Jerome C. Wakefield's Books

The Loss of Sadness

How Psychiatry Transformed Normal Sorrow into Depressive Disorder

By: Allan V. Horwitz,Jerome C. Wakefield

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The Loss of Sadness

How Psychiatry Transformed Normal Sorrow into Depressive Disorder

By: Allan V. Horwitz,Jerome C. Wakefield

Depression has become the single most commonly treated mental disorder, amid claims that one out of ten Americans suffer from this disorder every year and 25% succumb at some point in their lives. Warnings that depressive disorder is a leading cause of worldwide disability have been accompanied by a massive upsurge in the consumption of antidepressant medication, widespread screening for depression in clinics and schools, and a push to diagnose depression early, on the basis of just a few symptoms, in order to prevent more severe conditions from developing. In The Loss of Sadness, Allan V. Horwitz and Jerome C. Wakefield argue that, while depressive disorder certainly exists and can be a devastating condition warranting medical attention, the apparent epidemic in fact reflects the way the psychiatric profession has understood and reclassified normal human sadness as largely an abnormal experience. With the 1980 publication of the landmark third edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-III), mental health professionals began diagnosing depression based on symptoms--such as depressed mood, loss of appetite, and fatigue--that lasted for at least two weeks. This system is fundamentally flawed, the authors maintain, because it fails to take into account the context in which the symptoms occur. They stress the importance of distinguishing between abnormal reactions due to internal dysfunction and normal sadness brought on by external circumstances. Under the current DSM classification system, however, this distinction is impossible to make, so the expected emotional distress caused by upsetting events-for example, the loss of a job or the end of a relationship- could lead to a mistaken diagnosis of depressive disorder. Indeed, it is this very mistake that lies at the root of the presumed epidemic of major depression in our midst. In telling the story behind this phenomenon, the authors draw on the 2,500-year history of writing about depression, including studies in both the medical and social sciences, to demonstrate why the DSM's diagnosis is so flawed. They also explore why it has achieved almost unshakable currency despite its limitations. Framed within an evolutionary account of human health and disease, The Loss of Sadness presents a fascinating dissection of depression as both a normal and disordered human emotion and a sweeping critique of current psychiatric diagnostic practices. The result is a potent challenge to the diagnostic revolution that began almost thirty years ago in psychiatry and a provocative analysis of one of the most significant mental health issues today.

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304

Publisher

Oxford University Press

Published Date

ISBN 10

0199886067

ISBN 13

9780199886067

Freud's Argument for the Oedipus Complex

A Philosophy of Science Analysis of the Case of Little Hans

By: Jerome C. Wakefield

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Freud's Argument for the Oedipus Complex

A Philosophy of Science Analysis of the Case of Little Hans

By: Jerome C. Wakefield

In this close reading of Freudian theory, Jerome C. Wakefield reconstructs Freud’s argument for the Oedipal theory of the psychoneuroses, placing the case of Little Hans into a philosophy-of-science context and critically rethinking the epistemological foundations of psychoanalysis. Wakefield logically evaluates four central Freudian arguments: the "undirected anxiety" argument which contends that Hans suffered from anxiety before he developed his horse phobia; the "day the horse fell down" argument where, engaging in some scholarly detective work, Wakefield resolves a century-old dispute between behaviorists and psychoanalysts about when Hans witnessed a frightening horse accident; the "N=1 sexual repression" argument that the trajectory of Hans’s sexual desires matches the Oedipal theory’s predictions; and lastly, the "detailed symptom characteristics" argument that the Oedipal theory is needed to understand otherwise inexplicable details of Hans’s symptoms. Wakefield demonstrates that, although Freud’s arguments are brilliantly conceived, he misread the facts of the Hans case and failed to support the Oedipal theory as judged by his own stated evidential standards. However, this failure creates an opportunity for renewed consideration of psychoanalysis’s distinctive contribution: the understanding of an individual’s unique meaning system and confrontation with meanings outside of focal awareness in order to reshape an individual’s fate. This book will be of interest to psychoanalysts and psychotherapists alike, and will prove essential for scholars working in the fields of psychoanalysis, philosophy of science, and the history of psychiatry.

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408

Publisher

Taylor & Francis

Published Date

ISBN 10

1000643352

ISBN 13

9781000643350

All We Have to Fear

Psychiatry's Transformation of Natural Anxieties into Mental Disorders

By: Allan V. Horwitz, PhD,Jerome C. Wakefield, DSW, PhD

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All We Have to Fear

Psychiatry's Transformation of Natural Anxieties into Mental Disorders

By: Allan V. Horwitz, PhD,Jerome C. Wakefield, DSW, PhD

Thirty years ago, it was estimated that less than five percent of the population had an anxiety disorder. Today, some estimates are over fifty percent, a tenfold increase. Is this dramatic rise evidence of a real medical epidemic? In All We Have to Fear, Allan Horwitz and Jerome Wakefield argue that psychiatry itself has largely generated this "epidemic" by inflating many natural fears into psychiatric disorders, leading to the over-diagnosis of anxiety disorders and the over-prescription of anxiety-reducing drugs. American psychiatry currently identifies disordered anxiety as irrational anxiety disproportionate to a real threat. Horwitz and Wakefield argue, to the contrary, that it can be a perfectly normal part of our nature to fear things that are not at all dangerous--from heights to negative judgments by others to scenes that remind us of past threats (as in some forms of PTSD). Indeed, this book argues strongly against the tendency to call any distressing condition a "mental disorder." To counter this trend, the authors provide an innovative and nuanced way to distinguish between anxiety conditions that are psychiatric disorders and likely require medical treatment and those that are not--the latter including anxieties that seem irrational but are the natural products of evolution. The authors show that many commonly diagnosed "irrational" fears--such as a fear of snakes, strangers, or social evaluation--have evolved over time in response to situations that posed serious risks to humans in the past, but are no longer dangerous today. Drawing on a wide range of disciplines including psychiatry, evolutionary psychology, sociology, anthropology, and history, the book illuminates the nature of anxiety in America, making a major contribution to our understanding of mental health.

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319

Publisher

Oxford University Press

Published Date

ISBN 10

0199793913

ISBN 13

9780199793914

Attachment, Sexuality, Power

Oedipal Theory as Regulator of Family Affection in Freud’s Case of Little Hans

By: Jerome C. Wakefield

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Attachment, Sexuality, Power

Oedipal Theory as Regulator of Family Affection in Freud’s Case of Little Hans

By: Jerome C. Wakefield

In Attachment, Sexuality, Power, Jerome C. Wakefield challenges established views of Freudian psychoanalysis by applying Foucault’s concept of ‘power/knowledge’ to Freud’s case of Little Hans, illuminating the role that Oedipal theory has played in reorganizing intimate family relationships. Combining close examination of the Hans case with accounts of the history of marriage and psychology of co-sleeping, this book argues that the Oedipal theory achieved prominence because its implications for family dynamics supported changing social values. Wakefield identifies a previously overlooked reason for Hans’s anxiety—his father attempted to protect Hans from his supposed Oedipal desires by separating Hans from his mother. Thus, Wakefield argues, the father’s exercise of power based on his belief in Oedipal theory, not an actual Oedipus complex, caused Hans’s vulnerability to anxiety—revealing the theory’s potential to cause harm by distancing children from their parents, even as such distancing made the theory socially appealing. This book’s novel and carefully documented articulation of the mechanisms of power by which Oedipal theory exerts its influence on family life will be of interest to psychoanalysts and psychotherapists alike, and essential for scholars in the fields of psychoanalysis, philosophy of science and the history of psychiatry.

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Page Count

398

Publisher

Taylor & Francis

Published Date

ISBN 10

1136726950

ISBN 13

9781136726958

Freud and Philosophy of Mind, Volume 1

Reconstructing the Argument for Unconscious Mental States

By: Jerome C. Wakefield

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Freud and Philosophy of Mind, Volume 1

Reconstructing the Argument for Unconscious Mental States

By: Jerome C. Wakefield

This book consists of a focused and systematic analysis of Freud’s implicit argument for unconscious mental states. The author employs the unique approach of applying contemporary philosophical methods, especially Kripke-Putnam essentialism, in analyzing Freud’s argument. The book elaborates how Freud transformed the intentionality theory of his Cartesian teacher Franz Brentano into what is essentially a sophisticated modern view of the mind. Indeed, Freud redirected Brentano's analysis of consciousness as intentionality into a view of consciousness-independent intentionalism about the mental that in effect set the agenda for latter-twentieth-century philosophy of mind.

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