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Article
Classifications in psychiatry: a conceptual history*.
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Year: 1999

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Abstract

Background: Historical accounts of psychiatric classifications have hitherto been written in terms of a 'received view'. This contains two assumptions, that: (i) the activity of classifying is inherent to the human mind; and (ii) psychiatric 'phenomena' are stable natural objects. Objectives: The aim of this article is to provide an outline of the evolution of psychiatric classifications from the perspective of conceptual history. This is defined as a theoretical and empirical inquiry into the principles, sortal techniques and contexts in which alienists carried out their task. It assumes that all psychiatric classifications are cultural products, and endeavours to answer the question of whether classificatory models imported from the natural sciences can be applied to man-made constructs (such as mental illness) definitionally based on 'personalised semantics'. Methods: Exemplars of classificatory activity are first mapped and contextualised. Then, it is suggested that in each historical period crafting classifications has been like playing a game of chess with each move being governed by rules. This is illustrated by offering an analysis of the 1860-1861 French debate on classification. Results and Conclusions: (1) Medicine is not a contemplative but a modificatory activity and hence classifications are only valuable if they can release new information about the object classified. (2) It should not be inferred from the fact that psychiatric classifications are not working well (i.e. that they only behave as actuarial devices) that they must be given up. Conceptual work needs to continue to identify 'invariants' (i.e. stable elements that anchor classifications to 'nature'. (3) Because mental disorders are more than unstable behavioural epiphenomena wrapped around stable molecular changes, 'neurobiological' invariants may not do. Stability depends upon time frames. Furthermore, it is unlikely that gene-based classifications will ever be considered as classifications of mental disorders. For once, they would have low predictive power because of their lack of information about the defining codes of mental illness. 'Social' and 'psychological' invariants have problems of their own.


Article
Construct models in veterinary behavioural medicine: Lessons from the human experience.
Authors: ---
Year: 2003

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Veterinary behavioural medicine is marked by inconsistency in the naming and description of animal behavioural disorders, potentially hindering research and reducing the clinical utility of diagnoses. Sources of diagnostic inconsistency are suggested and parallels with human psychiatry are identified. This paper questions the use of categorical models as the basis for classification and reviews criticisms of categorical approaches in psychiatry. Evidence is presented to suggest an inconsistency between discrete categories and the structure of animal behavioural disorders. The potential benefits of exploring alternative models are discussed. It is concluded that it is important to move away from an approach based on advocacy and towards objective assessment of all available data. Existing diagnoses should be viewed as hypothetical constructs, with the underlying hypotheses being identified and subject to investigation. It is emphasized that global communication, empirical investigations and critical review are necessary for the development of a solid scientific basis within veterinary behavioural medicine


Book
Neuro : the new brain sciences and the management of the mind
Authors: ---
ISBN: 1299051367 1400846331 9781400846337 9780691149608 0691149607 9780691149615 0691149615 9781299051362 Year: 2013 Publisher: Princeton, N.J. Princeton University Press

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"The brain sciences are influencing our understanding of human behavior as never before, from neuropsychiatry and neuroeconomics to neurotheology and neuroaesthetics. Many now believe that the brain is what makes us human, and it seems that neuroscientists are poised to become the new experts in the management of human conduct. Neuro describes the key developments--theoretical, technological, economic, and biopolitical--that have enabled the neurosciences to gain such traction outside the laboratory. It explores the ways neurobiological conceptions of personhood are influencing everything from child rearing to criminal justice, and are transforming the ways we "know ourselves" as human beings. In this emerging neuro-ontology, we are not "determined" by our neurobiology: on the contrary, it appears that we can and should seek to improve ourselves by understanding and acting on our brains. Neuro examines the implications of this emerging trend, weighing the promises against the perils, and evaluating some widely held concerns about a neurobiological "colonization" of the social and human sciences. Despite identifying many exaggerated claims and premature promises, Neuro argues that the openness provided by the new styles of thought taking shape in neuroscience, with its contemporary conceptions of the neuromolecular, plastic, and social brain, could make possible a new and productive engagement between the social and brain sciences."--Publisher's description.

Keywords

Neuropsychology. --- Neurophysiology --- Psychophysiology --- Neuropsychology --- brein --- hersenen --- neurowetenschappen --- Brain --- Neurosciences --- cerveaux --- neurosciences --- methods --- physiopathology --- Neuropsychologie --- Cognitive psychology --- amygdala. --- animal experiments. --- animal models. --- artificiality. --- behavioral research. --- biological processes. --- brain activation. --- brain function. --- brain imaging data. --- brain imaging. --- brain science. --- brain size. --- brain structure. --- clinical medicine. --- cognition. --- criminal conduct. --- criminal justice system. --- emotion. --- environmental influences. --- evolution. --- functional brain imaging. --- gene expression. --- genomics. --- human antisocial behavior. --- human behavior. --- human brain. --- human cognition. --- human sciences. --- mental illness. --- mental life. --- mental processes. --- mental states. --- molecules. --- mouse brain. --- nerve development. --- nervous system. --- neural activity. --- neural mechanisms. --- neuroaesthetics. --- neurobiological evidence. --- neurobiological self. --- neurobiology. --- neuroeconomics. --- neuromolecular brain. --- neuron regeneration. --- neuronal circuits. --- neuropsychiatry. --- neuroscience. --- neurotheology. --- orbital frontal cortex. --- plastic brain. --- plasticity. --- psychiatric classification. --- psychiatric diagnosis. --- psychiatric disorders. --- psychiatric research. --- psychiatry. --- psychology. --- reductionist approach. --- risk assessment. --- risk management. --- risk reduction. --- self-management. --- self-understanding. --- selfhood. --- social brain hypothesis. --- social brain. --- social groups. --- social sciences. --- sociality. --- somatic individuality. --- synaptic plasticity. --- temporal cortex. --- volition.


Book
Meaning, Frames, and Conceptual Representation

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The articles in this volume present contemporary and original research on linguistic meaning, concept formation and conceptual analysis. A central theme across the articles is the question of how concepts are structured, how they are represented in the mind, and how they are expressed in language. Two introductory papers on concept types and frames set out the crucial role of attributes and frames for the representation of concepts. The topics of the contributions range from the interrelation between determination and reference of nominal expressions, the verbal and adjectival expression of attributes, and the analysis of metonymy to the frame-based representation of action-related concepts and the classification of mental disorders in psychiatry. The collection of articles provided by this volume will be of interest to researchers and advanced students in the fields of semantics, pragmatics, philosophy of mind, and the cognitive sciences.


Book
Defining mental disorder
Authors: ---
ISBN: 9780262362931 0262362937 9780262045643 0262045648 0262362783 Year: 2021 Publisher: Cambridge, Massachusetts The MIT Press

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"Grapples with the legacy of Jerome Wakefield, one of the most influential critics of modern psychiatry and the use of the DSM for psychiatric diagnosis"--

Keywords

Psychiatry --- Mental ilness --- Mental illness --- Philosophy. --- Diagnosis. --- Wakefield, Jerome C. --- Psychology, Pathological --- Nosology --- Psychiatric diagnosis --- Psychodiagnostics --- disorder --- dysfunction --- harm --- Wakefield --- Diagnostic and Statistical Manual DSM --- function --- Harmful Dysfunction Analysis --- Mental disorder --- Evolution --- DSM --- Critics --- Spitzer --- distress --- disability --- harmful consequence --- dysfunction requirement --- Experimental philosophy --- proper function --- Theories of mental disorder --- theory-neutral --- conceptual analysis --- armchair --- Pluralism --- intuitions --- Clinical practice --- concept of disorder --- Haslam --- constructs --- Attention-Deficit Hyperactivity Disorder --- definition --- psychiatric classification --- Quine --- biological design --- naturally selected disorder --- environment mismatch --- Essentialism --- open concept --- construct validation --- latent variables --- imperfect community --- neo-empiricism --- decline in functioning --- Szasz --- network theory --- Stipulation --- meaning analysis --- abnormality --- Selected-effect --- causal-role --- Boorse --- descriptive --- natural kinds --- Cummins --- intuition --- Mechanistic explanation --- perspectival --- coherence --- Developmental mechanism --- developmental mismatch --- adaptation --- Evolutionary mismatch --- modal mismatch --- depression --- fever --- lactose intolerance --- Neander --- proximal-function --- distal function --- conduct disorder --- developmental disruption --- Low-level mechanisms --- salience system --- dopamine regulation --- aberrant valuation --- delusions --- adaptationism --- cognitive neuroscience --- mechanical-causal analysis --- belief fixation --- syndrome --- Autism --- modules --- ontogeny --- neurodiversity --- Reductionism --- naturalism --- Wittgenstein-Kripke paradox --- normative --- failure --- indeterminacy --- variation --- detrimental consequences --- individual values --- directindirect harm --- clinical significance criter --- Classification.

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