The missing self in scientific psychiatry

Synthese 196 (6):2197-2215 (2019)
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Abstract

Various traditions in mental health care, such as phenomenological, and existential and cognitive-behavioral psychotherapy, implicitly or explicitly acknowledge that a disruption of the self, or the person, or the agent is among the common denominators of different mental disorders. They often emphasize the importance of understanding patients as reasonsresponsive, in their full mental health relevant complexity, if their mental disorder is to be treated successfully. The centrality of the concept of the self is not mirrored in the mainstream scientific approaches in psychiatry however; the self has rarely been considered as the object of scientific research, the empirical investigation of which might yield successful explanations of and interventions in mental disorders. Thus, even though self-related phenomena are clinically relevant in so far as they give important information about a mental disorder to the clinician and help the development of effective interventions, they are not considered among the scientifically relevant properties of mental disorders. Leaving the self-related phenomena out of the scientific research on mental disorders can be attributed to the presupposition that the self is not empirically tractable and its use will hinder psychiatry’s goal to be scientific. In this paper, taking issue with this, I argue the self is empirically tractable, and its use as a target of research will not hinder psychiatry’s scientific commitments.

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Şerife Tekin
State University of New York (SUNY)

Citations of this work

Philosophy of psychiatry.Dominic Murphy - 2010 - Stanford Encyclopedia of Philosophy.
Self-illness ambiguity and anorexia nervosa.Anna Drożdżowicz - 2023 - Philosophical Explorations 26 (1):127-145.
Centrifugal and Centripetal Thinking About the Biopsychosocial Model in Psychiatry.Kathryn Tabb - 2021 - European Journal of Analytic Philosophy 17 (2):(M3)5-28.
Mental Disorder (Illness).Jennifer Radden & Jonathan Y. Tsou - 2024 - Stanford Encyclopedia of Philosophy.

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The Principles of Psychology.William James - 1890 - London, England: Dover Publications.
How the laws of physics lie.Nancy Cartwright - 1983 - New York: Oxford University Press.
Models in Science (2nd edition).Roman Frigg & Stephan Hartmann - 2021 - The Stanford Encyclopedia of Philosophy.
The Principles of Psychology.William James - 1890 - Les Etudes Philosophiques 11 (3):506-507.

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