The dominance of technological paradigms within psychiatry creates moral and ethical tensions over how to engage with the interpersonal narratives of those experiencing mental distress. This paper argues that such paradigms are poorly suited for fostering principled responses to human suffering, and proposes an alternative approach that considers a view of relationships based in feminist theories about the nature of caring. Four primary characteristics are presented which distinguish caring from technological paradigms: a concern with the particular nature of contexts, embodied (...) practice, the dialogical basis of caring and the existential basis of caring. From this we explore the role of the moral imagination and our ability, through narrative, to acknowledge, engage with and bear witness to the injustices that shape the lives of those who suffer. This, we argue, is at the heart of caring. Clinical implications are discussed, including an exposition of the importance of narrative in recovery from trauma and distress. Narrative Psychiatry, The Sanctuary Model of care, and Soteria, are outlined as examples of this type of practice. (shrink)

This paper explores the formative role of substances of intoxication in the social and scientific establishment of the biological subject in late nineteenth-century Germany. Sourcing the emergence of substances of intoxication as “vital substances” from Brunonianism, this narrative traces their initial significance for Romantic physiology, followed by their rejection from neo-mechanical scientific physiology. Emphasis is placed on late nineteenth-century psychological research on the effects of intoxicants on the mind as the site of a dynamic encounter between theories of the mind (...) and the body, particularly through Kraepelin’s concept of intoxication as model psychosis, and his related research. The biological subject, here, is anti-vitalistic, and, yet, conceptually distinct from neo-mechanism. (shrink)