Today's post is by Max F. Kramer , an Assistant Professor of Bioethics at Geisinger College of Health Sciences, and Clinical Ethicist at Geisinger Health System. Kramer discussed the recent paper "Depressed, Not Disordered: Fittingness and Pathologies of Emotion", published in the Journal of Medicine & Philosophy . Max F. Kramer A once-prevalent view in philosophy – and possibly still prevalent in public life – holds that reason and emotion are inherently opposed. An extension of this view would have us characterise mental illness as some imbalance between the two; typically, a pattern of excessive emotion or deficient reason. Although this perspective is misguided in certain important ways, it serves as a point of entry into the affective dimensions of psychopathology and especially the class of psychological phenomena categorised as affective disorders: mental illnesses characterised by some defect, impairment, or aberration in the functioning of one’s emotional a...
Today's post is by George Chapman, an academic psychiatrist-in-training currently based at the University of Oxford, and Robert Howard, Professor of Old Age Psychiatry at University College London and Honorary Consultant Psychiatrist at the North London NHS Foundation Trust. George Chapman Robert Howard Delusions are classically described as ‘fixed’ false beliefs. This description was first articulated by Karl Jaspers and, while it is widely considered to be an overstatement or incomplete, it still forms the basis of definitions found in the Diagnostic Statistical Manual (DSM) and International Classification of Diseases (ICD). In recent years, there have been tremendous advances towards unravelling why and how delusions emerge . However, much less has been learned about why or how delusions are persistently sustained once formed. This discrepancy motivated our just-published narrative review, “ On the fixed nature of delusions” which I briefly ...