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Darwin, functional explanation, and the philosophy of psychiatry

In Pieter R. Adriaens & Andreas de Block (eds.), Maladapting Minds: Philosophy, Psychiatry, and Evolutionary Theory. Oxford University Press. pp. 43--172 (2011)

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  1. Putting phenomenology in its place: some limits of a phenomenology of medicine.Jonathan Sholl - 2015 - Theoretical Medicine and Bioethics 36 (6):391-410.
    Several philosophers have recently argued that phenomenology is well-suited to help understand the concepts of health, disease, and illness. The general claim is that by better analysing how illness appears to or is experienced by ill individuals—incorporating the first-person perspective—some limitations of what is seen as the currently dominant third-person or ‘naturalistic’ approaches to understand health and disease can be overcome. In this article, after discussing some of the main insights and benefits of the phenomenological approach, I develop three general (...)
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  • Time for a Change: Topical Amendments to the Medical Model of Disease.Isabella Sarto-Jackson - 2018 - Biological Theory 13 (1):29-38.
    There is a conceptual crisis in the biomedical sciences that is particularly salient in psychopathology research. Underlying the crisis is a controversy that pertains to the current medical model of disease that largely draws from causal-mechanistic explanations. The bedrock of this model is the analysis of biological part-dysfunctions that aims at unequivocally defining a pathological condition and demarcating it from its neighboring entities. This endeavor has led to a quest for physiological, biochemical, and genetic signatures. Yet, so far there is (...)
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  • Out of Order: Function and Malfunction in the Biological and Biomedical Sciences.Isabella Sarto-Jackson - 2018 - Biological Theory 13 (1):1-3.
    There is a conceptual crisis in the biomedical sciences that is particularly salient in psychopathology research. Underlying the crisis is a controversy that pertains to the current medical model of disease that largely draws from causal-mechanistic explanations. The bedrock of this model is the analysis of biological part-dysfunctions that aims at unequivocally defining a pathological condition and demarcating it from its neighboring entities. This endeavor has led to a quest for physiological, biochemical, and genetic signatures. Yet, so far there is (...)
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  • Précis of Delusions and Beliefs: A Philosophical Inquiry.Kengo Miyazono - 2022 - Asian Journal of Philosophy 1 (2):1-5.
    The central hypothesis of this book, Delusions and Beliefs: A Philosophical Inquiry (Routledge, 2019), is that delusions are malfunctional beliefs (Chapter 1); they belong to the category of belief (Chapter 2) but, unlike mundane false or irrational beliefs, they fail to perform some functions of belief (Chapter 3). More precisely, delusions directly or indirectly involve some malfunctioning cognitive mechanisms, which is empirically supported by the two-factor account of delusion formation (Chapter 4).
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  • Delusions as harmful malfunctioning beliefs.Kengo Miyazono - 2015 - Consciousness and Cognition 33:561-573.
    Delusional beliefs are typically pathological. Being pathological is clearly distinguished from being false or being irrational. Anna might falsely believe that his husband is having an affair but it might just be a simple mistake. Again, Sam might irrationally believe, without good evidence, that he is smarter than his colleagues, but it might just be a healthy self-deceptive belief. On the other hand, when a patient with brain damage caused by a car accident believes that his father was replaced by (...)
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  • Is Psychopathy a Harmful Dysfunction?Marko Jurjako - 2019 - Biology and Philosophy 34 (5):1-23.
    In their paper “Is psychopathy a mental disease?”, Thomas Nadelhoffer and Walter Sinnott-Armstrong argue that according to any plausible account of mental disorder, neural and psychological abnormalities correlated with psychopathy should be regarded as signs of a mental disorder. I oppose this conclusion by arguing that at least on a naturalistically grounded account, such as Wakefield’s ‘Harmful Dysfunction’ view, currently available empirical data and evolutionary considerations indicate that psychopathy is not a mental disorder.
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  • Wakefield’s harmful dysfunction analysis of disorder and the problem of defining harm to nonsentient organisms.Antoine C. Dussault - 2021 - Theoretical Medicine and Bioethics 42 (5):211-231.
    This paper criticizes Jerome Wakefield’s harmful dysfunction analysis of disorder by arguing that the conceptual linkage it establishes between the medical concepts of health and disorder and the prudential notions of well-being and harm makes the account inapplicable to nonsentient organisms, such as plants, fungi, and many invertebrate animals. Drawing on a previous formulation of this criticism by Christopher Boorse, and noting that Wakefield could avoid it if he adopted a partly biofunction-based account of interests like that often advocated in (...)
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