The Transnational Condition: Protest Dynamics in an Entangled Europe

The Transnational Condition: Protest Dynamics in an Entangled Europe
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跨国状况:错综复杂的欧洲的抗议动态

DOI:
10.1080/10848770.2014.927236
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发表时间:
2014
期刊:
The European Legacy
影响因子:
--
通讯作者:
Francis D. Raška
Francis D. Raška
中科院分区:
--
文献类型:
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作者:
Francis D. Raška

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第五,2013)。我同意作者的观点,即目前的模型不足以解释精神疾病。问题是,我们对大脑和意识的了解还不够,无法得出合理的结论。此外,没有人能够提出一个普遍接受的精神障碍的定义。许多人尝试过,但所有的尝试都因缺乏健康与疾病之间的明确界限而失败。我们能做的最好的事情就是就严重精神障碍患者达成一致,而对轻度精神障碍患者进行争论。过度诊断的问题是一个严重的问题,在文本中没有触及。虽然这本书是在2006年出版的,但随着DSM-5的引入,诊断有效性的问题已经移到了前台和中心。虽然这本书有很多有趣的地方,但我的主要批评是它没有解决生物精神病学的严重局限性。在认知神经科学中发现根茎障碍是一个有远见的想法,但不太实际。我们距离解决极其复杂的问题还有几十年的时间。我们仍然需要一个整合生物、心理和社会的模型。我本希望这本书能超越抽象的概念,探讨我们当前精神病学范式的实际后果。经历正常危机的人通常会接受常规的药物治疗,而这本书几乎没有提到其他方法,比如心理治疗。最后,作为一名人格障碍研究人员,我希望听到更多关于这些情况的信息,它们不能被简单地视为“生活中的问题”。虽然对精神病进行了很好的讨论,但关于边缘性人格(他说了两次),作者不得不说的是,在目前的DSM系统中,有太多的方法可以达到诊断。也许这反映了一个从未在急诊室度过一个晚上的哲学家的观点。
DSM-5, 2013). I agree with the author that current models are insufficient to explain psychiatric disorders. The problem is that we just don’t know enough about brain and mind to come up with something reasonable. Moreover, no one has been able to come up with a generally accepted definition of mental disorder. Many have tried, but all attempts founder on the lack of any clear boundary between health and illness. The best we can do is to agree about people with severe mental disorders, and to argue about those with mild ones. The problem of overdiagnosis, not touched on in the text, is a serious one. Although this book was published in 2006, with the introduction of DSM-5, the problem of diagnostic validity has moved to front and center. While there is much of interest in this book, my main criticism is that it does not grapple with the serious limitations of biological psychiatry. Rooting disorders in the findings of cognitive neuroscience is a visionary idea, but not very practical. We are decades away from solving problems of enormous complexity. And we will still need a model that integrates the biological, the psychological, and the social. I would have liked the book to move beyond abstract ideas and grapple with the practical consequences of our current psychiatric paradigm. People going through normal crises are being routinely prescribed medication, and this book has little to say about alternative methods, such as psychotherapy. Finally, as a researcher in personality disorders, I would have liked to hear more about these conditions, which cannot be simply dismissed as “problems in living.” While there is a nice discussion of psychopathy, all the author has to say about borderline personality (and he says it twice) is that there are too many ways of reaching the diagnosis in the current DSM system. Perhaps this reflects the perspective of a philosopher who has never spent an evening working in an emergency room.