Psychiatry Is Bereft-It Lacks a Workable Philosophy for Consciousness-Herewith a Three Pronged Escape Plan  

作　　者：Bob Johnson 

机构地区：[1]Royal College of Psychiatrists

出　　处：《Journal of Philosophy Study》2021年第11期797-809,共13页哲学研究（英文版）

摘　　要：PHILOSOPHY and PSYCHIATRY are unusual bedfellows.Medical students,already hard pressed for time,are generally thrust into the melee of mental disorders,having spent years focussing on first dissecting and then prodding human bodies,which too often leaves little room for evaluating theories about human nature,especially with respect to“Intent”or Free Will.The present writer was unusual in that having spent two years in pre-clinical medical training,he devoted a full university year to pursuing philosophical studies in up to 20 different university departments.Thus he entered his teaching hospital with a working knowledge of Hume,Kant,Sartre,Wittgenstein,Buber and others.This is not a clinical paper-it focuses on the reasoning behind psychiatric precepts-so it is perhaps inevitable that today’s prevailing ideology is shown to be grievously wanting-a case of decidedly unphilosophical,even anti-philosophical,medical practice.The notion of there ever being a“scientific”theory of psychiatry has already been discounted in a series of earlier papers-which leaves us with the responsibility for choosing the best possible option,from an infinite number of theoretical models available.The paper provides a whistle-stop tour of how mental disease looks if you start with a confident and consistent look at that pinnacle of human attributes-consciousness.It doesn’t presume to say what consciousness is,but it does assume that it has a function,like every other human asset.Indeed by cutting corners,evaluating what has worked over 60 years in psychiatry,the result is as straightforward a picture of sanity as one can reasonably expect.As such,it leaves the reader with little wriggle room-there is enough clarity here,for you to accept or reject the main proposition.However,since the flaws described tend to be lethal,acceptance entails action.Now read on.

关 键 词：the link between consciousness and sanity the link between consciousness and insanity the therapeutic importance of smiles psychosocial dwarfism of the mind the need for urgent action to combat DSM-psychiatry 

分 类 号：R74[医药卫生—神经病学与精神病学]