A philosopher who has experienced psychosis argues that recovery requires regaining agency and autonomy within a therapeutic relationship based on mutual trust.
In Mental Patient, philosopher Abigail Gosselin uses her personal experiences with psychosis and the process of recovery to explore often overlooked psychiatric ethics. For many people who struggle with psychosis, she argues, psychosis impairs agency and autonomy. She shows how clinicians can help psychiatric patients regain agency and autonomy through a positive therapeutic relationship characterized by mutual trust. Patients, she says, need to take an active role in regaining their agency and autonomy—specifically, by giving testimony, constructing a narrative of their experience to instill meaning, making choices about treatment, and deciding to show up and participate in life activities.
Gosselin examines how psychotic experience is medicalized and describes what it is like to be a patient receiving mental health care treatment. In addition to mutual trust, she says, a productive therapeutic relationship requires the clinician’s empathetic understanding of the patient’s experiences and perspective. She also explains why psychotic patients sometimes feel ambivalent about recovery and struggle to stay committed to it. The psychiatric ethics issues she examines include the development of epistemic agency and credibility, epistemic justice, the use of coercion, therapeutic alliance, the significance of choice, and the taking of responsibility. Mental Patient differs from straightforward memoirs of psychiatric illness in that it analyses philosophic issues related to psychosis and recovery, and it differs from other books on psychiatric ethics in that its analyses are drawn from the author’s first-person experiences as a mental patient.
In Mental Patient, philosopher Abigail Gosselin uses her personal experiences with psychosis and the process of recovery to explore often overlooked psychiatric ethics. For many people who struggle with psychosis, she argues, psychosis impairs agency and autonomy. She shows how clinicians can help psychiatric patients regain agency and autonomy through a positive therapeutic relationship characterized by mutual trust. Patients, she says, need to take an active role in regaining their agency and autonomy—specifically, by giving testimony, constructing a narrative of their experience to instill meaning, making choices about treatment, and deciding to show up and participate in life activities.
Gosselin examines how psychotic experience is medicalized and describes what it is like to be a patient receiving mental health care treatment. In addition to mutual trust, she says, a productive therapeutic relationship requires the clinician’s empathetic understanding of the patient’s experiences and perspective. She also explains why psychotic patients sometimes feel ambivalent about recovery and struggle to stay committed to it. The psychiatric ethics issues she examines include the development of epistemic agency and credibility, epistemic justice, the use of coercion, therapeutic alliance, the significance of choice, and the taking of responsibility. Mental Patient differs from straightforward memoirs of psychiatric illness in that it analyses philosophic issues related to psychosis and recovery, and it differs from other books on psychiatric ethics in that its analyses are drawn from the author’s first-person experiences as a mental patient.
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Acknowledgments ix
Introduction 1
1 Psychosis 7
2 Autonomy 29
3 Patient 55
4 Trust 81
5 Empathy 109
6 Testimony 135
7 Meaning Making 165
8 Choices 199
Conclusion 227
Notes 233
Bibliography 261
Index 287
Introduction 1
1 Psychosis 7
2 Autonomy 29
3 Patient 55
4 Trust 81
5 Empathy 109
6 Testimony 135
7 Meaning Making 165
8 Choices 199
Conclusion 227
Notes 233
Bibliography 261
Index 287
About
A philosopher who has experienced psychosis argues that recovery requires regaining agency and autonomy within a therapeutic relationship based on mutual trust.
In Mental Patient, philosopher Abigail Gosselin uses her personal experiences with psychosis and the process of recovery to explore often overlooked psychiatric ethics. For many people who struggle with psychosis, she argues, psychosis impairs agency and autonomy. She shows how clinicians can help psychiatric patients regain agency and autonomy through a positive therapeutic relationship characterized by mutual trust. Patients, she says, need to take an active role in regaining their agency and autonomy—specifically, by giving testimony, constructing a narrative of their experience to instill meaning, making choices about treatment, and deciding to show up and participate in life activities.
Gosselin examines how psychotic experience is medicalized and describes what it is like to be a patient receiving mental health care treatment. In addition to mutual trust, she says, a productive therapeutic relationship requires the clinician’s empathetic understanding of the patient’s experiences and perspective. She also explains why psychotic patients sometimes feel ambivalent about recovery and struggle to stay committed to it. The psychiatric ethics issues she examines include the development of epistemic agency and credibility, epistemic justice, the use of coercion, therapeutic alliance, the significance of choice, and the taking of responsibility. Mental Patient differs from straightforward memoirs of psychiatric illness in that it analyses philosophic issues related to psychosis and recovery, and it differs from other books on psychiatric ethics in that its analyses are drawn from the author’s first-person experiences as a mental patient.
In Mental Patient, philosopher Abigail Gosselin uses her personal experiences with psychosis and the process of recovery to explore often overlooked psychiatric ethics. For many people who struggle with psychosis, she argues, psychosis impairs agency and autonomy. She shows how clinicians can help psychiatric patients regain agency and autonomy through a positive therapeutic relationship characterized by mutual trust. Patients, she says, need to take an active role in regaining their agency and autonomy—specifically, by giving testimony, constructing a narrative of their experience to instill meaning, making choices about treatment, and deciding to show up and participate in life activities.
Gosselin examines how psychotic experience is medicalized and describes what it is like to be a patient receiving mental health care treatment. In addition to mutual trust, she says, a productive therapeutic relationship requires the clinician’s empathetic understanding of the patient’s experiences and perspective. She also explains why psychotic patients sometimes feel ambivalent about recovery and struggle to stay committed to it. The psychiatric ethics issues she examines include the development of epistemic agency and credibility, epistemic justice, the use of coercion, therapeutic alliance, the significance of choice, and the taking of responsibility. Mental Patient differs from straightforward memoirs of psychiatric illness in that it analyses philosophic issues related to psychosis and recovery, and it differs from other books on psychiatric ethics in that its analyses are drawn from the author’s first-person experiences as a mental patient.
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• Afghanistan
• Aland Islands
• Albania
• Algeria
• Andorra
• Angola
• Anguilla
• Antarctica
• Antigua/Barbuda
• Argentina
• Armenia
• Aruba
• Australia
• Austria
• Azerbaijan
• Bahamas
• Bahrain
• Bangladesh
• Barbados
• Belarus
• Belgium
• Belize
• Benin
• Bermuda
• Bhutan
• Bolivia
• Bonaire, Saba
• Bosnia Herzeg.
• Botswana
• Bouvet Island
• Brazil
• Brit.Ind.Oc.Ter
• Brit.Virgin Is.
• Brunei
• Bulgaria
• Burkina Faso
• Burundi
• Cambodia
• Cameroon
• Canada
• Cape Verde
• Cayman Islands
• Centr.Afr.Rep.
• Chad
• Chile
• China
• Christmas Islnd
• Cocos Islands
• Colombia
• Comoro Is.
• Congo
• Cook Islands
• Costa Rica
• Croatia
• Cuba
• Curacao
• Cyprus
• Czech Republic
• Dem. Rep. Congo
• Denmark
• Djibouti
• Dominica
• Dominican Rep.
• Ecuador
• Egypt
• El Salvador
• Equatorial Gui.
• Eritrea
• Estonia
• Ethiopia
• Falkland Islnds
• Faroe Islands
• Fiji
• Finland
• France
• Fren.Polynesia
• French Guinea
• Gabon
• Gambia
• Georgia
• Germany
• Ghana
• Gibraltar
• Greece
• Greenland
• Grenada
• Guadeloupe
• Guam
• Guatemala
• Guernsey
• Guinea Republic
• Guinea-Bissau
• Guyana
• Haiti
• Heard/McDon.Isl
• Honduras
• Hong Kong
• Hungary
• Iceland
• India
• Indonesia
• Iran
• Iraq
• Ireland
• Isle of Man
• Israel
• Italy
• Ivory Coast
• Jamaica
• Japan
• Jersey
• Jordan
• Kazakhstan
• Kenya
• Kiribati
• Kuwait
• Kyrgyzstan
• Laos
• Latvia
• Lebanon
• Lesotho
• Liberia
• Libya
• Liechtenstein
• Lithuania
• Luxembourg
• Macau
• Macedonia
• Madagascar
• Malawi
• Malaysia
• Maldives
• Mali
• Malta
• Marshall island
• Martinique
• Mauritania
• Mauritius
• Mayotte
• Mexico
• Micronesia
• Minor Outl.Ins.
• Moldavia
• Monaco
• Mongolia
• Montenegro
• Montserrat
• Morocco
• Mozambique
• Myanmar
• Namibia
• Nauru
• Nepal
• Netherlands
• New Caledonia
• New Zealand
• Nicaragua
• Niger
• Nigeria
• Niue
• Norfolk Island
• North Korea
• North Mariana
• Norway
• Oman
• Pakistan
• Palau
• Palestinian Ter
• Panama
• PapuaNewGuinea
• Paraguay
• Peru
• Philippines
• Pitcairn Islnds
• Poland
• Portugal
• Puerto Rico
• Qatar
• Reunion Island
• Romania
• Russian Fed.
• Rwanda
• S. Sandwich Ins
• Saint Martin
• Samoa,American
• San Marino
• SaoTome Princip
• Saudi Arabia
• Senegal
• Serbia
• Seychelles
• Sierra Leone
• Singapore
• Sint Maarten
• Slovakia
• Slovenia
• Solomon Islands
• Somalia
• South Africa
• South Korea
• South Sudan
• Spain
• Sri Lanka
• St Barthelemy
• St. Helena
• St. Lucia
• St. Vincent
• St.Chr.,Nevis
• St.Pier,Miquel.
• Sth Terr. Franc
• Sudan
• Suriname
• Svalbard
• Swaziland
• Sweden
• Switzerland
• Syria
• Tadschikistan
• Taiwan
• Tanzania
• Thailand
• Timor-Leste
• Togo
• Tokelau Islands
• Tonga
• Trinidad,Tobago
• Tunisia
• Turkey
• Turkmenistan
• Turks&Caicos Is
• Tuvalu
• US Virgin Is.
• USA
• Uganda
• Ukraine
• Unit.Arab Emir.
• United Kingdom
• Uruguay
• Uzbekistan
• Vanuatu
• Vatican City
• Venezuela
• Vietnam
• Wallis,Futuna
• West Saharan
• Western Samoa
• Yemen
• Zambia
• Zimbabwe
Table of Contents
Acknowledgments ix
Introduction 1
1 Psychosis 7
2 Autonomy 29
3 Patient 55
4 Trust 81
5 Empathy 109
6 Testimony 135
7 Meaning Making 165
8 Choices 199
Conclusion 227
Notes 233
Bibliography 261
Index 287
Introduction 1
1 Psychosis 7
2 Autonomy 29
3 Patient 55
4 Trust 81
5 Empathy 109
6 Testimony 135
7 Meaning Making 165
8 Choices 199
Conclusion 227
Notes 233
Bibliography 261
Index 287
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