Works by Gergel, Tania (exact spelling)

8 found
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  1.  23
    Too Similar, Too Different? The Paradoxical Dualism of Psychiatric Stigma.Tania Gergel - 2014 - The Psychiatric Bulletin 38 (4):148-151.
    Challenges to psychiatric stigma fall between a rock and a hard place. Decreasing one prejudice may inadvertently increase another. Emphasising similarities between mental illness and ‘ordinary’ experience to escape the fear-related prejudices associated with the imagined ‘otherness’ of persons with mental illness risks conclusions that mental illness indicates moral weakness and the loss of any benefits of a medical model. An emphasis on illness and difference from normal experience risks a response of fear of the alien. Thus, a ‘likeness-based’ and (...)
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  2.  45
    Gender Medicine and Phenomenological Embodiment.Tania Gergel - 2016 - In The Bloomsbury Companion to Contemporary Philosophy of Medicine. Bloomsbury.
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  3.  29
    Coercion in Community Health Care-an Ethical Analysis.Tania Gergel & George Szmukler - 2016 - In A. Molodynski, J. Rugkasa & T. Burns (eds.), Coercion in Community Mental Health Care: International Perspectives. Oxford University Press.
    A book chapter exploring the potential consquences and ethical ramifications of using coercive measures within community mental healthcare. We argue that, althogh the move towards 'care in the community' may have had liberalising motivations, the subsequent reduction in inpatient or other supported residential provision, means that there has been an increasing move towards coercive measures outside of formal inpatient detention. We consider measures such as Community Treatment Orders, inducements, and other forms of leverage, explaining the underlying concepts, aims, and exploring (...)
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  4.  60
    Fluctuating Capacity and Advanced Decision Making – Self-Binding Directives and Self-Determination’.Tania Gergel & Gareth Owen - 2015 - International Journal of Law and Psychiatry 105 (40):92-101.
    For people with Bipolar Affective Disorder, a self-binding (advance) directive (SBD), by which they commit themselves to treatment during future episodes of mania, even if unwilling, can seem the most rational way to deal with an imperfect predicament. Knowing that mania will almost certainly cause enormous damage to themselves, their preferred solution may well be to allow trusted others to enforce treatment and constraint, traumatic though this may be. No adequate provision exists for drafting a truly effective SBD and efforts (...)
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  5.  26
    Choice, Compulsion, and Capacity in Addiction’ - A Commentary on Charland, L. ‘Consent and Capacity in the Age of the Opioid Epidemic: The Drug Dealer’s Point of View’.Tania Gergel - 2021 - Bulletin of the Association for the Advancement of Philosophy and Psychiatry 27 (2).
    Charland's article suggests that we need to think more about whether decision-making capacity is impaired in severe addiction, working from the idea that drug dealers rely on this understanding of addiction to draw in their clients. Charland argues that it is possible to make a choice without being in control (to make decisions without having decision-making capacity). I argue in support of Charland's ideas by examining the reasons supporting a medical model of addiction and its importance. (For Charland's article and (...)
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  6.  37
    Reasons for Endorsing or Rejecting ‘Self-Binding Directives’ in Bipolar Disorder: A Qualitative Study of Survey Responses From UK Service Users.Tania Gergel, Preety Das, Lucy Stephenson, Gareth Owen, Larry Rifkin, John Dawson, Alex Ruck Keene & Guy Hindley - 2021 - The Lancet Psychiatry 8.
    Summary Background Self-binding directives instruct clinicians to overrule treatment refusal during future severe episodes of illness. These directives are promoted as having potential to increase autonomy for individuals with severe episodic mental illness. Although lived experience is central to their creation, service users’ views on self-binding directives have not been investigated substantially. This study aimed to explore whether reasons for endorsement, ambivalence, or rejection given by service users with bipolar disorder can address concerns regarding self-binding directives, decision-making capacity, and human (...)
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  7. “Shock Tactics”, Ethics, and Fear. An Academic and Personal Perspective on the Case Against ECT.Tania Gergel - forthcoming - British Journal of Psychiatry.
    Despite extensive evidence for its effectiveness, ECT remains the subject of fierce opposition from those contesting its benefits and claiming extreme harms. Alongside some reflections on my experiences of this treatment, I examine the case against ECT, and find that it appears to rest primarily on unsubstantiated claims about major ethical violations, rather than clinical factors such as effectiveness and risk.
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  8.  56
    Manic Temporality.Wayne Martin, Tania Gergel & Gareth S. Owen - 2018 - Philosophical Psychology 32 (1):72-97.
    ABSTRACTTime-consciousness has long been a focus of research in phenomenology and phenomenological psychology. We advance and extend this tradition of research by focusing on the character of temporal experience under conditions of mania. Symptom scales and diagnostic criteria for mania are peppered with temporally inflected language: increased rate of speech, racing thoughts, flight-of-ideas, hyperactivity. But what is the underlying structure of temporal experience in manic episodes? We tackle this question using a strategically hybrid approach. We recover and reconstruct three hypotheses (...)
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