Nosology Wars!: The Concept of Disorder and the Future of Psychiatric Classification – Jerome Wakefield
We are living through an interesting and rather tumultuous time in the history of psychiatric nosology. I will provide an overview of how we got here and, I’m afraid, a rather skeptical and conservative assessment of various proposals for where we should go in the immediate future. I will be guided by my “harmful dysfunction” analysis of the concept of mental disorder, which I will briefly explain and defend with some recent supportive evidence. The tumult arises from the widespread perception, which I will argue is not wholly accurate, that the dominant “neo-Kraepelinian” (or better, I will argue, “neo-Spitzerian”) approach to psychiatric diagnosis and classification has decisively failed, leaving psychiatry without a conceptual framework. Keeping in mind Santayana’s aphorism that “Those who cannot remember the past are condemned to repeat it,” I argue that the origins of the current system lie in foundational conceptual issues of psychiatry’s medical legitimacy that cannot be ignored lest psychiatry confront a new antipsychiatry challenge, and that the proposals on offer to replace the current neo-Kraepelinian system fail to adequately address this issue.
Jerome Wakefield is a philosopher. He is Professor of Social Work and Professor of the Conceptual Foundations of Psychiatry, NYU School of Medicine
Date: 26 janvier, 19h-20h30 (heure française) / 1-2.30pm NY
For the zoom event, click here