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The Virtuous Psychiatrist: Character Ethics in Psychiatric Practice (International Perspectives in Philosophy and Psychiatry) PDF

251 Pages·2010·1.85 MB·English
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The Virtuous Psychiatrist International Perspectives in Philosophy and Psychiatry Series editors KWM (Bill) Fulford, Katherine Morris, John Z Sadler, and Giovanni Stanghellini Volumes in the series Mind, Meaning, and Mental Disorder Philosophical Perspectives on Bolton and Hill Psychiatry and Technology Phillips (ed.) What is Mental Disorder? Bolton The Metaphor of Mental Illness Pickering Postpsychiatry Bracken and Thomas Trauma, Truth, and Reconciliation: Healing Damaged Relationships Psychiatry as Cognitive Neuroscience: Potter (ed.) Philosophical Perspectives Broome and Bortolotti (eds.) The Philosophy of Psychiatry: A Companion The Philosophical Understanding of Radden Schizophrenia Chung, Fulford, and Graham (eds.) Feelings of Being Ratcliffe Nature and Narrative: An Introduction to the New Philosophy of Psychiatry Values and Psychiatric Diagnosis Fulford, Morris, Sadler, and Stanghellini Sadler The Oxford Textbook of Philosophy Disembodied Spirits and Deanimated and Psychiatry Bodies: The Psychopathology of Fulford, Thornton, and Gra ham Common Sense Stanghellini The Mind and its Discontents Gillett Essential Philosophy of Psychiatry Thornton Dementia: Mind, Meaning and the Person Empirical Ethics in Psychiatry Hughes, Louw, and Sabat Widdershoven, McMillan, Hope, and Van der Scheer (eds.) Talking Cures and Placebo Effects Jopling Mapping the Edges and the In-Between Schizophrenia and the Fate of the Self Potter Lysaker and Lysaker The Virtuous Psychiatrist: Character Body-subjects and Disordered Minds Ethics in Psychiatric Practice Matthews Radden and Sadler Rationality and Compulsion: Applying Action Theory to Psychiatry Nordenfelt The Virtuous Psychiatrist Character Ethics in Psychiatric Practice Jennifer Radden John Z. Sadler 1 2010 1 Oxford University Press, Inc., publishes works that further Oxford University’s objective of excellence in research, scholarship, and education. Oxford New York Auckland Cape Town Dar es Salaam Hong Kong Karachi Kuala Lumpur Madrid Melbourne Mexico City Nairobi New Delhi Shanghai Taipei Toronto With offi ces in Argentina Austria Brazil Chile Czech Republic France Greece Guatemala Hungary Italy Japan Poland Portugal Singapore South Korea Switzerland Thailand Turkey Ukraine Vietnam Copyright © 2010 by Oxford University Press, Inc. Published by Oxford University Press, Inc. 198 Madison Avenue, New York, New York 10016 www.oup.com Oxford is a registered trademark of Oxford University Press All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without the prior permission of Oxford University Press. Library of Congress Cataloging-in-Publication Data Radden, Jennifer. The virtuous psychiatrist : character ethics in psychiatric practice / Jennifer Radden, John Z. Sadler. p. ; cm. — (International perspectives in philosophy and psychiatry) Includes bibliographical references. ISBN 978-0-19-538937-1 1. Psychiatric ethics. I. Sadler, John Z., 1953– II. Title. III. Series: International perspectives in philosophy and psychiatry. [DNLM: 1. Psychiatry—ethics. 2. Ethical Theory. 3. Professional Role. 4. Virtues. WM 62 R124v 2010] RC455.2.E8R33 2010 174.2′9689—dc22 2009019399 9 8 7 6 5 4 3 2 1 Printed in the United States of America on acid-free paper For Joan M. Fordyce, who understands the art of unselfi ng. Jennifer Radden For my family, because my virtue should honor your love. John Z. Sadler This page intentionally left blank Acknowledgments This project was completed with support from the US Federal Government. We gratefully acknowledge grants from the National Library of Medicine (2002–2005) and the National Endowment for the Humanities (2000). In addition, Jennifer Radden benefi ted from time as a visiting scholar at the Center for Human Bioethics at Monash University (1999) and as the HLA Hart visiting research fellow at Merton College, Oxford (2006). Opportunities to try out these ideas with practitioners and moral phi- losophers were provided by the Ethics Board at McLean Hospital in Belmont; the departments of psychiatry at Massachusetts General Hospital in Boston (1999), and St Vincent’s Hospital in Melbourne (2005); the Massachusetts Mental Health Center Law and Psychiatry Program (2005); the American Psychiatric Association Taskforce on Ethics (2001–2008), at meetings of the American Psychiatric Association (2004) and the Association for the Advancement of Philosophy and Psychiatry (2005); the New Zealand Bioethics Conference (2006); Lancaster University Philosophy Department (2006); the International Network of Philosophy and Psychiatry (2008); and the University of Pennsylvania Schools of Medicine, Social Policy, and Law, and the Strecker Psychiatric Society (2009). The advice, encouragement, and gentle direction provided by individuals in each of these settings have con- tributed incalculably. viii Acknowledgments Others also deserve heartfelt thanks from Jennifer Radden, including many working in moral philosophy and virtue theory; peers on the Executive Board of the Association for the Advancement of Philosophy and Psychiatry, members of PHAEDRA, colleagues at the Philosophy Department of the University of Massachusetts at Boston. Finally, thanks go to Peter Ohlin at Oxford University Press, editor without peer; Frank Keefe, unmatched critical reader; Beatrice Radden Keefe, cover design expert extraordinaire; and not to be forgotten, James G. Keefe. Contents Introduction 3 1 Psychiatric Ethics as Professional and Biomedical Ethics 11 2 The Distinctiveness of the Psychiatric Setting 33 3 Psychiatric Ethics as Virtue Ethics 61 4 Elements of a Gender- Sensitive Ethics for Psychiatry 85 5 Some Virtues for Psychiatrists 105 6 Character and Social Role 151 7 Case Studies in Psychiatric Virtues 175 8 Conclusion 199 References 205 Author Index 227 Subject Index 231

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The context for this interdisciplinary work by a philosopher and a clinician is the psychiatric care provided to those with severe mental disorders. Such a setting makes distinctive moral demands on the very character of the practitioner, it is shown, calling for special virtues and greater virtue t
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