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 than many other practice settings. In a practice so attentive to the patient's self identity, the authors promote a heightened awareness of cultural and particularly gender issues. By elucidating the nature of the moral psychology and character of the good psychiatrist, this work provides a sustained application of virtue theory to clinical practice. With its roots in Aristotelian writing, The Virtuous Psychiatrist presents virtue traits as habits, able to be cultivated and enhanced through training. The book describes these traits, and how they can be habituated in clinical training. A turn towards virtue theory within philosophy during the last several decades has resulted in important research on professional ethics. By approaching the ethics of psychiatric professionals in these virtue terms, Radden and Sadler's work provides an original application of this theorizing to practice. Of interest to both theorists and practitioners, the book explores the tension between the model of enduring character implicit in virtue theory and the segmented personae of role-specific moral responses. Clinical examples are provided, based upon dramaturgical vignettes (caseplays) which illustrate both the interactions of the case participants as well as the inner monologue of the clinician protagonist.
A deeply intimate exploration of the "7 Ways" to creativity led by three authors whose collaboration provides meditations on the creative process as well as practical and reflective exercises. Reignite your creative spark with accessible meditations and practices developed by three experts on creativity and collaboration across three generations. Whether you’re a filmmaker, writer, musician, artist, graphic designer, dabbler, or doodler, all creative people face the challenges of myriad distractions and pressure to produce. Devoting space for the creative spark has become increasingly difficult. Deep Creativity is a call for making that space and an invitation to intentionally and introspectively engage with the creative life through seven time-tested pathways, available to you right where you are. The authors’ novel approach includes fifteen principles of creativity that not only inspire but also set you up for a lifetime of self-expression. This highly resourceful book offers practical guidance as well as deep reflection on the creative process.
From television to travel bans, geopolitics to popular dance, The Subject of Revolution explores how knowledge about the 1959 Cuban Revolution was produced and how the Revolution in turn shaped new worldviews. Drawing on sources from over twenty archives as well as film, music, theater, and material culture, this book traces the consolidation of the Revolution over two decades in the interface between political and popular culture. The "subject of Revolution," it proposes, should be understood as the evolving synthesis of the imaginaries constructed by its many "subjects," including revolutionary leaders, activists, academics, and ordinary people within and beyond the island's borders. The book reopens some of the questions that have long animated debates about Cuba, from the relationship between populace and leadership to the archive and its limits, while foregrounding the construction of popular understandings. It argues that the politicization of everyday life was an inescapable effect of the revolutionary process as well as the catalyst for new ways of knowing and being.
“A shocking saga of pharmaceutical malpractice . . . Wonder Drug is both a first-rate medical thriller and the searing account of a forgotten American tragedy.”—Patrick Radden Keefe, author of Empire of Pain A “fascinating and compassionate” (People) account of the most notorious drug of the twentieth century and the never-before-told story of its American survivors. Longlisted for the Andrew Carnegie Medal In 1959, a Cincinnati pharmaceutical firm, the William S. Merrell Company, quietly began distributing samples of an exciting new wonder drug already popular around the world. Touted as a sedative without risks, thalidomide was handed out freely, under the guise of clinical trials, by doctors who believed approval by the Food and Drug Administration was imminent. But in 1960, when the application for thalidomide landed on the desk of FDA medical reviewer Frances Kelsey, she quickly grew suspicious. When she learned that the drug was causing severe birth abnormalities abroad, she and a team of dedicated doctors, parents, and journalists fought tirelessly to block its authorization in the United States and stop its sale around the world. Jennifer Vanderbes set out to write about this FDA success story only to discover a sinister truth that had been buried for decades: For more than five years, several American pharmaceutical firms had distributed unmarked thalidomide samples in shoddy clinical trials, reaching tens of thousands of unwitting patients, including hundreds of pregnant women. As Vanderbes examined government and corporate archives, probed court records, and interviewed hundreds of key players, she unearthed an even more stunning find: Scores of Americans had likely been harmed by the drug. Deceived by the pharmaceutical firms, betrayed by doctors, and ignored by the government, most of these Americans had spent their lives unaware that thalidomide had caused their birth defects. Now, for the first time, this shocking episode in American history is brought to light. Wonder Drug gives voice to the unrecognized victims of this epic scandal and exposes the deceptive practices of Big Pharma that continue to endanger lives today.
Taub explicitly and persuasively places the breakdown of enforcement and accountability in the context of money and class."--The New York Times How ordinary Americans suffer when the rich and powerful use tax dodges or break the law to get richer and more powerful--and how we can stop it. There is an elite crime spree happening in America, and the privileged perps are getting away with it. Selling loose cigarettes on a city sidewalk can lead to a choke-hold arrest, and death, if you are not among the top 1%. But if you're rich and commit mail, wire, or bank fraud, embezzle pension funds, lie in court, obstruct justice, bribe a public official, launder money, or cheat on your taxes, you're likely to get off scot-free (or even win an election). When caught and convicted, such as for bribing their kids' way into college, high-class criminals make brief stops in minimum security "Club Fed" camps. Operate the scam from the executive suite of a giant corporation, and you can prosper with impunity. Consider Wells Fargo & Co. Pressured by management, employees at the bank opened more than three million bank and credit card accounts without customer consent, and charged late fees and penalties to account holders. When CEO John Stumpf resigned in "shame," the board of directors granted him a $134 million golden parachute. This is not victimless crime. Big Dirty Money details the scandalously common and concrete ways that ordinary Americans suffer when the well-heeled use white collar crime to gain and sustain wealth, social status, and political influence. Profiteers caused the mortgage meltdown and the prescription opioid crisis, they've evaded taxes and deprived communities of public funds for education, public health, and infrastructure. Taub goes beyond the headlines (of which there is no shortage) to track how we got here (essentially a post-Enron failure of prosecutorial muscle, the growth of "too big to jail" syndrome, and a developing implicit immunity of the upper class) and pose solutions that can help catch and convict offenders.
Delusions play a fundamental role in the history of psychology, philosophy and culture, dividing not only the mad from the sane but reason from unreason. Yet the very nature and extent of delusions are poorly understood. What are delusions? How do they differ from everyday errors or mistaken beliefs? Are they scientific categories? In this superb, panoramic investigation of delusion Jennifer Radden explores these questions and more, unravelling a fascinating story that ranges from Descartes’s demon to famous first-hand accounts of delusion, such as Daniel Schreber’s Memoirs of My Nervous Illness. Radden places delusion in both a clinical and cultural context and explores a fascinating range of themes: delusions as both individually and collectively held, including the phenomenon of folies á deux; spiritual and religious delusions, in particular what distinguishes normal religious belief from delusions with religious themes; how we assess those suffering from delusion from a moral standpoint; and how we are to interpret violent actions when they are the result of delusional thinking. As well as more common delusions, such as those of grandeur, she also discusses some of the most interesting and perplexing forms of clinical delusion, such as Cotard and Capgras.
With an ethnography of the largest contraband economy in the Americas running through Ciudad del Este, Paraguay, Outlaw Capital shows how transgressive economies and gray spaces are central to globalized capitalism. A key site on the China-Paraguay-Brazil trade route, Ciudad del Este moves billions of dollars’ worth of consumer goods—everything from cell phones to whiskey—providing cheap transit to Asian manufacturers and invisible subsidies to Brazilian consumers. A vibrant popular economy of Paraguayan street vendors and Brazilian “ant contrabandistas” capture some of the city’s profits, contesting the social distribution of wealth through an insurgent urban epistemology of use, need, and care. Yet despite the city’s centrality, it is narrated as a backward, marginal, and lawless place. Outlaw Capital contests these sensationalist stories, showing how uneven development and the Paraguayan state made Ciudad de Este a gray space of profitable transgression. By studying the everyday illegalities of both elite traders and ordinary workers, Jennifer L. Tucker shows how racialized narratives of economic legitimacy across scales—not legal compliance—sort whose activities count as formal and legal and whose are targeted for reform or expulsion. Ultimately, reforms criminalized the popular economy while legalizing, protecting, and “whitening” elite illegalities.
TABLE OF CONTENTS: 1. heterogeneities of self in everyday life 2. a language of successive selves 3. multiplicity through dissociation 4. succession and recurrence outside dissociative disorder 5. From abnormal psychology to metaphysics: a methodological preamble 6. memory, responsibility, and contrition 7. purposes and discourses of responsibility ascription 8. multiplicity and legal culpability 9. paternalistic intervention 10. responsibilities over oneself in the future of one's future selves 11. a mataphysics of successive selves 12. the normative tug of individualism 13. therapeutic goals for a liberal culture 14. continuity sufficient for individualism 15. the divided minds of mental disorder 16. the grammar of disownership.
Jennifer Radden finds, within Robert Burton's religious and humoral explanations in his Anatomy of Melancholy, a remarkably coherent account of normal and abnormal psychology with echoes in modern day clinical psychology.
From the thought leaders at Boston Consulting Group come lessons on how leading health systems around the world are delivering patient-centered, value-based care by focusing on the health outcomes that matter to patients. To address the growing crises confronting the global health sector, health systems need to deliver better health outcomes to patients for the money spent, an approach known as value-based health care. Contrary to traditional approaches to health-systems reform that emphasize cost containment, value-based health care shifts the focus to continuous improvement in the outcomes delivered to patients. Systematically measuring, tracking, and improving health outcomes over time can have a transformative effect, enabling health systems to: deliver better patient outcomes and overall population health more consistently identify and disseminate best-practice diagnoses and treatments more rapidly control total health-care costs more effectively because unnecessary procedures are eliminated, expensive complications occur less frequently, and repeat treatments are avoided rebuild the trust and motivation of health professionals by aligning system performance goals with professional purpose The only way for the health care sector to sustainably contain costs and fulfill its mission is by putting the patient and the delivery of outcomes that matter to patients at the center of the industry’s efforts and by aligning incentives around the continuous improvement of health outcomes in a cost-effective manner.Designed by thought leaders at Boston Consulting Group as a practical step-by-step guide for clinicians, payers, policymakers, and other industry stakeholders, The Patient Priority features powerful case studies of leading value-based innovators—both public and private, as well as from both high- and low-income countries—that are taking the concept of value-based health care from theory to practice. The book also presents a detailed road map for the comprehensive value-based transformation of national health systems. This book is an indispensable tool to launch a new era of patient-centered innovation, unlock value in health care, and bring about step-function improvements in productivity, performance, and population health.
In Moody Minds Distempered philosopher Jennifer Radden assembles several decades of her research on melancholy and depression. The chapters are ordered into three categories: those about intellectual and medical history of melancholy and depression; those that emphasize aspects of the moral, psychological and medical features of these concepts; and finally, those that explore the sad and apprehensive mood states long associated with melancholy and depressive subjectivity. A newly written introduction maps the conceptual landscape, and draws out the analytic and thematic interconnections between the chapters. Radden emphasizes and develops several new themes: the implications, theoretical phenomenological and moral, of recognizing melancholy and depressive states as mood states; questions of method, as they affect how we understand and characterize claims about melancholy and depression; and the persistence and force of cultural tropes linking such states to brilliance, creativity, and sagacity. Insights from literature and the history of medicine, psychology, and psychiatry are woven together with those from the more recent disciplines of feminist theory and cultural studies. This is interdisciplinary writing at its best-part analytic philosophy, and part history of ideas.
Originally published in 1985, this book provides a philosophical analysis of the concepts of madness and moral responsibility. It challenges the view that because they are victims of mental illness, the insane should not be blamed for actions resulting from their condition. The author urges a return to the neglected equation between madness and a want of reason, arguing that the impulse to excuse the criminally insane must be grounded in an appeal to their irrationality and unreasonableness. Through meticulous examination of the psychological states and behaviour patterns of major mental abnormalities, such as schizophrenia and depression, the author develops a notion of exculpating unreason. This is an interdisciplinary book which encompasses analytical philosophy, abnormal psychology and law.
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