Philosophical psychopathology : disorders of the mind
Includes bibliographical references and index.
1. Introduction -- 2. Autonomy : the importance of justified beliefs about material facts -- 3. Autonomy : the importance of justified beliefs about affect -- 4. Depression : disorder of affect, disorder of autonomy -- 5. Understanding negative biases promotes autonomy in depression -- 6. Understanding causal stressors promotes autonomy in depression -- 7. A special duty to promote autonomy in depression : the moral case for psychotherapy -- Appendix. The Hamilton Rating Scale for Depression.
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One in six people worldwide will experience depression over the course of a lifetime. Many who seek relief through the healthcare system are treated with antidepressant medication; in the United States, nearly 170 million prescriptions for antidepressants were written in 2005, resulting in more than $12 billion in sales. And yet despite the dominance of antidepressants in the marketplace and the consulting room, another treatment for depression has proven equally effective: psychotherapyin particular, cognitive behavior therapy (CBT). Antidepressants can lift mood independent of a persons understanding of symptoms or stressors. By contrast, CBT teaches patients skills for dealing with distressing feelings, negative thoughts, and causal stressors. In this book, Paul Biegler argues that the insights patients gain from the therapeutic process promote autonomy. He shows that depression is a disorder in which autonomy is routinely and extensively undermined and that physicians have a moral obligation to promote the autonomy of depressed patients. He concludes that medical practitioners have an ethical imperative to prescribe psychotherapy- cognitive behavior therapy in particular- for depression.--[book jacket]
Autonomy (Psychology)
Cognitive therapy-- Moral and ethical aspects.
Depression, Mental-- Treatment-- Moral and ethical aspects.