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Showing posts with the label medicine

Schizophrenia as a Disorder of Self, and Clinical Practice

Today's post is by Nimra Ahsan. Nimra is a fifth year medical student at the University of Birmingham, where she is currently completing a Masters in Mental Health. She is interested in how the study of mental health can help inform and improve future clinical practice, including her own. This is the last post in a series of perspectives from students taking the Philosophy and Ethics of Mental Health and Wellbeing module. Nimra Ahsan The interaction between psychiatry and psychopathology is one that is blending (Stanghellini and Broome, 2014). With a contemporary focus on patient experience, human subjectivity (or phenomenology) is creating a holistic perspective concerning mental health conditions, such as schizophrenia. Described as a ‘disturbance of minimal self’, our understanding of schizophrenia has deepened and the ipseity-disturbance model developed by Sass and Parnas has contributed to this substantially ( Nelson, Parnas and Sass, 2014 ). This model led to the formation o...

Stereotyping Patients

Today’s post is provided by  Katherine Puddifoot ,  Assistant Professor of Philosophy , Durham University. Here, she introduces her article, " Stereotyping Patients ", that has recently appeared in the Journal of Social Philosophy. Should healthcare professionals respond to the social group status of their patients, automatically associating patients of particular social groups (e.g. certain races, religions, social classes) more strongly than they automatically associate patients of other social groups with certain concepts, traits and characteristics? In other words, should healthcare professionals be influenced in their clinical judgement and decision making by automatically activated stereotypes or implicit biases? This can produce unethical outcomes (Matthew 2018 ). Where healthcare professionals associate members of some social groups with certain traits, for example uncooperativeness, this can lead to group members receiving poorer quality treatment. However...

CauseHealth: An Interview with Rani Lill Anjum

Today I interview Rani Lill Anjum on her exciting project CauseHealth . Rani works as a philosopher of science at the Norwegian University of Life Sciences (NMBU) and is the Director of the Centre for Applied Philosophy of Science (CAPS), always at NMBU. LB: How did you first become interested in causation in the health sciences? RLA: I started thinking about causation in medicine back in 2011, when I was working on my research project Causation in Science. Many of my collaborators already had an interest in philosophy of medicine, and I started thinking that if causation was complicated in physics, biology, psychology and social science, then medicine must be the biggest challenge. After all, a person is the unity of them all, as physiological, biological, mental and social beings. Also, our health is causally influenced by or even the result of what happens to us at all these levels. LB: What would you describe as the main finding of CauseHealth now that...

The Natural and the Human

This post is by Stephen Gaukroger, Emeritus Professor of History of Philosophy and History of Science at the University of Sydney. In the course of the eighteenth century, philosophers, physicians, political economists and others began to think about how the study of human behaviour might be taken out of the hands of metaphysicians and theologians, and transformed into an evidence-based scientific enterprise. These projects fall under the general rubric of ‘naturalization’. The Natural and the Human looks at late eighteenth and early nineteenth century attempts to naturalize the study of human behaviour, and at the way in which this general programmes lead to the naturalization of religion. Four forms of naturalization of the human are explored. The first is anthropological medicine, in which traditional philosophical understanding of the human condition is replaced with a medical understanding, not least on the grounds that whereas philosophy confines itself to healthy min...

Existential Medicine

This post is by Kevin Aho . Professor Aho is chair of the Department of Communication and Philosophy at Florida Gulf Coast University. He is the author of Existentialism: An Introduction , Heidegger’s Neglect of the Body and co-author of Body Matters: A Phenomenology of Sickness, Illness, and Disease. The new edited collection Existential Medicine: Essays on Health and Illness gathers together a group of leading figures such as Havi Carel, Shaun Gallagher, Drew Leder, Matthew Ratcliffe, John Russon, Jenny Slatman, Robert Stolorow, Fredrik Svenaeus, and Kristin Zeiler who draw on the methods of existential and hermeneutic phenomenology to illuminate the lived-experience of illness. The primary aim of the collection is to challenge the detached and objectifying standpoint of mainstream medical science in order to deepen and broaden our understanding of health and illness and offer more sensitive and humane approaches to healthcare. To this end, the volume is not so concerned w...

Global Challenges in Mental Health: Children in Crisis

On 9th January at the Royal Society of Medicine an event took place, Global Mental Health: Children in Crisis . The first speaker, Vikram Patel  (Harvard Medical School), presented a lecture on how to prevent mental health problems in children. He highlighted the importance of linking epidemiological and neuroscientific data. From en epidemiological perspective, deprivation is a very significant risk factor for mental health problems, comparable to what smoking is for lung cancer. And most mental health probelms begin before the age of 24. From a neuroscientific perspective, the brain is very plastic in young adulthood. The prefrontal region of the brain (linked to executive decision making) matures 5-8 years later than the limbic region (linked to basic emotional reactions). Adversities associated with poor developmental outcomes include: Malnutrition Stressors Infections War and displacement Parental ill-health Abuse The need for responsive parents ...