Man Cheung Chung

George Graham

Bill Fulford

Schizophrenia arguably is the most troubling, puzzling, and complex mental illness. No single discipline is equipped to understand it. Though schizophrenia has been investigated predominately from psychological, psychiatric and neurobiological perspectives, few attempts have been made to apply the tool kit of philosophy to schizophrenia, the mix of global analysis, conceptual insight, and argumentative clarity that is indicative of a philosophical perspective. This book is a major effort at redressing that imbalance. Recent developments in the area of philosophy known as the philosophy of psychiatry have made it clear that it is time for philosophy to contribute to our understanding of schizophrenia. The range of contributions is many and varied. Some contributors are professional philosophers; some not. Some contributions focus on matters of method and history. Others argue for dramatic reforms in our understanding of schizophrenia or its symptoms. The authors in this book are committed to the idea that philosophy can indeed help to understand schizophrenia in a way which is different from but complements traditional medical-clinical approaches. The book should appeal to every reader who wants to better understand a major mental illness, including its distinctive character, conscious content, and sources of puzzlement. Readers will find the essays gathered here afford stimulating insights into the human mind and its conditions of vulnerability.

Reconceiving Schizophrenia

Alastair Morgan

Anne Felton

Mental health is the one area of health care where people are often treated against their will, with the justification that it is in their own interest. This raises significant ethical questions and value dilemmas; questions of autonomy, human rights, power and treatment. An understanding of how values matter is of vital importance across all disciplines working within the mental health field. This book provides a comprehensive and exploratory text for practitioners, students and all those interested in developing a knowledge of both ethics and the wider framework of values-based practice. It is unique in being fully co-written by authors representing both service user and service provider perspectives. This exciting new text will enable the mental health practitioner to work more co-productively with service users within a humane and just approach to care. With an emphasis on rights-based compassionate care throughout, this book: - Tackles the issues of how mental health is understood through key theoretical debates about mental distress, values and labelling; - Encourages readers to think critically about their understanding of key issues such as recovery, autonomy, power, knowledge, diagnoses and empathy; - Draws on a wide range of case examples and exercises to help readers deepen their knowledge of values-based practice and ethics in mental health.

An Exploration for Practice

Values and Ethics in Mental Health

Giovanni Stanghellini

Drozdstoy Stoyanov

Werdie Van Staden

Michael TH Wong

This open access book offers essential information on values-based practice (VBP): the clinical skills involved, teamwork and person-centered care, links between values and evidence, and the importance of partnerships in shared decision-making. Different cultures have different values; for example, partnership in decision-making looks very different, from the highly individualized perspective of European and North American cultures to the collective and family-oriented perspectives common in South East Asia. In turn, African cultures offer yet another perspective, one that falls between these two extremes (called batho pele). The book will benefit everyone concerned with the practical challenges of delivering mental health services. Accordingly, all contributions are developed on the basis of case vignettes, and cover a range of situations in which values underlie tensions or uncertainties regarding how to proceed in clinical practice. Examples include the patient’s autonomy and best interest, the physician’s commitment to establishing high standards of clinical governance, clinical versus community best interest, institutional versus clinical interests, patients insisting on medically unsound but legal treatments etc. Thus far, VBP publications have mainly dealt with clinical scenarios involving individual values (of clinicians and patients). Our objective with this book is to develop a model of VBP that is culturally much broader in scope. As such, it offers a vital resource for mental health stakeholders in an increasingly inter-connected world. It also offers opportunities for cross-learning in values-based practice between cultures with very different clinical care traditions.

Case Studies and Commentaries

International Perspectives in Values-Based Mental Health Practice

Bill Fulford

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