Journal of Medicine and Philosophy 45 (6):598-622 (2020)

Mohammed Rashed
Birkbeck College
Central to the identity of modern medical specialities, including psychiatry, is the notion of hypostatic abstraction: doctors treat conditions or disorders, which are conceived of as “things” that people “have.” Mad activism rejects this notion and hence challenges psychiatry’s identity as a medical specialty. This article elaborates the challenge of Mad activism and develops the hypostatic abstraction as applied to medicine. For psychiatry to maintain its identity as a medical speciality while accommodating the challenge of Mad activism, it must develop an additional conception of the clinical encounter. Toward elaborating this conception, this article raises two basic framing questions: For what kind of understanding of the situation should the clinical encounter aim? What is the therapeutic aim of the encounter as a whole? It proposes that the concepts of “secondary insight” and of “identity-making” can allow the clinical encounter to proceed in a way that accommodates the challenge of Mad activism.
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DOI 10.1093/jmp/jhaa009
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References found in this work BETA

Embodied Selves and Divided Minds.Michelle Maiese - 2015 - Oxford University Press UK.
Concepts of Health and Disease.Christopher Boorse - 2011 - In Fred Gifford (ed.), Philosophy of Medicine. Elsevier. pp. 16--13.
Kinds of Kinds: A Conceptual Taxonomy of Psychiatric Categories.Nick Haslam - 2002 - Philosophy, Psychiatry, and Psychology 9 (3):203-217.
Spiritual Experience and Psychopathology.K. W. M. Fulford & Mike Jackson - 1997 - Philosophy, Psychiatry, and Psychology 4 (1):41-65.

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Citations of this work BETA

Crisis in Psychiatric Diagnosis? Epistemological Humility in the DSM Era.Warren Kinghorn - 2020 - Journal of Medicine and Philosophy 45 (6):581-597.

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