The Seduction of Positivism: An Existential Phenomenological Explanation
DOI:
https://doi.org/10.65828/cdg56c57Abstract
This paper explores the phenomena of communication between patients and psychiatrists. We contend that there is in operation two paradigms or modes of understanding the human subject. Psychiatrists appear to employ a form of positivism, whilst patients employ a form of phenomenology. Whilst positivism is the dominant force in most psychiatrist-patient relationships, it is also a form of legitimated discourse. In this paper we want to explore why this is the case and to suggest that medical hegemony alone could not suffice to explain the power of positivism and rather that explanations in terms of a positive therapeutics need to be addressed. It is this dual aspect of positivism, power and legitimation that we have called the seduction of positivism.
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References
Banton, R., Clifford, P., Frosh, S., Lousada, J., Rosenthal, J. (1985) The Politics of Mental Health. Oxford. MacMillan P. Co. DOI: https://doi.org/10.1007/978-1-349-17820-9
Barnes, M. (1971) Two Accounts of a Journey through Madness. London. MacGibbon and Kee.
Baruch, G., and Treacher, A. (1978) Psychiatry Observed. London, Routledge and Kegan Paul. DOI: https://doi.org/10.4324/9780429452192
Baruch, G., and Treacher, A. Towards a Critical History of the Psychiatric Profession (1981) in Ingleby, D. (ed) Critical Psychiatry. Harmondsworth, Penguin.
Brown, G. and Harris, T.O. (1978) Social Origins of Depression. London, Tavistock Press.
Ciompi, L. (1980). The natural history of schizophrenia in the long term. British Journal of Psychiatry, 136, 413-420.
Clare, A. (1976) Psychiatry in Dissent. London, Tavistock Press. DOI: https://doi.org/10.4324/9780203714935
Cooper, D. (1967) Psychiatry and Anti-Psychiatry. London, Tavistock Press. DOI: https://doi.org/10.4324/9781315013992
Derrida, J. (1976) Of Grammatology. Baltimore, John Hopkins U.P. DOI: https://doi.org/10.56021/9781421419954
Foucault, M. (1965) Madness and Civilisation. London, Tavistock Press.
Foucault, M. (1973) The Birth of the Clinic. London, Tavistock Press. DOI: https://doi.org/10.4324/9780203406373
Foucault, M. (1979) History of Sexuality. Vol.1. Harmondsworth, Penguin.
Gottesman, I.I., and Shield, J. (1982) Schizophrenia: The Epigenetic Puzzle. Cambridge Un. Press.
Guattari, F. (1984) Molecular Revolution: Psychiatry and Politics. Harmondsworth, Penguin. DOI: https://doi.org/10.5040/9780755693870.ch-008
Heidegger, M. (1967) Being and Time. Oxford, Basil Blackwell.
Howarth-Williams, M. (1977) R.D. Laing. London, Routledge and Kegan Paul Ltd.
Ingleby, D. (ed) (1981) Critical Psychiatry: The Politics of Mental Health. Harmondsworth, Penguin.
Jaspers, K. (1968) The Phenomenology Approach in Psychopathology. British Journal of Psychiatry, 114: 1313-23. DOI: https://doi.org/10.1192/bjp.114.516.1313
Kafka, F. (1957) The Castle. Harmondsworth, Penguin. DOI: https://doi.org/10.1093/owc/9780199238286.001.0001
Kolakowski, L. (1972) Positivist Philosophy. London
Laing, R.D. (1965) The Divided Self. Harmondsworth, Penguin. DOI: https://doi.org/10.5040/9781911501787.00000003
Mayer-Gross, W., Slater, E. and Roth, M. (1960) Clinical Psychiatry. New York, Cassell Press.
Merleau-Ponty, M. (1973) Consciousness and the Acquisition of Language. Evanston, Northwestern University Press.
Natanson, M (1967) 'Phenomenology as a Rigorous Science' in International Philosophical Quarterly, Vol. VII, pp.5-20. DOI: https://doi.org/10.5840/ipq1967713
Neale, J.M. and Oltmanns, T.F. (1980) Schizophrenia. New York, Wiley.
Plessner, H (1953) 'With Different Eyes' in Luckmann (1978) Phenomenology and Sociology, Harmondsworth, Penguin.
Rogers, A; Pilgram, D and Lacey, R (1993) Experiencing Psychiatry: Users' views of services. Macmillan/MIND. London DOI: https://doi.org/10.1007/978-1-349-22636-8
Rose, N (1986) Psychiatry: the discipline of mental health in Miller, N and Rose, N (1986) (Eds) The Power of Psychiatry. London, Polity Press.
Sargent, W. and Slater, F. (1972) Introduction to Physical Treatment in Psychiatry. Edinburgh, Livingstone.
Sartre, J.P. (1965) Existentialism and Humanism. London, Methuen.
Sartre, J.P. (1966) Being and Nothingness. New York, Washington Square Press. DOI: https://doi.org/10.4324/9780203827123
Schutz, A. (1962) Collected Papers. Vol. I: The Problem of Social Reality. The Hague, Nijhoff.
Robert Gareth Hill, MSc. Research Associate, The Sainsbury Centre for Mental Health, 134-138 Borough High Street, London SE1 1LB. DOI: https://doi.org/10.2307/j.ctv1850hvv.27


