Values and Psychiatric Diagnosis

Paperback | February 18, 2005

byJohn Z. Sadler

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The public, mental health consumers, as well as mental health practitioners wonder about what kinds of values mental health professionals hold, and what kinds of values influence psychiatric diagnosis. Are mental disorders socio-political, practical, or scientific concepts? Is psychiatricdiagnosis value-neutral? What role does the fundamental philosophical question "How should I live?" play in mental health care? In his carefully nuanced and exhaustively referenced monograph, psychiatrist and philosopher of psychiatry John Z. Sadler describes the manifold kinds of values and valuejudgements involved in psychiatric diagnosis and classification systems like the DSM. Professor Sadler takes the reader on a fascinating conceptual tour of the inner workings of psychiatric diagnosis, considering the role of science, culture, sexuality, politics, gender, technology, human nature,patienthood, and professions in building his vision of a more humane psychiatric diagnostic process.

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The public, mental health consumers, as well as mental health practitioners wonder about what kinds of values mental health professionals hold, and what kinds of values influence psychiatric diagnosis. Are mental disorders socio-political, practical, or scientific concepts? Is psychiatricdiagnosis value-neutral? What role does the fu...

John Sadler is in the Department of Psychiatry, University of Texas Southwestern, Dallas, Texas, USA.

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Format:PaperbackDimensions:560 pages, 9.21 × 6.14 × 1.21 inPublished:February 18, 2005Publisher:Oxford University PressLanguage:English

The following ISBNs are associated with this title:

ISBN - 10:0198526377

ISBN - 13:9780198526377

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Table of Contents

Part 1: Introduction1.1. Background1.2. Why psychiatric diagnosis and classification?1.3. A brief personal history of nosological controversy1.4. Defining 'values'1.5. Overview of the bookPart 2: Methods2.1. Background2.2. Kuhn on scientific theory change2.3. Values, value terms and value semantics2.4. Five heuristic types of values2.5. Unravelling the dense fabric of valuesPart 3: Science3.1. Background - relations between medicine and science3.2. Basics of classification3.3. Science and psychiatric nosologyPart 4: Patients, professions and guild4.1. Background4.2. Patients4.3. Professions4.4. Guild interests and classification4.5. Potential professional conflicts of interest in the DSMs4.6. Weighing patient, professional and guild interests in the DSMsPart 5: Space, time and being5.1. Background5.2. Defining mental disorder5.3. World views, assumptions and ontological values5.4. The constraint of ontological space - the transpersonal psychiatry critique5.5. The constraint of ontological time - the developmentalist critique5.6. Space and time recast - existential-phenomenological and social constructionist critiques5.7. Three contrast cases for ontological values in psychiatryPart 6: Sex and gender6.1. Background: the declassification of homosexuality6.2. "Mad" vs "bad" in the bedroom6.3. Mental disorder diagnosis and women: what are the issues?6.4. Discrimination and stigma as negative value- consequences6.5. Gender concepts as entailed ontological values6.6. Medicalization and eudaimoniaPart 7: Culture7.1. The cultural challenge to mental disorder classification7.2. DSM-IV approaches to the problem of culture7.3. Ten weird things about Western psychiatry7.4. Relativism, absolutism, and cross-cultural DSMs7.5. Toward an ethics of cross-cultural psychiatric diagnosisPart 8: Genetic nosology8.1. Background8.2. Barest essentials of psychiatric genetics8.3. Psychiatric genetic nosology8.4. Value-structure of genetic vs clinical nosology8.5. Implications of a rising psychiatric genetic nosologyPart 9: Technology9.1. Background: Heidegger, Dreyfus and technology9.2. Insights from the philosophy of technology9.3. Psychiatric classification as technological9.4. Poietic vs technological diagnostic practice9.5. Toward a balanced poietic-technological practicePart 10: Politics10.1. Political meanings10.2. "The politics-science dichotomy syndrome"10.3. Externalist political landscapes and classification10.4. Toward a political architecture for DSM-IV10.5. Good politics for science and classificationPart 11: Values and psychiatric diagnosis11.1. What is diagnosis?11.2. A gardener's allegory and the point of mental disorder classification11.3. Grasping the whole of values in classification11.4. Just how did values guide action in the DSM-IV?11.5. Just how should values guide action in future DSMs?

Editorial Reviews

`Values and Psychiatric Diagnosis is interdisciplinary scholarship at its best. A wide range of readers will find this work filled with insights that Sadler's lively, yet precise writing style makes readily available. Sadler's analysis is clear and compelling. In this work, complex technicalquestions are discussed with wit and wisdom. Sadler has managed to define the function and significance of values across the entire field of psychiatric diagnosis; he has written a reliable guide to the wide range of issues involved.'George J Agich, Chair Bioethics, Cleveland Clinic Foundation, Cleveland, USA