In Defence of the Concept of Mental Illness

Zsuzsanna Chappell
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Abstract

Abstract Many worry about the over-medicalisation of mental illness, and some even argue that we should abandon the term mental illness altogether. Yet, this is a commonly used term in popular discourse, in policy making, and in research. In this paper I argue that if we distinguish between disease, illness, and sickness (where illness refers to the first-personal, subjective experience of the sufferer), then the concept of mental illness is a useful way of understanding a type of human experience, inasmuch as the term is (i) apt or accurate, (ii) a useful hermeneutical resource for interpreting and communicating experience, and (iii) can be a good way for at least some of us to establish a liveable personal identity within our culture.
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为精神疾病概念辩护
许多人担心精神疾病的过度医学化,有些人甚至认为我们应该完全放弃精神疾病这个术语。然而,在大众话语、政策制定和研究中,这是一个常用的术语。在本文中,我认为,如果我们区分疾病,疾病和疾病(其中疾病指的是患者的第一人称,主观经验),那么精神疾病的概念是理解人类经验的一种有用的方式,因为这个术语是(I)恰当或准确的,(ii)解释和交流经验的有用解释学资源,(三)至少对我们中的一些人来说,在我们的文化中建立一个宜居的个人身份是一种很好的方式。
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PHS volume 94 Cover and Front matter ‘The Hermeneutic Problem of Psychiatry’ and the Co-Production of Meaning in Psychiatric Healthcare PHS volume 94 Cover and Back matter Art and the Lived Experience of Pain Notes on the Contributors
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