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    Mad narratives: Exploring self-constitutions through the diagnostic looking glass.

    機譯：瘋狂的敘述：通過診斷眼鏡探索自我建構。

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    摘要

    This dissertation introduces a novel approach to the philosophical conceptions of the self and to the bioethical underpinnings of psychiatry through an investigation of the ontological and ethical implications of psychiatric diagnoses on personal identity.;The dissertation draws on interdisciplinary research that includes developmental psychology, social psychology, cognitive science, psychiatry, and patient memoirs. Its interdisciplinary nature substantiates its main claims. It also shows that philosophical analysis is indispensable in research on the ethics of mental health.;The first two chapters provide a descriptive account of how the narrative framings of life experiences shape a subject's self-knowledge and define the range and number of social, emotional, and personal relations that connect her to others, to the social world, and to her own humanity. The last two chapters apply this descriptive framework to the practical problems psychiatric patients are faced with while receiving psychiatric treatment. Through an analysis of memoirs written by psychiatric patients who received a psychiatric diagnosis based on the criteria provided by the Diagnostic Statistical Manual of Mental Disorders (DSM), and an investigation of the criticisms that challenge contemporary psychiatry, it is suggested that there are grounds to believe that sometimes DSM-based narratives constrain the diagnosed subject's flourishing, reduce subjects' sense of agency, and restrict their autonomy. However, there are also grounds for believing that sometimes DSM-based narratives contribute to flourishing. This conclusion draws attention to the problems in the theory and practice of psychiatry and highlights the need to focus on diagnosed subjects' experiences with their mental disorder and psychiatric treatment.
    機譯：本文通過對精神病學診斷對個人身份的本體論和倫理學意義的調查，為自我的哲學概念和精神病學的生物倫理學基礎引入了一種新穎的方法。論文借鑒了包括發展心理學，社會心理學在內的跨學科研究，認知科學，精神病學和患者回憶錄。它的跨學科性質證實了其主要主張。它也表明，在心理健康倫理學的研究中，哲學分析是必不可少的。前兩章描述性地描述了生活經歷的敘事框架如何塑造主體的自我知識并定義社會，情感的范圍和數量。 ，以及將她與他人，社會世界以及她自己的人性聯系起來的個人關系。最后兩章將這種描述性框架應用于精神病患者在接受精神病治療時面臨的實際問題。通過根據《精神疾病診斷統計手冊》（DSM）提供的標準對接受精神病學診斷的精神病患者的回憶錄進行分析，并調查挑戰當代精神病學的批評，建議有理由相信有時基于DSM的敘述會限制被診斷對象的蓬勃發展，降低他們的代理意識，并限制他們的自主權。但是，也有理由相信有時基于DSM的敘述會促進繁榮。該結論引起人們對精神病學理論和實踐中問題的關注，并強調需要重點關注被診斷對象的精神障礙和精神病學治療經驗。

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    • 作者

      Tekin, Serife.;

    • 作者單位

      York University (Canada).;

    • 授予單位 York University (Canada).;
    • 學科 Health Sciences Mental Health.;Philosophy.;Ethics.
    • 學位 Ph.D.
    • 年度 2010
    • 頁碼 281 p.
    • 總頁數 281
    • 原文格式 PDF
    • 正文語種 eng
    • 中圖分類
    • 關鍵詞

    • 入庫時間 2022-08-17 11:36:55

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