Royal Institute of Philosophy Supplement最新文献

PHS volume 94 Cover and Front matter 小灵通卷94封面和前面的问题

Royal Institute of Philosophy Supplement Pub Date : 2023-09-28 DOI: 10.1017/s1358246123000309

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Art and the Lived Experience of Pain 艺术与痛苦的生活体验

Royal Institute of Philosophy Supplement Pub Date : 2023-09-28 DOI: 10.1017/s135824612300022x

Panayiota Vassilopoulou

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Notes on the Contributors 投稿人备注

Royal Institute of Philosophy Supplement Pub Date : 2023-09-28 DOI: 10.1017/s1358246123000280

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‘The Hermeneutic Problem of Psychiatry’ and the Co-Production of Meaning in Psychiatric Healthcare “精神病学的解释学问题”与精神保健意义的共同生产

Royal Institute of Philosophy Supplement Pub Date : 2023-09-28 DOI: 10.1017/s135824612300019x

Lucienne Spencer, Ian James Kidd

{"title":"‘The Hermeneutic Problem of Psychiatry’ and the Co-Production of Meaning in Psychiatric Healthcare","authors":"Lucienne Spencer, Ian James Kidd","doi":"10.1017/s135824612300019x","DOIUrl":"https://doi.org/10.1017/s135824612300019x","url":null,"abstract":"Abstract ‘The co-production of meaning’ is a phrase that has become entrenched in the field of public mental health, adopted almost as a slogan within the literature. But what does it actually mean? Current definitions gesture toward the very broad idea that co-production involves a collaboration between ‘service users’ and healthcare professionals, each contributing their knowledge to better understand and treat mental health problems. Yet, terms such as ‘equal’ ‘reciprocal’, and ‘partnership’ fail to clarify the nature of this ‘co-production’, and how it can be achieved. To better understand the co-production of meaning, we shall attempt to develop an account of co-production through phenomenological psychopathology. Through Hans Georg Gadamer's remarks on ‘the hermeneutic problem of psychiatry’ two key obstacles to ‘co-production’ emerge: 1) contingent problems, and 2) intrinsic problems. In calling attention to these obstacles, we problematise the concept of ‘co-production’ in public mental health, revealing it to be more complex than originally thought. We conclude by arguing that new developments in phenomenological psychopathology can be used to overcome the limitations of ‘co-production’.","PeriodicalId":269662,"journal":{"name":"Royal Institute of Philosophy Supplement","volume":"90 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135344249","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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PHS volume 94 Cover and Back matter 小灵通卷94封面和背面的问题

Royal Institute of Philosophy Supplement Pub Date : 2023-09-28 DOI: 10.1017/s1358246123000310

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Co-Production is Good, but Other Things are Good Too 合拍片很好，但其他东西也很好

Royal Institute of Philosophy Supplement Pub Date : 2023-09-28 DOI: 10.1017/s1358246123000255

Edward Harcourt, David Crepaz-Keay

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Self-Diagnosis in Psychiatry and the Distribution of Social Resources 精神病学自我诊断与社会资源分配

Royal Institute of Philosophy Supplement Pub Date : 2023-09-28 DOI: 10.1017/s1358246123000218

Sam Fellowes

{"title":"Self-Diagnosis in Psychiatry and the Distribution of Social Resources","authors":"Sam Fellowes","doi":"10.1017/s1358246123000218","DOIUrl":"https://doi.org/10.1017/s1358246123000218","url":null,"abstract":"Abstract I suggest that the diagnosis that an individual self-diagnoses with can be influenced by levels of public awareness. Accurate diagnosis requires consideration of multiple diagnoses. Sometimes, different diagnoses can overlap with one another and can only be differentiated in subtle and nuanced ways, but particular diagnoses vary considerably in levels of public awareness. As such, an individual may meet the diagnostic criteria for one diagnosis but self-diagnoses with a different diagnosis because it is better known. I then outline a potential negative consequence of this. Psychiatric diagnoses can grant access to what I call social resources, namely, political advocacy, campaigning for support, participating in scientific research, building diagnostic cultures, and opportunity for social interactions with people who have the same diagnosis. The strength of the social resources for a particular diagnosis can be made stronger when more people have that diagnosis. As such, inaccurate self-diagnosis can result in the social resources for one diagnosis being strengthened whilst not being strengthened in relation to another diagnosis in comparison to accurate diagnosis. This shows how inaccurate self-diagnosis can alter the distribution of social resources. We need to consider whether this is unfair to people who are diagnosed with less well-known conditions.","PeriodicalId":269662,"journal":{"name":"Royal Institute of Philosophy Supplement","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135344421","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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Introduction: What is the Role of Lived Experience in Research? 引言:生活经验在研究中的作用是什么?

Royal Institute of Philosophy Supplement Pub Date : 2023-09-28 DOI: 10.1017/s1358246123000292

Anna Bergqvist, David Crepaz-Keay, Alana Wilde

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Values-Based Practice: A Theory-Practice Dynamic for Navigating Values and Difference in Health Care 基于价值观的实践:一个理论-实践动态导航价值观和医疗保健的差异

Royal Institute of Philosophy Supplement Pub Date : 2023-09-28 DOI: 10.1017/s1358246123000279

Ashok Handa, Bill (K.W.M.) Fulford

{"title":"Values-Based Practice: A Theory-Practice Dynamic for Navigating Values and Difference in Health Care","authors":"Ashok Handa, Bill (K.W.M.) Fulford","doi":"10.1017/s1358246123000279","DOIUrl":"https://doi.org/10.1017/s1358246123000279","url":null,"abstract":"Abstract This chapter introduces values-based practice as a resource for working with individually diverse values in health and social care, and describes its origins in an on-going development through the resources of philosophy. The chapter is in two main sections. Section I, Values-Based Practice, builds on two brief interactive exercises to introduce and explain the key features of values-based practice. As a relatively recent addition to the range of resources for working with values in health and social care, values-based practice is distinctive in focussing on the diversity of values comprising individual lived experience. Like evidence-based practice, values-based practice is a process-driven rather than an outcome-driven methodology. That is to say, rather than offering prescribed answers, both approaches offer processes that support decision-makers in coming to answers for themselves based on the particular circumstances presented by the situation in question. Although entirely complementary, the processes involved are of course different. Where evidence-based practice relies on meta-analyses of the results of high-quality clinical trials to inform a consensual model of decision-making, values-based practice builds on learnable clinical skills and other process elements to inform a dissensual model of decision-making rather than seeking to overcome value-conflicts in reaching consensus. Working within a premise of mutual respect for differences of values, and guided by three key principles linking values and evidence, values-based practice, as described in the chapter, supports dissensual decision-making, balanced according to the circumstances presented by the decision in question, within frameworks of locally-set frameworks of shared values. Section II, The Theory-Practice Dynamic, then outlines the theory-practice dynamic on which values-based practice is based. The origins of values-based practice in mid-twentieth century ordinary language philosophy of the Oxford School are outlined. As the chapter illustrates, although a limited area of analytic philosophy, many aspects of values-based practice are informed by ordinary language philosophy, ranging from its premise, through the training exercises and other process elements described in Section I, to its role in hybrid empirical studies supporting its model of service delivery. The development of values-based practice, furthermore, as section II goes on to describe, is ongoing, with key initiatives drawing not only on both analytic and Continental traditions of European philosophy, but also on non-European philosophies such as those of Africa and the Caribbean.","PeriodicalId":269662,"journal":{"name":"Royal Institute of Philosophy Supplement","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135344428","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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Co-Production and Structural Oppression in Public Mental Health 公共精神卫生中的合作生产和结构性压迫

Royal Institute of Philosophy Supplement Pub Date : 2023-09-28 DOI: 10.1017/s1358246123000231

Alana Wilde

{"title":"Co-Production and Structural Oppression in Public Mental Health","authors":"Alana Wilde","doi":"10.1017/s1358246123000231","DOIUrl":"https://doi.org/10.1017/s1358246123000231","url":null,"abstract":"Abstract Co-production, in the field of mental health, aims to bring together academic and clinical researchers and those with lived experience. Often, research projects informed by this methodology involve the meeting of opposing attitudes, whether to the legitimacy of psychiatry, determinants of mental ill health, or the most appropriate interventions. This has meant that whilst some have reported positive experiences of co-production, many people with lived experience of mental ill health, sometimes referred to as ‘experts by experience’ (EbE), report harms which have taken place or been perpetuated during co-produced research projects. In the literature, nearly always, this is understood as a kind of epistemic injustice in Miranda Fricker's sense. In this paper, I argue that whilst Fricker's view does provide a plausible explanation of what's at play, we can gain more insight into the structural factors which exclude EbE by applying a framework of epistemic oppression. By highlighting the systemic and structural factors which work to keep certain knowers and their contributions out of our collective epistemic resources, we begin to understand the enormity of the task required to redress injustices in our knowledge production systems.","PeriodicalId":269662,"journal":{"name":"Royal Institute of Philosophy Supplement","volume":"2016 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135344420","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0