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In Defence of the Concept of Mental Illness 为精神疾病概念辩护
Pub Date : 2023-09-28 DOI: 10.1017/s1358246123000267
Zsuzsanna Chappell
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.
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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引用次数: 0
Shared Decision-Making and Relational Moral Agency: On Seeing the Person Behind the ‘Expert by Experience’ in Mental Health Research 共同决策与关系道德代理:看心理健康研究中“经验专家”背后的人
Pub Date : 2023-09-28 DOI: 10.1017/s1358246123000243
Anna Bergqvist
Abstract The focus of this paper is the moral and scientific value of ‘expertise by experience’, that is, knowledge based on personal experience of ill mental health as a form of expertise in mental health research. In contrast to individualistic theories of personal autonomy and the first-person in bioethics, my account of shared decision-making is focussed on how a relational approach to the ‘person’ and ‘patient values’ can throw new light on our understanding of ‘voice’ in mental health research. The mistake, I argue, is to think that a commitment to listening to the patient voice in the process of perspective taking implies a threat to ‘objectivity’ in clinical practice and the very concept of evidence in the philosophy of science more generally. Instead, I use Helen Longino's account of epistemic validity in philosophy of science to argue that narrative experience and ‘patient perspective’ should be understood as an ongoing dynamic partnership working between the different stakeholders’ knowledge perspectives. I also address the connection between expertise by experience and the psychiatric significance of the personal self for the entrenched topics of agency, self-hood, personal identity, and self-knowledge in psychiatric diagnosis. In contrast to identity politics, my model of shared decision-making preserves a critical distance between perspective-taking and value itself in self/other appraisal as the gold standard for good clinical practice.
摘要:本文的重点是“经验专家”的道德和科学价值,即基于个人心理健康不良经历的知识作为心理健康研究的一种专业知识形式。与个人自主的个人主义理论和生命伦理学中的第一人称理论相反,我对共同决策的描述侧重于如何用一种关系方法来处理“人”和“病人价值”,从而为我们对心理健康研究中的“声音”的理解提供新的视角。我认为,错误之处在于认为,在采取观点的过程中,承诺倾听病人的声音意味着对临床实践中的“客观性”的威胁,以及对科学哲学中更普遍的证据概念的威胁。相反,我用海伦·朗吉诺(Helen Longino)对科学哲学中认识论有效性的描述来论证,叙事经验和“患者视角”应该被理解为不同利益相关者的知识视角之间持续不断的动态伙伴关系。我还讨论了经验的专业知识与精神病学中个人自我的意义之间的联系,这些关系涉及精神病学诊断中根深蒂固的代理、自我、个人身份和自我认识等主题。与身份政治相反,我的共同决策模型在自我/他人评估中保留了观点采纳和价值本身之间的关键距离,作为良好临床实践的黄金标准。
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引用次数: 0
Mad Pride and the Creation of Culture 疯狂的骄傲与文化的创造
Pub Date : 2023-09-28 DOI: 10.1017/s1358246123000188
Mohammed Abouelleil Rashed
Abstract Among the different approaches in mental health activism, there is an ongoing concern with the concepts and meanings that should be brought to bear upon mental health phenomena. Aspects of Mad Pride activism resist the medicalisation of madness, and seek to introduce new, non-pathologizing narratives of psychological, emotional, and experiential states. This essay proposes a view of Mad Pride activism as engaged in no less than the creation of a new culture of madness. The revisioning and revaluing of madness requires transformations in the basic concepts constitutive of current mental health narratives. This process is illustrated with the concept of self and its relation to passivity phenomena (thought insertion). The essay concludes with some of the challenges facing Mad Pride's ambition to enrich the cultural repertoire.
在心理健康行动主义的不同途径中,人们一直关注心理健康现象的概念和意义。“疯狂骄傲”行动主义的一些方面抵制将疯狂医学化,并寻求引入新的、非病态的心理、情感和经验状态叙事。这篇文章提出了一种观点,即疯狂骄傲行动主义不亚于创造一种新的疯狂文化。对疯癫的修正和重估需要改变构成当前精神卫生叙述的基本概念。这个过程用自我的概念和它与被动现象(思想插入)的关系来说明。文章最后提到了《疯狂的骄傲》在丰富文化剧目方面所面临的一些挑战。
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引用次数: 0
A Wide-Enough Range of ‘Test Environments’ for Psychiatric Disabilities 精神障碍的足够广泛的“测试环境”
Pub Date : 2023-09-28 DOI: 10.1017/s1358246123000206
Sofia Jeppsson
Abstract The medical and social model of disability is discussed and debated among researchers, scholars, activists, and people in general. It is common to hold a mixed view and believe that some disabled people suffer more from social obstacles and others more from medical problems inherent in their bodies or minds. Rachel Cooper discusses possible ‘test environments’, making explicit an idea which likely plays an implicit part in many disability discussions. We place or imagine placing the disabled person in a range of different environments. If there is a relevant test environment in which they do fine, their problem was societal/external; if there is not, it was medical/internal. Cooper admits that deciding on the appropriate range of test environments is an ethical and political question. In this chapter, I argue that we often ought to widen our scope when discussing psychiatric disabilities.
残疾的医学和社会模式在研究人员、学者、活动家和一般人之间进行了讨论和辩论。人们普遍持有一种复杂的观点,认为一些残疾人更多地受到社会障碍的影响,而另一些人更多地受到他们身体或精神上固有的医疗问题的影响。Rachel Cooper讨论了可能的“测试环境”,明确了一个可能在许多残疾讨论中扮演隐性角色的想法。我们把或想象把残疾人放在一系列不同的环境中。如果有一个相关的测试环境,他们表现良好,他们的问题是社会/外部的;如果没有,那就是医疗/内部问题。库珀承认,决定合适的测试环境范围是一个道德和政治问题。在本章中,我认为在讨论精神障碍时,我们通常应该扩大我们的范围。
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引用次数: 0
Japanese Philosophers on Plato's Ideas 日本哲学家论柏拉图的思想
Pub Date : 2023-05-01 DOI: 10.1017/S1358246123000085
Noburu Notomi
Abstract Although Plato studies occupy an important place in academia, the empiricist stance in considering reality, the modern epistemology of the self-identical ego, the devaluation of the image and imagination, and the restrictions on philosophy within academic research sometimes cause us to lose sight of the essence of Plato's texts and thought when analysing them. Discussing Plato from a Japanese perspective, this paper will introduce three Japanese thinkers, Sakabe Megumi, Izutsu Toshihiko, and Ino-ue Tadashi, who have critically examined modern Western philosophy from their own philosophical backgrounds and provided valuable suggestions. Taking into account the arguments of these Japanese thinkers, this paper emphasizes the notions of separation, purification, and transcendence as core concepts of Plato's philosophy.
尽管柏拉图研究在学术界占有重要地位,但学术研究中的经验主义现实立场、自我同一性的现代认识论、形象和想象的贬低以及哲学的局限,有时使我们在分析柏拉图文本和思想时忽视了它们的本质。从日本的角度来讨论柏拉图,本文将介绍三位日本思想家,Sakabe Megumi, Izutsu Toshihiko和Ino-ue Tadashi,他们从自己的哲学背景出发批判性地审视了现代西方哲学,并提出了宝贵的建议。结合这些日本思想家的观点,本文强调分离、净化和超越是柏拉图哲学的核心概念。
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引用次数: 0
Grammars of Listening: Or On the Difficulty of Rendering Trauma Audible 听力语法:论创伤可听化的困难
Pub Date : 2023-05-01 DOI: 10.1017/S1358246123000048
María del Rosario Acosta López
Abstract What would it mean to do justice to testimonies of traumatic experience? That is, how can experiences which do not fit the customary scripts of sense-making be heard? Whereas processes of official memorialization or legal redress often demand that victims and survivors convey their experiences through familiar modes of narration, in my project on ‘grammars of listening’ or ‘gramáticas de lo inaudito’ I want to ask how it might be possible to hear these experiences on their own terms and what the challenges are that we encounter when trying to do so. What I ultimately want to argue is that doing justice to trauma requires a profound philosophical questioning of the conditions that allow us to listen to testimony, and a true reckoning of the responsibility that we bear as listeners.
摘要:如何公正对待创伤经历的证词?也就是说,那些不符合构成意义的习惯脚本的经验是如何被听到的?官方纪念或法律补救的过程通常要求受害者和幸存者通过熟悉的叙述方式传达他们的经历,在我的项目“倾听的语法”或“gramáticas de lo inaudito”中,我想问如何可能以他们自己的方式听到这些经历,以及我们在尝试这样做时遇到的挑战是什么。我最终想说的是,要公正对待创伤,需要对允许我们倾听证词的条件进行深刻的哲学质疑,并真正认识到我们作为倾听者所承担的责任。
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引用次数: 0
Fernando Pessoa: The Poet as Philosopher 费尔南多·佩索阿:作为哲学家的诗人
Pub Date : 2023-05-01 DOI: 10.1017/S135824612300005X
J. Ganeri
Abstract Fernando Pessoa (1888–1935) lived what was in many ways an astonishingly modern, transcultural, and translingual life. He was born in Lisbon, the point of departure for Vasco da Gama's voyage to India as commemorated by Pessoa's forebear, the poet Luís de Camões. Pessoa grew up in Anglophone Durban, acquiring a lifelong love for English poetry and language. Returning to Lisbon, from where he would never again leave, he set himself the goal of travelling throughout an infinitude of inner landscapes, to be an explorer of inner worlds. He published very little, but left behind a famous trunk containing a treasure trove of scraps, on which were written some of the greatest literary works of the twentieth century, mainly in Portuguese but also a substantial amount in English and French. Pessoa is now acknowledged as one of the greatest poets of the twentieth century, and he has emerged over the last decade as a forgotten voice in twentieth-century modernism, taking his rightful place alongside C.P. Cavafy, Franz Kafka, T.S. Eliot, James Joyce, and Jorge Luis Borges. Pessoa was also a serious student of philosophy and himself a very creative philosopher, yet his genius as a philosopher has as yet hardly been recognized at all.
费尔南多·佩索阿(Fernando Pessoa, 1888-1935)在许多方面都过着令人惊讶的现代、跨文化和跨语言的生活。他出生在里斯本,这里是瓦斯科·达·伽马(Vasco da Gama)远航印度的出发地,佩索阿的祖先诗人Luís de Camões以此纪念他。佩索阿在以英语为母语的德班长大,一生都热爱英语诗歌和语言。回到里斯本后,他再也没有离开过,他给自己设定了一个目标,要在无限的内心风景中旅行,成为一个内心世界的探险家。他很少发表作品,但留下了一个著名的箱子,里面装着珍贵的残片,上面写着20世纪一些最伟大的文学作品,主要是葡萄牙语,但也有大量的英语和法语作品。佩索阿现在被公认为二十世纪最伟大的诗人之一,在过去的十年里,他在二十世纪的现代主义中成为一个被遗忘的声音,与C.P.卡瓦菲、弗朗茨卡夫卡、T.S.艾略特、詹姆斯乔伊斯和乔治路易斯博尔赫斯齐名。佩索阿也是一个认真的哲学学生,他自己也是一个非常有创造力的哲学家,然而他作为哲学家的天才几乎没有得到承认。
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引用次数: 0
In the Mood: Why Vibes Matter in Reading and Writing Philosophy 心情:为什么共鸣在阅读和写作哲学中很重要
Pub Date : 2023-05-01 DOI: 10.1017/S1358246123000073
Helen De Cruz
Abstract Philosophers often write in a particular mood; their work is playful, strident, strenuous, or nostalgic. On the face of it, these moods contribute little to a philosophical argument and are merely incidental. However, I will argue that the cognitive science of moods and emotions offers us reasons to suspect that mood is relevant for philosophical texts. I use examples from Friedrich Nietzsche and Rudolph Carnap to illustrate the role moods play in their arguments. As readers and writers of philosophical texts, we do well to attend to mood.
哲学家经常以一种特定的心情写作;他们的作品或好玩,或刺耳,或艰苦,或怀旧。从表面上看,这些情绪对哲学论证贡献不大,只是偶然的。然而,我认为情绪和情感的认知科学为我们提供了怀疑情绪与哲学文本相关的理由。我用弗里德里希·尼采和鲁道夫·卡尔纳普的例子来说明情绪在他们的论点中所起的作用。作为哲学文本的读者和作者,我们很注意情绪。
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引用次数: 0
Can Aesthetics Be Global? 美学可以是全球性的吗?
Pub Date : 2023-05-01 DOI: 10.1017/S1358246123000061
E. John
Abstract Philosophical aesthetics is to some extent beholden to what I will call personal aesthetics. By personal aesthetics, I mean the phenomena of individual aesthetic sensitivity: how each of us discerns and responds to elements of experience. I take that sensitivity to be finely woven into feeling to some degree at home in the world. There is something extremely local, and in a certain sense unreflective, about personal aesthetics – it is hard to notice one's own, historically specific aesthetic formation. Philosophical aesthetics, meanwhile, aspires to understand aesthetic life in a more reflective and general way. Aesthetic theories in the Western tradition, like most philosophical theories, try to articulate universally relevant and illuminating theoretical concepts and values. But can a theory of this kind acknowledge what is important at the level of personal aesthetics? Can aesthetic theories find fruitful application while also respecting the locality and variability of aesthetic sensitivity? What kinds of theoretical ambition and humility are called for in philosophical aesthetics?
哲学美学在某种程度上受制于我所说的个人美学。所谓个人美学,我指的是个人审美敏感性的现象:我们每个人如何辨别和回应经验元素。我认为这种敏感在某种程度上已经融入了我在这个世界上的感觉。关于个人美学,有一些极其地方性的东西,在某种意义上是不反思的——很难注意到自己的、历史上特定的审美形成。与此同时,哲学美学渴望以一种更为反思性和一般性的方式来理解审美生活。西方传统的美学理论,像大多数哲学理论一样,试图阐明普遍相关和启发性的理论概念和价值。但这种理论能否承认个人美学层面的重要性呢?美学理论能否在尊重审美敏感性的局域性和可变性的同时得到卓有成效的应用?哲学美学需要什么样的理论抱负和谦逊?
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引用次数: 0
Introduction: How Can and Should Philosophy Be Expanding its Horizons? 导论:哲学应该怎样拓展它的视野?
Pub Date : 2023-05-01 DOI: 10.1017/s1358246123000140
Julian Baggini
Abstract The Royal Institute of Philosophy volume of which this paper is an introduction is on the theme of ‘Expanding Horizons’. But what does it mean for philosophy to fruitfully expand its horizons? The contributions to the volume suggest at least five profitable ways. First, by looking to other philosophical traditions for new perspectives on familiar questions and alternative methods, questions, and ways of understanding. Second, by looking to what has been neglected or overlooked in our own histories of thought. Third, by developing novel methods, in addition to argument, for investigating philosophical issues. Fourth, by embracing different modalities for doing philology, such as the literary. Fifth, by reflecting on the practice of comparative philosophy to better understand the extent to which philosophy can and should be universal. Together, these approaches both increase the range of voices heard in philosophy and the scope and ambition of the discipline.
皇家哲学研究所的卷,这篇论文是一个介绍,主题是“扩展视野”。但是,哲学卓有成效地扩展其视野意味着什么呢?对交易量的贡献表明,至少有五种盈利方式。首先,从其他哲学传统中寻找熟悉问题的新视角和替代方法、问题和理解方式。第二,看看我们自己的思想史中被忽视或忽视的东西。第三,除了论证之外,发展新的方法来研究哲学问题。第四,通过采用不同的方式来研究语言学,比如文学。第五,通过对比较哲学实践的反思,更好地理解哲学能够和应该具有普遍性的程度。总之,这些方法都增加了哲学中听到的声音的范围,以及这门学科的范围和雄心。
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引用次数: 0
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Royal Institute of Philosophy Supplement
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