Philosophy of psychiatry: theoretical advances and clinical implications.

Journal: World psychiatry : official journal of the World Psychiatric Association (WPA)

Volume: 23

Issue: 2

Year of Publication: 

Affiliated Institutions:  South African Medical Research Council Unit on Risk and Resilience in Mental Disorders, Department of Psychiatry and Neuroscience Institute, University of Cape Town, Cape Town, South Africa. School of Psychology, Te Herenga Waka-Victoria University of Wellington, Wellington, New Zealand. Centre for Research in Ethics, Canada Research Chair in Epistemic Injustice and Agency, Université du Québec à Montréal, Montreal, Canada. Department of Sociology, Philosophy and Anthropology, University of Exeter, Exeter, UK. Wellcome Trust Centre for Neuroimaging, Institute of Neurology, University College London, London, UK. Department of Psychiatry, University of Campania "L. Vanvitelli", Naples, Italy. Department of Psychology, Auburn University Montgomery, Montgomery, AL, USA. Department of Psychiatry, School of Medicine, Case Western Reserve University, Cleveland, OH, USA.

Abstract summary 

Work at the intersection of philosophy and psychiatry has an extensive and influential history, and has received increased attention recently, with the emergence of professional associations and a growing literature. In this paper, we review key advances in work on philosophy and psychiatry, and their related clinical implications. First, in understanding and categorizing mental disorder, both naturalist and normativist considerations are now viewed as important - psychiatric constructs necessitate a consideration of both facts and values. At a conceptual level, this integrative view encourages moving away from strict scientism to soft naturalism, while in clinical practice this facilitates both evidence-based and values-based mental health care. Second, in considering the nature of psychiatric science, there is now increasing emphasis on a pluralist approach, including ontological, explanatory and value pluralism. Conceptually, a pluralist approach acknowledges the multi-level causal interactions that give rise to psychopathology, while clinically it emphasizes the importance of a broad range of "difference-makers", as well as a consideration of "lived experience" in both research and practice. Third, in considering a range of questions about the brain-mind, and how both somatic and psychic factors contribute to the development and maintenance of mental disorders, conceptual and empirical work on embodied cognition provides an increasingly valuable approach. Viewing the brain-mind as embodied, embedded and enactive offers a conceptual approach to the mind-body problem that facilitates the clinical integration of advances in both cognitive-affective neuroscience and phenomenological psychopathology.

Authors & Co-authors:  Stein Dan J DJ Nielsen Kris K Hartford Anna A Gagné-Julien Anne-Marie AM Glackin Shane S Friston Karl K Maj Mario M Zachar Peter P Aftab Awais A

Study Outcome 

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Statistics
Citations :  Pearson G. Aristotle on psychopathology. In: Kontos P (ed). Evil in Aristotle. Cambridge: Cambridge University Press, 2018:122‐49.
Authors :  9
Identifiers
Doi : 10.1002/wps.21194
SSN : 1723-8617
Study Population
Male,Female
Mesh Terms
Other Terms
Philosophy of psychiatry;embodied cognition;enactivism;mind‐body problem;naturalism;normativism;pluralism;reductionism;scientism;values‐based care
Study Design
Study Approach
Country of Study
Publication Country
Italy