- Title Pages
- Series Foreword
- Foreword
- Acknowledgments
- I Foundational Questions
- 1 Contested Boundaries: Psychiatry, Disease, and Diagnosis
- 2 Moot Questions in Psychiatric Ethics
- 3 The Ethics of Psychotherapy
- 4 Character Virtues in Psychiatric Practice
- II Capacity, Coercion, and Consent
- 5 Psychiatric Advance Directives and the Treatment of Committed Patients
- 6 Denying Autonomy in Order to Create It: The Paradox of Forcing Treatment upon Addicts
- 7 End-Stage Anorexia: Criteria for Competence to Refuse Treatment
- 8 “Personality Disorder” and Capacity to Make Treatment Decisions
- III Violence, Trauma, and Treatment
- 9 Sanctity of Human Life in War: Ethics and Post-traumatic Stress Disorder
- 10 The Experience of Violent Injury for Young African American Men: The Meaning of Being a “Sucker”
- 11 The Psychological Impact of Rape Victims’ Experiences with the Legal, Medical, and Mental Health Systems
- IV Addiction
- 12 Addiction as Accomplishment: The Discursive Construction of Disease
- 13 The Ethics of Addiction
- 14 Myths about the Treatment of Addiction
- 15 Ethical Considerations in Caring for People Living with Addictions
- V Mental Illness and the Courts
- 16 Confidentiality and the Prediction of Dangerousness in Psychiatry
- 17 Madness versus Badness: The Ethical Tension between the Recovery Movement and Forensic Psychiatry
- 18 Ethical Considerations of Multiple Roles in Forensic Services
- 19 Watch Your Language: A Review of the Use of Stigmatizing Language by Canadian Judges
- VI Therapeutic Boundaries
- 20 Boundary Violation Ethics: Some Conceptual Clarifications
- 21 The Price of a Gift: An Approach to Receiving Gifts from Patients in Psychiatric Practice
- 22 How Certain Boundaries and Ethics Diminish Therapeutic Effectiveness
- 23 Boundary Issues in Social Work: Managing Dual Relationships
- 24 Patient-Targeted Googling: The Ethics of Searching Online for Patient Information
- 25 Professional Boundaries in the Era of the Internet
- Contributors
- Permissions and Credits
- Index
Contested Boundaries: Psychiatry, Disease, and Diagnosis
Contested Boundaries: Psychiatry, Disease, and Diagnosis
- Chapter:
- (p.5) 1 Contested Boundaries: Psychiatry, Disease, and Diagnosis
- Source:
- Applied Ethics in Mental Health Care
- Author(s):
Charles E. Rosenberg
- Publisher:
- The MIT Press
Since the 19th century, we have come to think of disease in terms of specific entities--entities defined and legitimated in terms of characteristic somatic mechanisms. Since the last third of that century, we have expanded would-be disease categories to include an ever-broader variety of emotional pain, idiosyncrasy, and culturally unsettling behaviors. Psychiatry has been the residuary legatee of these developments, developments that have always been contested at the ever-shifting boundary between disease and deviance, feeling and symptom, the random and the determined, the stigmatized and the value-free. Even in our era of reductionist hopes, psychopharmaceutical practice, and corporate strategies, the legitimacy of many putative disease categories will remain contested. The use of the specific disease entity model will always be a reductionist means to achieve necessarily holistic ends, both in terms of cultural norms and the needs of suffering individuals. Bureaucratic rigidities and stakeholder conflicts structure and intensify such boundary conflicts, as do the interests and activism of an interested lay public.
Keywords: Psychiatry, Medical Sociology, History, Contested Diagnoses, Nosology
MIT Press Scholarship Online requires a subscription or purchase to access the full text of books within the service. Public users can however freely search the site and view the abstracts and keywords for each book and chapter.
Please, subscribe or login to access full text content.
If you think you should have access to this title, please contact your librarian.
To troubleshoot, please check our FAQs, and if you can't find the answer there, please contact us.
- Title Pages
- Series Foreword
- Foreword
- Acknowledgments
- I Foundational Questions
- 1 Contested Boundaries: Psychiatry, Disease, and Diagnosis
- 2 Moot Questions in Psychiatric Ethics
- 3 The Ethics of Psychotherapy
- 4 Character Virtues in Psychiatric Practice
- II Capacity, Coercion, and Consent
- 5 Psychiatric Advance Directives and the Treatment of Committed Patients
- 6 Denying Autonomy in Order to Create It: The Paradox of Forcing Treatment upon Addicts
- 7 End-Stage Anorexia: Criteria for Competence to Refuse Treatment
- 8 “Personality Disorder” and Capacity to Make Treatment Decisions
- III Violence, Trauma, and Treatment
- 9 Sanctity of Human Life in War: Ethics and Post-traumatic Stress Disorder
- 10 The Experience of Violent Injury for Young African American Men: The Meaning of Being a “Sucker”
- 11 The Psychological Impact of Rape Victims’ Experiences with the Legal, Medical, and Mental Health Systems
- IV Addiction
- 12 Addiction as Accomplishment: The Discursive Construction of Disease
- 13 The Ethics of Addiction
- 14 Myths about the Treatment of Addiction
- 15 Ethical Considerations in Caring for People Living with Addictions
- V Mental Illness and the Courts
- 16 Confidentiality and the Prediction of Dangerousness in Psychiatry
- 17 Madness versus Badness: The Ethical Tension between the Recovery Movement and Forensic Psychiatry
- 18 Ethical Considerations of Multiple Roles in Forensic Services
- 19 Watch Your Language: A Review of the Use of Stigmatizing Language by Canadian Judges
- VI Therapeutic Boundaries
- 20 Boundary Violation Ethics: Some Conceptual Clarifications
- 21 The Price of a Gift: An Approach to Receiving Gifts from Patients in Psychiatric Practice
- 22 How Certain Boundaries and Ethics Diminish Therapeutic Effectiveness
- 23 Boundary Issues in Social Work: Managing Dual Relationships
- 24 Patient-Targeted Googling: The Ethics of Searching Online for Patient Information
- 25 Professional Boundaries in the Era of the Internet
- Contributors
- Permissions and Credits
- Index
