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This book applies a powerful framework in computational neuroscience (predictive coding and active inference) to explain psychiatric disorders that are characterised by pathologies of self-awareness. It shows how the self is best conceived of as an avatar or model made by the brain for the fundamental purpose of optimising basic bodily function. That avatar integrates and coordinates neurocomputation across the mind. It allows the mind to anticipate and respond to sensory information that bears on the organism’s prospects. The self is thus a model (avatar) made by the brain to allow the body to play the game of life. When activity in circuitry that implements the avatar is compromised a va...
Experiences of Depression is a philosophical exploration of what it is like to be depressed. In this important new book, Matthew Ratcliffe develops a detailed account of depression experiences by drawing on work in phenomenology, philosophy of mind, and several other disciplines. In so doing, he makes clear how phenomenological research can contribute to psychiatry, by helping us to better understand patients' experiences, as well as informing classification, diagnosis, and treatment. Throughout the book, Ratcliffe also emphasizes the relevance of depression to philosophical enquiry. He proposes that, by reflecting on how experiences of depression differ from 'healthy' forms of experience, w...
The Healing Virtues explores the intersection of psychotherapy and virtue ethics - with an emphasis on the patient's role within a healing process. It considers how the common ground between the therapeutic process and the cultivation of virtues can inform the efforts of both therapist and patient. The ethics of psychotherapy revolve partly around what therapists should or should not do as well as the sort of person that therapists should be: e.g., empathic, prudent, compassionate, respectful, and trustworthy. Contemporary practitioners have argued for therapist virtues that are relevant to assisting the patient's efforts in a healing process. But the ethics of a therapeutic dialogue can als...
Blurred boundaries between the normal and the pathological are a recurrent theme in almost every publication concerned with the classification of mental disorders. Yet, systematic approaches that take into account discussions about vagueness are rare. This volume is the first in the psychiatry/philosophy literature to tackle this problem.
In this groundbreaking book, psychiatrist and ethicist Mona Gupta analyzes the basic assumptions of Evidence-based medicine (EBM), and critically examines their applicability to psychiatry. Highlighting ethical tensions between psychiatry and EBM, she asks the controversial question - should psychiatrists practice evidence-based medicine at all?
Advances in psychiatric research and clinical psychiatry in the last 30 years have given rise to new questions that lie at the intersection of psychiatry, neuroscience, philosophy and law. Bringing these topics together for the first time, this book explores the medical and philosophical implications of neuroscience in the mental health field.
This book offers a nuanced and complex look at defiance, taking seriously issues of dysfunction while also attending to the social contexts in which defiant behaviour may arise. Case studies, a framework for differentiating different forms of defiance, and a realistic picture of phronesis (practical reasoning) are all covered.
In this book Stanghellini argues that to be human means to be in dialogue with alterity, that mental pathology is the outcome of a crisis of one's dialogue with alterity, and that care is a method wherein dialogues take place whose aim is to re-enact interrupted dialogue with alterity within oneself and with the external world.
The way in which society views addiction underlies how it treats, understands, blames, or even punishes those with addictive behaviours. This fascinating new book addresses a number of paradoxes faced by current thinking about addiction and weakness of will, in particular the significance of control and intention for responsible action
A recent wave of research in psychiatry and neuroscience has re-examined the properties of “classic” psychedelic substances - also known as serotonergic hallucinogens - such as psilocybin, LSD, and DMT. Evidence to date suggests that psychedelics can be given safely in controlled conditions, at moderate to high doses, and may have potential as therapeutic agents in the treatment of various addictive and mood disorders. The main mechanism of action appears to be the induction of a dramatically altered state of consciousness, but the details of how psychedelic-assisted psychotherapy works are hotly debated, as are the relations between psychedelic experiences themselves and the neural chan...