Person-Centred Care in Psychiatry
Self-Relational, Contextual and Normative Perspectives
One of the paradoxes about psychiatry is that we have never known more about and better treated mental disorders, yet there exists so much unease about the practice of mental healthcare. Patients feel still stigmatized, psychiatrists are struggling with their roles in a rapidly changing system of healthcare, there is lack of consensus about what mental disorders are and what the focus of psychiatry should be. Person-Centred Care in Psychiatry: Self Relational, Contextual and Normative Perspectives offers a distinctive approach to two important linked conceptual issues in psychiatry: the relation between self, context, and psychopathology; and the intrinsic normativity of psychiatry as a practice.
Divided in two parts, this book shows how the clinical conception of psychopathology and psychiatry as normative practice are intrinsically connected, and how the normative practice model can be conceived as a natural extension of the analysis of the web of relations that sustain illness behaviour as well as professional role fulfilment.
Person-Centred Care in Psychiatry brings these topics together for the first time against the backdrop of unease about scientistic tendencies within psychiatry in an interconnected discussion that will be of interest to academics and professionals with an interest in the philosophy of psychology, psychiatry and mental health-care.
Table of Contents
Preface Introduction 1. Psychiatry in need of philosophy Part I: Self, Context, and Psychopathology 2. Self-relatedness, psychopathology, and the context: A clinical perspective 3. Self-relatedness, psychopathology, and the context: The concept of disease 4. Self-relatedness, psychopathology, and the context: The concept of self Part II: Psychiatry as Normative Practice 5. Being a professional: Self-relatedness and normativity 6. Toward a normative practice approach for mental healthcare 7. Psychiatry in contexts 8. Philosophical backgrounds Conclusion 9. Person-centered care in psychiatry: Future prospects
Gerrit Glas is a practicing psychiatrist and professor of philosophy at the Vrije Universiteit and the Amsterdam University Medical Centre. His main interest is in conceptual and normative issues at the intersection of psychiatry, philosophy, neuroscience, and society.
"A product of many years of deliberation, scholarly conversation, and refinement, Glas’ Person-Centered Care in Psychiatry is his vision of a psychiatry which is both scientifically and humanistically rigorous. Optimistic in temperament and outlook, Glas’ work builds a psychiatry that is equally comfortable with molecules, brains, people, relationships, institutions, and societies." - John Z. Sadler, MD, The Daniel W. Foster, M.D. Professor of Medical Ethics, Professor of Psychiatry & Clinical Sciences, UT Southwestern, Dallas, TX
"Gerrit Glas is a distinguished and well-known philosophical thinker who is also a practicing clinician. Philosophers working in the mental health research field are rarely equipped to say much of value about practice, and the practitioners who write are not often persuasive on the philosophical background, especially on complex issues to do with normativity, contextual influences and personhood. This makes Glas’s work exceedingly rare and especially welcome." - Jennifer Radden, D.Phil. Oxon., Professor emerita of Philosophy, University of Massachusetts Boston
"Gerrit Glas’ synthesis of the Dutch philosopher Herman Dooyeweerd’s work with the more familiar philosophical systems of Sören Kierkegaard and Paul Ricoeur, brings a refreshingly original slant to contemporary debates about the role of science in person-centred psychiatry." - Professor Bill (K.W.M.) Fulford, Fellow of St Catherine’s College and Director of the Collaborating Centre for Values-based Practice, University of Oxford