University Press.
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Added by: Simon FoktContent: Wolf argues that "moral perfection, in the sense of moral saintliness, does not constitute a model of personal well-being toward which it would be particularly rational or good or desirable for a human being to strive."
Comment: The text is written in an accessible, entertaining way and can provide an excellent introduction to a first year ethics module, or an inspiration to a thought-provoking discussion on the practical application of particular ethical theories.
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Added by: Simon FoktAbstract: The ancient Greeks subscribed to the thesis of the Unity of Virtue, according to which the possession of one virtue is closely related to the possession of all the others. Yet empirical observation seems to contradict this thesis at every turn. What could the Greeks have been thinking of? The paper offers an interpretation and a tentative defence of a qualified version of the thesis. It argues that, as the Greeks recognized, virtue essentially involves knowledge - specifically, evaluative knowledge of what matters. Furthermore, such knowledge is essentially holistic. Perfect and complete possession of one virtue thus requires the knowledge that is needed for the possession of every other virtue. The enterprise of trying to reconcile the normative view embodied in this conception of virtue with empirical observation also serves as a case study for the field of moral psychology in which empirical and normative claims are often deeply and confusingly intertwined.
Comment: Useful as further reading in courses focusing on ancient and moral philosophy. Can be particularly useful in teaching on topics related to moral psychology and its relations with moral philosophy.
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Added by: Simon FoktPublisher’s Note: Publisher's description: Mary Anne Warren investigates a theoretical question that is at the centre of practical and professional ethics: what are the criteria for having moral status? That is: what does it take to be an entity towards which people have moral considerations? Warren argues that no single property will do as a sole criterion, and puts forward seven basic principles which establish moral status. She then applies these principles to three controversial moral issues: voluntary euthanasia, abortion, and the status of non-human animals.
Comment: Particular chapters are useful in teaching on the applied ethics of abortion, euthanasia and obligations towards non-human animals.
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Added by: Simon FoktAbstract: The notion of autonomy commonly employed in medical ethics literature and practices is inadequate on three fronts: it fails to properly identify nonautonomous actions and choices, it gives a false account of which features of actions and choices makes them autonomous or nonautonomous, and it provides no grounds for the moral requirement to respect autonomy. In this paper I offer a more adequate framework for how to think about autonomy, but this framework does not lend itself to the kinds of practical application assumed in medical ethics. A general problem then arises: the notion of autonomy used in medical ethics is conceptually inadequate, but conceptually adequate notions of autonomy do not have the practical applications that are the central concern of medical ethics. Thus, a revision both of the view of autonomy and the practice of “respect for autonomy” are in order.
Comment: Walker argues against the Black Box view advocated by Beauchamp and Childress. The text is most useful when discussing principlism in biomedical ethics and more general issues related to autonomy and consent. The text works well when read alongside's Onora O'Neill's "Some limits of informed consent."
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Added by: Simon FoktIntroduction: But what if in order to save one’s life one has to kill another person? In some cases that is obviously permissible. In a case I will call Villainous Aggressor, you are standing in a meadow, innocently minding your own business, and a truck suddenly heads toward you. You try to sidestep the truck, but it turns as you turn. Now you can see the driver: he is a man you know has long hated you. What to do? You cannot outrun the truck. Fortunately, this is not pure nightmare: you just happen to have an antitank gun with you, and can blow up the truck. Of course, if you do this you will kill the driver, but that does not matter; it is morally permissible for you to blow up the truck, driver and all, in defense of your life.
Comment: The text discusses permissible and excusable self-defence reactions towards different types of aggressors. It is useful in teaching on issues involving the doctrine of double effect.
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Added by: Simon FoktIntroduction: What I will discuss are two of the moral arguments that have been put forward as reasons for objecting to the legalization of physician-assisted suicide. They have been taken seriously by a great many people and have had a powerful impact on the state of American law in this area. I will argue that they are bad arguments. I should say at the outset, however, that even if these are bad arguments, there may be others that are better. Many people oppose the legalizing of physician-assisted suicide on the ground that (as they think) there is no way of constraining the practice so as to provide adequate protections for the poor and the weak. They may be right, and if they are, then all bets are off. Alternatively, they may be wrong. I will simply bypass this issue.
Comment: The two arguments focus on the distinction between killing and letting die, and the doctrine of double effect. The arguments offered are central to the discussion on the moral permissibility of euthanasia and assisted suicide, which makes this text very useful in teaching applied ethics. It can be also useful in more general teaching on the doctrine of double effect.
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Added by: Simon FoktContent: Thomson aims to see if abortion can be defended even if the anti-abortion theorist is granted their key premise, i.e. that the foetus has the status of a person. Thomson argues that this is, in fact, irrelevant since we do not owe it to others to let them use our body in order to survive.
Comment: This text offers one of the central arguments in favour of moral permissibility of abortion and features the 'famous violinist' thought experiment. It is a central reading for any module in applied ethics focusing on abortion.
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.