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The Structure of Mental Disorder

Published online by Cambridge University Press:  01 April 2022

Paul G. Muscari
Paul G. Muscari*
Affiliation:
Department of Philosophy State University of New York at Glens Falls
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Abstract

The present trend towards an atheoretical statistical method of psychiatric classification has prompted many psychiatrists to conceive of “mental disorder”, or for that matter any other psychopathological designation, as an indexical cluster of properties and events more than a distinct psychological impairment. By employing different combinations of inclusion and exclusion criteria, the current American Psychiatric Association's scheme (called DSM-III) hopes to avoid the over-selectivity of more metaphysical systems and thereby provide the clinician with a flexible means of dealing with a wide diversity of cases. In the hope of redirecting future inquiry, the paper will argue: (1) that this recent trend might appear to be clinically beneficial, but in point of fact it is riddled by unsound theoretical conclusions which leave the field without a deeply reaching base for understanding and treating mental disorder, and (2) that, a fortiori, “mental disorder” is best conceived as not a cluster of properties and events, nor a metaphorical reaction to a breakdown in social interpersonal relations, but as a deeply laid condition characterized by the absence of an imaginally integrated system.

Information

Type
Research Article
Information
Philosophy of Science , Volume 48 , Issue 4 , December 1981, pp. 553 - 572
Copyright
Copyright © 1981 by the Philosophy of Science Association

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References

REFERENCES

Arlow, J. A. (1969), “Unconscious Fantasy and Disturbances of Conscious Experience”, Psychoanalytic Quarterly 88, pp. 1–27.CrossRefGoogle Scholar
Armstrong, D. M. (1973), Belief, Truth and Knowledge. London: Cambridge University Press (ch. 2).CrossRefGoogle Scholar
Blashfield, R. and Draguns, J. (1976), “Evaluative Criteria for Psychiatric Classification”, Journal of Abnormal Psychology 85, pp. 140–150.CrossRefGoogle ScholarPubMed
Brooks, L. R. (1968), “Spatial and Verbal Components of the Act of Recall”, Canadian Journal of Psychology 22, pp. 349–368.CrossRefGoogle Scholar
Bugelski, B. F. (1970), “Words and Things and Images”, American Psychologist 25, pp. 1002–1012.CrossRefGoogle Scholar
Chapman, L. J., Chapman, J. P. and Rawlin, M. L. (1978), “Body-Image Aberration in Schizophrenics”, Journal of Abnormal Psychology 87, pp. 399–407.CrossRefGoogle Scholar
Chomsky, N. (1965), Aspects of the Theory of Syntax. Cambridge, Massachusetts: MIT Press.Google Scholar
Davidson, D. (1976), “Psychology as Philosophy”, in J. Glover's The Philosophy of Mind. London: Oxford University Press (pp. 201–219).Google Scholar
Duff, A. (1977), “Psychopathy and Moral Understanding”, American Philosophical Quarterly 14, pp. 189–200.Google Scholar
Eisenstadt, M. and Kareev, Y. (1979), “Perception and Game Playing: Internal Representation and Scanning of Board Positions”, in P. N. Johnson-Laird and P. C. Wason's Thinking: Readings in Cognitive Science. Cambridge, England: Cambridge University Press (pp. 548–564).Google Scholar
Fodor, J. (1975), The Language of Thought. Cambridge, Massachusetts: Harvard University Press (ch. 4).Google Scholar
Forisha, B. (1979), “The Outside and the Inside: Compartmentalization or Integration?” in A. A. Sheikh and J. T. Shaffer's The Potential of Fantasy and Imagination. New York: Brandon House, Inc.Google Scholar
Forrest, D. V. (1976), “Nonsense and Sense in Schizophrenic Language”, Schizophrenia Bulletin 2, pp. 286–301.CrossRefGoogle Scholar
Goldman, A. (1978), “Epistemics: The Regulative Theory of Cognition”, The Journal of Philosophy 10, p. 509–525.CrossRefGoogle Scholar
Guilford, J. P. (1967), The Nature of Human Intelligence. New York: McGraw-Hill.Google Scholar
Hannay, A. (1971), Mental Images—A Defence. London: George Allen Ltd.Google Scholar
Hannay, A. (1973), “To See a Mental Image”, Mind 82, pp. 161–182.CrossRefGoogle Scholar
Harrow, M. and Prosen, M. (1979), “Schizophrenic Thought Disorders: Bizarre Associations and Intermingling”, American Journal of Psychiatry 34, pp. 293–296.Google Scholar
Hirsch, E. (1978), “A Sense of Unity”, The Journal of Philosophy 9, pp. 470–494.CrossRefGoogle Scholar
Horowitz, J. (1967), “Visual Imagery and Cognitive Organizations”, American Journal of Psychiatry 23, pp. 938–946.CrossRefGoogle Scholar
Horowitz, J. (1975), “A Cognitive Model of Hallucination”, American Journal of Psychiatry 132, p. 791.Google Scholar
Katz, J. (1979), “Semantics and Conceptual Change”, Philosophical Review 88, pp. 327–365.CrossRefGoogle Scholar
Kernberg, O. F. (1975), Borderline Conditions and Pathological Narcissism. New York: Jason Aronson (ch. 3).Google Scholar
Knapp, P. H. (1969), “Image, Symbol and Person”, Archives of General Psychiatry 21, pp. 329–406.CrossRefGoogle ScholarPubMed
Knight, R., Roff, J., Barnett, J. and Moss, J. (1979), “Concurrent and Predictive Validity of Thought Disorder and Affectivity: A 22-Year Follow-Up of Acute Schizophrenia”, Journal of Abnormal Psychology 88, pp. 1–12.CrossRefGoogle Scholar
Levin, J. R. and Divine-Hawkins, R. (1974), “Visual Imagery in a Prose-Learning Process”, Journal of Reading Behavior 6, pp. 23–30.CrossRefGoogle Scholar
Paivio, A. (1969), “Mental Imagery in Associative Learning and Memory”, Psychological Review 76, pp. 241–263.CrossRefGoogle Scholar
Paivio, A. (1971), Imagery and Verbal Processes. New York: Holt, Rinehart and Winston.Google Scholar
Perkins, M. (1970), “The Picturing in Seeing”, The Journal of Philosophy 67, pp. 324–325.CrossRefGoogle Scholar
Puccetti, R. (1977), “Memory and Self: A Neuropathological Approach”, Philosophy 52, pp. 147–153.CrossRefGoogle Scholar
Putnam, H. L. (1975), “Dreaming and ‘Depth Grammar’ “ in Mind. Language and Reality. London: Cambridge University Press (pp. 304–324).CrossRefGoogle Scholar
Pylyshyn, W. (1973), “What the Mind's Eye Tells the Mind's Brain”, Psychological Bulletin 80, pp. 1–24.CrossRefGoogle Scholar
Rosch, E. (1975), “Cognitive Representations of Semantic Categories”, Journal of Experimental Psychology: General 104, pp. 195–233.Google Scholar
Rosch, E. (1977), “Classifications of Real-World Objects: Origins and Representations in Cognition”, in P. N. Johnson-Laird and P. C. Wason's Thinking: Readings in Cognitive Science. Cambridge, Massachusetts: Harvard University Press (pp. 212–222).Google Scholar
Rosenhan, D. L. (1973), “On Being Sane in Insane Places”, Science 199. pp. 250–258.Google Scholar
Ruesch, J. (1957), Disturbed Communication. New York: W. W. Norton (ch. 15).Google Scholar
Russell, B. (1919), “On Propositions: What They Are and How They Mean”, Proceedings of the Aristotlean Society 2, pp. 1–43.CrossRefGoogle Scholar
Sarbin, T. and Juhasz, J. (1978), “The Social Psychology of Hallucinations”, Journal of Mental Imagery 2, pp. 117–143.Google Scholar
Shepard, R. N. and Metzler, J. (1971), “Mental Rotation of Three-Dimensional Objects', Science 171, pp. 701–703.CrossRefGoogle Scholar
Shepard, R. N. (1975), “Form, Formation and Transformation of Internal Representation”, in R. Solso's Information Processing and Cognition. Hillsdale, N.J.: Erlbaum.Google Scholar
Shepard, R. N. (1978), “The Mental Image”, American Psychologist 33, pp. 125–137.CrossRefGoogle Scholar
Siegel, A., Harrow, M., Reilley, F. and Rucker, G. (1976), “Loose Associations and Disordered Speech Patterns in Chronic Schizophrenia”, Journal of Nervous and Mental Diseases 162, pp. 105–112.CrossRefGoogle ScholarPubMed
Spitzer, R. L., Endicott, J. and Robins, E. (1975), “Clinical Criteria for Psychiatric Diagnosis and DSM-III”, The American Journal of Psychiatry 132, pp. 1187–1192.Google ScholarPubMed
Spitzer, R. L., Williams, J. B. W. and Skodol, A. E. (1980), “DSM-III: The Major Achievements and An Overview”, The American Journal of Psychiatry 137, pp. 151–164.Google ScholarPubMed
Stich, S. (1978), “Beliefs and Subdoxastic States”, Philosophy of Science 45, pp. 499–518.CrossRefGoogle Scholar
Szasz, T. (1961), The Myth of Mental Illness. New York: Harper and Row.Google Scholar
Wilkes, K. V. (1978), “Consciousness and Commissurotomy”, Philosophy 53, pp. 185–199.CrossRefGoogle Scholar
Witkin, H. A. (1965), “Psychological Differentiation and Forms of Pathology”, Journal of Abnormal Psychology 70, pp. 317–336.CrossRefGoogle ScholarPubMed