Mental Patient

Psychiatric Ethics from a Patient's Perspective

Abigail Gosselin

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English

MIT Press
31 January 2023

Doctor patient relationship

Series: Basic Bioethics

A philosopher who has experienced psychosis argues that recovery requires regaining agency and autonomy within a therapeutic relationship based on mutual trust.

A philosopher who has experienced psychosis argues that recovery requires regaining agency and autonomy within a therapeutic relationship based on mutual trust.

In Mental Patient, philosopher Abigail Gosselin uses her personal experiences with psychosis and the process of recovery to explore often overlooked psychiatric ethics. For many people who struggle with psychosis, she argues, psychosis impairs agency and autonomy. She shows how clinicians can help psychiatric patients regain agency and autonomy through a positive therapeutic relationship characterized by mutual trust. Patients, she says, need to take an active role in regaining their agency and autonomy-specifically, by giving testimony, constructing a narrative of their experience to instill meaning, making choices about treatment, and deciding to show up and participate in life activities.

Gosselin examines how psychotic experience is medicalized and describes what it is like to be a patient receiving mental health care treatment. In addition to mutual trust, she says, a productive therapeutic relationship requires the clinician's empathetic understanding of the patient's experiences and perspective. She also explains why psychotic patients sometimes feel ambivalent about recovery and struggle to stay committed to it. The psychiatric ethics issues she examines include the development of epistemic agency and credibility, epistemic justice, the use of coercion, therapeutic alliance, the significance of choice, and the taking of responsibility. Mental Patient differs from straightforward memoirs of psychiatric illness in that it analyses philosophic issues related to psychosis and recovery, and it differs from other books on psychiatric ethics in that its analyses are drawn from the author's first-person experiences as a mental patient.

By: Abigail Gosselin
Imprint: MIT Press
Country of Publication: United States
Dimensions: Height: 229mm, Width: 152mm,
Weight: 369g
ISBN: 9780262544313
ISBN 10: 0262544318
Series: Basic Bioethics
Pages: 296
Publication Date: 31 January 2023
Audience: General/trade , ELT Advanced
Format: Paperback
Publisher's Status: Active

Acknowledgments ix Introduction 1 1 Psychosis 7 2 Autonomy 29 3 Patient 55 4 Trust 81 5 Empathy 109 6 Testimony 135 7 Meaning Making 165 8 Choices 199 Conclusion 227 Notes 233 Bibliography 261 Index 287

Abigail Gosselin is a Professor of Philosophy at Regis University in Denver, Colorado.