Hostname: page-component-76fb5796d-9pm4c Total loading time: 0 Render date: 2024-04-26T18:31:24.291Z Has data issue: false hasContentIssue false
  • English
  • Français

When the illness speaks

Published online by Cambridge University Press:  02 February 2023

Norman R. Greenberg Open the ORCID record for Norman R. Greenberg [Opens in a new window]
Norman R. Greenberg*
Affiliation:
Resident physician in the Department of Psychiatry, Weill Cornell Medical Center, New York, New York, USA. He received his BA in chemistry at Princeton University. He then received his medical degree from Yale School of Medicine and investigated similarities among behavioural addictions in adolescents, under the guidance of Dr Marc N. Potenza.
*
Correspondence Norman R. Greenberg. Email: vrw9004@nyp.org
Get access Rights & Permissions [Opens in a new window]

Summary

The nature of culpability and agency in patients with a variety of psychiatric diagnoses is complex. In this article, a psychiatry resident (specialty trainee in psychiatry) reflects on a clinical encounter in medical school to demonstrate some of the benefits (including the removal of stigma) and dangers (including the threat to patients’ agency) of using the medical model to conceptualise psychiatric illness.

Keywords

Philosophyethicseducation and trainingstigma and discriminationcarers
Type
Clinical Reflection
Information
BJPsych Advances , Volume 30 , Issue 3 , May 2024 , pp. 164 - 165
Check for updates
Copyright
Copyright © The Author(s), 2023. Published by Cambridge University Press on behalf of Royal College of Psychiatrists

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Ayob, G (2016) Agency in the absence of reason-responsiveness: the case of dispositional impulsivity in personality disorders. Philosophy Psychiatry & Psychology, 23: 61–73.CrossRefGoogle Scholar
Hashworth, T, Reis, S, Townsend, M, et al (2022) Personal agency and borderline personality disorder: a longitudinal study of outcomes. BMC Psychiatry, 22(1): 566.CrossRefGoogle ScholarPubMed
Novick, AM, Ross, DA (2020) Dualism and the ‘difficult patient’: why integrating neuroscience matters. BJPsych Advances, 26: 327–30.CrossRefGoogle ScholarPubMed
Pickard, H (2011) Responsibility without blame: empathy and the effective treatment of personality disorder. Philosophy Psychiatry & Psychology, 18: 209–23.CrossRefGoogle ScholarPubMed
Szalai, J (2016) Agency and mental states in obsessive-compulsive disorder. Philosophy Psychiatry & Psychology, 23: 47–59.CrossRefGoogle Scholar
Submit a response

eLetters

No eLetters have been published for this article.