Integrating Ethics with Psychiatry. The case of Antoni Kępiński

Authors

  • Paweł Łuków University of Warsaw, Institute of Philosophy

DOI:

https://doi.org/10.18778/0208-6107.28.03

Keywords:

Antoni Kępiński, ethics of medicine, moral values, psychiatry, patient-doctor-relation, epistemology in psychiatry

Abstract

This paper argues that in the case of mental illnesses whose somatic bases are not known or do not exist, a promising route to understand mental illness is to see it as the lack of a patient’s engagement with some moral values that are necessary for a good human life. The paper explains how the first-person perspective, which is constitutive for mental illnesses, makes it impossible to provide an adequate, third-person explanation of the pathological. Because of its irreducible first-personal nature, mental illness must be understood (also) in terms of a moral harm to the patient, and so an integration of ethics and psychiatry (at least at the level of practice) is required. This view is further illustrated with A. Kępiński’s idea of psychiatry as therapy with moral values.

References

Berrios, German E. The history of mental symptoms: descriptive psychopathology since the nineteenth century. Cambridge; New York: Cambridge University Press, 1996.
Google Scholar

Bolton, Derek. “Problems in the Definition of ʻMental Disorderʼ.ˮ The Philosophical Quarterly (1950-) 51, 203 (2001): 182–199.
Google Scholar

What is mental disorder?: an essay in philosophy, science, and values. International Perspectives in Philosophy and Psychiatry. Oxford; New York: Oxford University Press, 2008.
Google Scholar

Eysenck, Hans Jürgen. “Classification and the problems of diagnosis.ˮ In Handbook of Abnormal Psychology, edited by Hans Jürgen Eysenck. London: Pitman Medical Publishing Company Ltd., 1960.
Google Scholar

Fleck, Ludwik. Genesis and development of a scientific fact. Chicago: University of Chicago Press, 1979.
Google Scholar

Foucault, Michel. History of madness. New York: Routledge, 2006.
Google Scholar

Hales, Robert E., Stuart C. Yudofsky, Glen O. Gabbard. The American Psychiatric Publishing textbook of psychiatry. Washington, DC: American Psychiatric Pub., 2008.
Google Scholar

Jaspers, Karl. General psychopathology. Baltimore: JohnHopkins University Press, 1997.
Google Scholar

Kępiński, Antoni. Lęk. Warszawa: Państ. Zakład Wydawnictw Lekarskich, 1977.
Google Scholar

Łuków, Paweł. “Ethical Foundation of A. Kępiński's Psychiatry.ˮ In Ethik in der Psychiatrie und Psychotherapie, edited by Florian Steger, Jan C. Joerden and Andrzej M. Kaniowski. Frankfurt a.M.: Peter Lang Publishing, 2015.
Google Scholar

Moralność medycyny. O sztuce dobrego życia i o sztuce leczenia. Warszawa: Wydawnictwo Naukowe „Semper”, 2012.
Google Scholar

Nagel, Thomas. Mortal questions. Cambridge; New York: Cambridge University Press, 1979.
Google Scholar

Papineau, David. “Mental Disorder, Illness and Biological Disfunction.ˮ Royal Institute of Philosophy Supplements 37 (1994): 73–82.
Google Scholar

Porter, Roy. The greatest benefit to mankind: A medical history of humanity. London: Harper Collins, 1997.
Google Scholar

Rosenhan, David L. “On being sane in insane places.ˮ Science 179, no. 4070 (Jan 19, 1973): 250–258.
Google Scholar

Szasz, Thomas. The myth of mental illness; foundations of a theory of personal conduct. New York: Hoeber-Harper, 1961.
Google Scholar

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Published

2016-12-30

How to Cite

Łuków, P. (2016). Integrating Ethics with Psychiatry. The case of Antoni Kępiński. Acta Universitatis Lodziensis. Folia Philosophica. Ethica-Aesthetica-Practica, (28), 11–22. https://doi.org/10.18778/0208-6107.28.03