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Extraordinary Science and Psychiatry

Extraordinary Science and Psychiatry
Author: Jeffrey Poland
Publisher: MIT Press
Total Pages: 339
Release: 2024-04-30
Genre: Psychology
ISBN: 0262551918

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Leading scholars offer perspectives from the philosophy of science on the crisis in psychiatric research that exploded after the publication of DSM-5. Psychiatry and mental health research is in crisis, with tensions between psychiatry's clinical and research aims and controversies over diagnosis, treatment, and scientific constructs for studying mental disorders. At the center of these controversies is the Diagnostic and Statistical Manual of Mental Disorders (DSM), which—especially after the publication of DSM-5—many have found seriously flawed as a guide for research. This book addresses the crisis and the associated “extraordinary science” (Thomas Kuhn's term for scientific research during a state of crisis) from the perspective of philosophy of science. The goal is to help reconcile the competing claims of science and phenomenology within psychiatry and to offer new insights for the philosophy of science. The contributors discuss the epistemological origins of the current crisis, the nature of evidence in psychiatric research, and the National Institute for Mental Health's Research Domain Criteria project. They consider particular research practices in psychiatry—computational, personalized, mechanistic, and user-led—and the specific categories of schizophrenia, depressive disorder, and bipolar disorder. Finally, they examine the DSM's dubious practice of pathologizing normality. Contributors Richard P. Bentall, John Bickle, Robyn Bluhm, Rachel Cooper, Kelso Cratsley, Owen Flanagan, Michael Frank, George Graham, Ginger A. Hoffman, Harold Kincaid, Aaron Kostko, Edouard Machery, Jeffrey Poland, Claire Pouncey, Şerife Tekin, Peter Zachar


Philosophical Psychopathology

Philosophical Psychopathology
Author: George Graham
Publisher: MIT Press
Total Pages: 343
Release: 1994
Genre: Psychology
ISBN: 0262071592

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A benchmark volume for an emerging field where mental disorders serve as the springboard for philosophical insights.


Mad Science

Mad Science
Author: Stuart A. Kirk
Publisher: Transaction Publishers
Total Pages: 359
Release: 2013-04-04
Genre: Medical
ISBN: 1412849764

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When it comes to understanding and treating madness, distortions of research are not rare, misinterpretation of data is not isolated, and bogus claims of success are not voiced by isolated researchers seeking aggrandizement. This book's detailed analyses of coercion and community treatment, diagnosis, and psychopharmacology reveals that these characteristics of bad science are endemic, institutional, and protected in psychiatry. This is mad science. Mad Science argues that the fundamental claims of modern American psychiatry are not based on convincing research, but on misconceived, flawed, and distorted science. The authors address multiple paradoxes in American mental health, including the remaking of coercion into scientific psychiatric treatment in the community, the adoption of an unscientific diagnostic system that now controls the distribution of services, and how drug treatments have failed to improve the mental health outcome. This book provides an engaging and readable scientific and social critique of current mental health practices. The authors are scholars, researchers, and clinicians who have written extensively about community care, diagnosis, and psychoactive drugs. Mad Science is a must read for all specialists in the field as well as for the informed public.


Science and Psychiatry

Science and Psychiatry
Author: Solomon H. Snyder
Publisher: American Psychiatric Pub
Total Pages: 494
Release: 2009-02-20
Genre: Medical
ISBN: 1585628824

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Solomon Snyder has been instrumental in the establishment of modern psychopharmacology -- as a pioneer in the identification of receptors for neurotransmitters and drugs and in the explanation of the actions of psychotropic agents. Science and Psychiatry is a collection of some of his best scientific papers, publications ranging over forty years that represent important advances in psychopharmacology and molecular biology. Audacious and unanticipated when they first appeared, these papers opened up new areas of understanding and revolutionized the modern study of the brain. Republished here, they show why fundamental research into the "messengers of the mind" is as essential for clinicians as for researchers. Many of these papers have clear clinical relevance, offering insight into modern neuroscience to help make sense of the bewildering array of available psychotropic medications and point the way toward more effective and safer agents. Others describe the underpinnings of psychopharmacology that practitioners need to know, especially regarding the role of receptors in drug action. Each of the nine groups of research articles is accompanied by a commentary by a well-known authority, putting the discoveries in perspective and providing a broad overview of subjects ranging from characterization of the enkephalins to serotonin receptor subtypes. The final set of papers focuses on apoptosis, the general process of cell suicide, where Snyder's work with bilirubin holds promise for treating neurodegenerative disorders. And in a closing piece, "The Audacity Principle in Science," Snyder speculates about factors conducive to creativity and efficacy in scientific discovery. The articles particularly describe four groups of extraordinary discoveries for which Snyder is widely recognized: Identification of opiate receptors, providing keys to understanding pain perception Characterization of the IP3 receptor, exploring its role as a target for lithium treatment in manic-depressive disorders Establishment of nitric oxide as a transmitter in the brain, radically transforming conceptualizations of neurotransmission Discovery that D-serine is the normal stimulus for the glycine site of the NMDA receptor, providing new insight into the regulation of the receptor important for learning and memory Hailed as one of the preeminent scientists of the past twenty years, Snyder is a consummate researcher who confesses to remaining obsessed with the need to "think thoughts no one else has thought before." Science and Psychiatry clearly shows how that urge accounts for the diversity of challenges he has taken on as it conveys the origins of modern psychopharmacologic practice.


Alternative Perspectives on Psychiatric Validation

Alternative Perspectives on Psychiatric Validation
Author: Peter Zachar
Publisher: Oxford University Press, USA
Total Pages: 287
Release: 2015
Genre: Medical
ISBN: 0199680736

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In this edited volume a group of leading thinkers in psychiatry, psychology, and philosophy offer alternative perspectives that address both the scientific and clinical aspects of psychiatric validation, emphasizing throughout their philosophical and historical considerations.


Extraordinary Conditions

Extraordinary Conditions
Author: Janis H. Jenkins
Publisher: University of California Press
Total Pages: 362
Release: 2015-09-15
Genre: Social Science
ISBN: 0520287118

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With a fine-tuned ethnographic sensibility, Janis H. Jenkins explores the lived experience of psychosis, trauma, and depression among people of diverse cultural orientations, revealing how mental illness engages fundamental human processes of self, desire, gender, identity, attachment, and interpretation. Extraordinary Conditions illuminates the cultural shaping of extreme psychological suffering and the social rendering of the mentally ill as nonhuman or not fully human. Jenkins contends that mental illness is better characterized in terms of struggle than symptoms and that culture is central to all aspects of mental illness from onset to recovery. Her analysis refashions the boundaries between the ordinary and the extraordinary, the routine and the extreme, and the healthy and the pathological. This book asserts that the study of mental illness is indispensable to the anthropological understanding of culture and experience, and reciprocally that understanding culture and experience is critical to the study of mental illness.


Classifying Psychopathology

Classifying Psychopathology
Author: Harold Kincaid
Publisher: MIT Press
Total Pages: 297
Release: 2014-04-11
Genre: Psychology
ISBN: 0262322447

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Scholars question the extent to which current psychiatric classification systems are inadequate for diagnosis, treatment, and research of mental disorders and offer suggestions for improvement. In this volume, leading philosophers of psychiatry examine psychiatric classification systems, including the Diagnostic and Statistical Manual of Mental Disorders (DSM), asking whether current systems are sufficient for effective diagnosis, treatment, and research. Doing so, they take up the question of whether mental disorders are natural kinds, grounded in something in the outside world. Psychiatric categories based on natural kinds should group phenomena in such a way that they are subject to the same type of causal explanations and respond similarly to the same type of causal interventions. When these categories do not evince such groupings, there is reason to revise existing classifications. The contributors all question current psychiatric classifications systems and the assumptions on which they are based. They differ, however, as to why and to what extent the categories are inadequate and how to address the problem. Topics discussed include taxometric methods for identifying natural kinds, the error and bias inherent in DSM categories, and the complexities involved in classifying such specific mental disorders as “oppositional defiance disorder” and pathological gambling. Contributors George Graham, Nick Haslam, Allan Horwitz, Harold Kincaid, Dominic Murphy, Jeffrey Poland, Nancy Nyquist Potter, Don Ross, Dan Stein, Jacqueline Sullivan, Serife Tekin, Peter Zachar


Research Training in Psychiatry Residency

Research Training in Psychiatry Residency
Author: Institute of Medicine
Publisher: National Academies Press
Total Pages: 271
Release: 2004-01-23
Genre: Medical
ISBN: 0309090717

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The number of psychiatric researchers does not seem to be keeping pace with the needs and opportunities that exist in brain and behavioral medicine. An Institute of Medicine committee conducted a broad review of the state of patient-oriented research training in the context of the psychiatry residency and considered the obstacles to such training and strategies for overcoming those obstacles. Careful consideration was given to the demands of clinical training. The committee concluded that barriers to research training span three categories: regulatory, institutional, and personal factors. Recommendations to address these issues are presented in the committee's report, including calling for research literacy requirements and research training curricula tailored to psychiatry residency programs of various sizes. The roles of senior investigators and departmental leadership are emphasized in the report, as is the importance of longitudinal training (e.g., from medical school through residency and fellowship). As there appears to be great interest among numerous stakeholders and a need for better tracking data, an overarching recommendation calls for the establishment of a national body to coordinate and evaluate the progress of research training in psychiatry.


The New Mind-Body Science of Depression

The New Mind-Body Science of Depression
Author: Vladimir Maletic
Publisher: W. W. Norton & Company
Total Pages: 640
Release: 2017-06-13
Genre: Psychology
ISBN: 0393708608

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The scientific and therapeutic implications of a new way of understanding a common disease. Depression has often been studied, but this multifaceted disease remains far from understood. Here, leading researchers present a major new view of the disorder that synthesizes multiple lines of scientific evidence from neurobiology, mindfulness, and genetics. A comprehensive mind-body approach to understanding, evaluating, and treating this disease.


Alternative perspectives on psychiatric validation

Alternative perspectives on psychiatric validation
Author: Peter Zachar
Publisher: OUP Oxford
Total Pages: 288
Release: 2014-11-06
Genre: Medical
ISBN: 0191502049

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Many of the current debates about validity in psychiatry and psychology are predicated on the unexpected failure to validate commonly used diagnostic categories. The recognition of this failure has resulted in, what Thomas Kuhn calls, a period of extraordinary science in which validation problems are given increased weight, alternatives are proposed, methodologies are debated, and philosophical and historical analyses are seen as more relevant than usual. In this important new book in the IPPP series, a group of leading thinkers in psychiatry, psychology, and philosophy offer alternative perspectives that address both the scientific and clinical aspects of psychiatric validation, emphasizing throughout their philosophical and historical considerations. This is a book that all psychiatrists, as well as philosophers with an interest in psychiatry, will find thought provoking and valuable.