Dialogues in Philosophy, Mental and Neuro Sciences 2 (2):45-49 (2009)
AbstractA Kuhnian reformulation of the recent debate in psychiatric nosography suggested that the current psychiatric classification system (the DSM) is in crisis and that a sort of paradigm shift is awaited (Aragona, 2009). Among possible revolutionary alternatives, the proposed fi ve-axes etiopathogenetic taxonomy (Charney et al., 2002) emphasizes the primacy of the genotype over the phenomenological level as the relevant basis for psychiatric nosography. Such a position is along the lines of the micro-reductionist perspective of E. Kandel (1998, 1999), which sees mental disorders reducible to explanations at a fundamental epistemic level of genes and neurotransmitters. This form of micro-reductionism has been criticized as a form of genetic-molecular fundamentalism (e.g. Murphy, 2006) and a multi-level approach, in the form of the burgeoning Cognitive Neuropsychiatry, was proposed. This article focuses on multi-level mechanistic explanations, coming from Cognitive Science, as a possible alternative etiopathogenetic basis for psychiatric classification. The idea of a mechanistic approach to psychiatric taxonomy is here defended on the basis of a better conception of levels and causality. Nevertheless some critical remarks of Mechanism as a psychiatric general view are also offered.
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Citations of this work
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Explaining the Brain: Mechanisms and the Mosaic Unity of Neuroscience.Carl F. Craver - 2007 - Oxford University Press, Clarendon Press.
Discovering Complexity: Decomposition and Localization as Strategies in Scientific Research.William Bechtel & Robert C. Richardson - 2010 - Princeton.
Mental Mechanisms: Philosophical Perspectives on Cognitive Neuroscience.William Bechtel - 2007 - Psychology Press.
Psychiatry as Cognitive Neuroscience: Philosophical Perspectives.Matthew Broome & Lisa Bortolotti (eds.) - 2009 - Oxford University Press.
The Role of Comorbidity in the Crisis of the Current Psychiatric Classification System: Comorbidity.Massimiliano Aragona - 2009 - Philosophy, Psychiatry, and Psychology 16 (1):1-11.