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Christian Perring - Diagnostic Dilemmas in Child and Adolescent Psychiatry: Philosophical Perspectives

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Though many of the ethical issues important in adult mental health are of relevance in the child, there are a considerable number of issues special to children. Many of the dilemmas faced pertain to diagnosis, treatment, the protection of the child, as well as the childs own developing intelligence and moral judgement. In addition, there are cases where the interests of the parents may conflict with the interests of the child. For example, the interests of a mother with schizophrenia might best be served by her continuing to look after her child, but the childs interests might require that a substitute placement be found.
Diagnostic Dilemmas in Child and Adolescent Psychiatry is the first in the IPPP series to explore this highly complex topic. It brings together a collection of clinicians and philosophers who consider a range of topics central to the diagnosis and treatment of children and adolescents affected by mental disorders.

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Diagnostic Dilemmas in Child and Adolescent Psychiatry

International Perspectives in Philosophy and Psychiatry

Series editors: Bill (K.W.M.) Fulford, Katherine Morris, John Z. Sadler, and Giovanni Stanghellini

Volumes in the series:

Portrait of the Psychiatrist as a Young Man: The Early Writing and Work of R.D. Laing, 19271960
Beveridge

Mind, Meaning, and Mental Disorder 2e
Bolton and Hill

What is Mental Disorder?
Bolton

Delusions and Other Irrational Beliefs
Bortolotti

Postpsychiatry
Bracken and Thomas

Philosophy, Psychoanalysis, and the A-Rational Mind
Brakel

Unconscious Knowing and Other Essays in Psycho-Philosophical Analysis
Brakel

Psychiatry as Cognitive Neuroscience
Broome and Bortolotti (eds.)

Free Will and Responsibility: A Guide for Practitioners
Callender

Reconceiving Schizophrenia
Chung, Fulford, and Graham (eds.)

Darwin and Psychiatry
De Block and Adriaens (eds.)

Oxford Handbook of Philosophy and Psychiatry
Fulford, Davies, Gipps, Graham, Sadler, Stanghellini, and Thornton (eds.)

Nature and Narrative: An Introduction to the New Philosophy of Psychiatry
Fulford, Morris, Sadler, and Stanghellini (eds.)

Oxford Textbook of Philosophy and Psychiatry
Fulford, Thornton, and Graham (eds.)

The Mind and its Discontents
Gillett

Thinking Through Dementia
Hughes

Dementia: Mind, Meaning, and the Person
Hughes, Louw, and Sabat (eds.)

Talking Cures and Placebo Effects
Jopling

Philosophical Issues in Psychiatry II: Nosology
Kenneth S. Kendler and Josef Parnas

Discursive Perspectives in Therapeutic Practice
Lock and Strong (eds.)

Schizophrenia and the Fate of the Self
Lysaker and Lysaker

Responsibility and Psychopathy
Malatesti and McMillan

Body-Subjects and Disordered Minds
Matthews

Rationality and Compulsion: Applying action theory to psychiatry
Nordenfelt

Diagnostic Dilemmas in Child and Adolescent Psychiatry
Perring and Wells (eds.)

Philosophical Perspectives on Technology and Psychiatry
Phillips (ed.)

The Metaphor of Mental Illness
Pickering

Mapping the Edges and the In-between
Potter

Trauma, Truth, and Reconciliation: Healing Damaged Relationships
Potter (ed.)

The Philosophy of Psychiatry: A Companion
Radden

The Virtuous Psychiatrist
Radden and Sadler

Addiction and Weakness of Will
Radoilska

Autonomy and Mental Disorder
Radoilska (ed.)

Feelings of Being
Ratcliffe

Recovery of People with Mental Illness: Philosophical and Related Perspectives
Rudnick (ed.)

Values and Psychiatric Diagnosis
Sadler

Disembodied Spirits and Deanimated Bodies: The Psychopathology of Common Sense
Stanghellini

One Century of Karl Jaspers General Psychopathology
Stanghellini and Fuchs (eds.)

Emotions and Personhood
Stanghellini and Rosfort

Essential Philosophy of Psychiatry
Thornton

Empirical Ethics in Psychiatry
Widdershoven, McMillan, Hope, and Van der Scheer (eds.)

The Sublime Object of Psychiatry: Schizophrenia in Clinical and Cultural Theory
Woods

Diagnostic Dilemmas in Child and Adolescent Psychiatry

Philosophical Perspectives

Edited by

Christian Perring and Lloyd A. Wells

Diagnostic Dilemmas in Child and Adolescent Psychiatry Philosophical Perspectives - image 1

Diagnostic Dilemmas in Child and Adolescent Psychiatry Philosophical Perspectives - image 2

Great Clarendon Street, Oxford, OX2 6DP,
United Kingdom

Oxford University Press is a department of the University of Oxford.
It furthers the Universitys objective of excellence in research, scholarship, and education by publishing worldwide. Oxford is a registered trade mark of Oxford University Press in the UK and in certain other countries

Oxford University Press 2014

The moral rights of the authors have been asserted

First Edition published in 2014

Impression: 1

All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, without the prior permission in writing of Oxford University Press, or as expressly permitted by law, by licence or under terms agreed with the appropriate reprographics rights organization. Enquiries concerning reproduction outside the scope of the above should be sent to the Rights Department, Oxford University Press, at the address above

You must not circulate this work in any other form and you must impose this same condition on any acquirer

Published in the United States of America by Oxford University Press
198 Madison Avenue, New York, NY 10016, United States of America

British Library Cataloguing in Publication Data
Data available

Library of Congress Control Number: 2014930237

ISBN 9780199645756

Printed and bound by
Clays Ltd, St Ives plc

Oxford University press makes no representation, express or implied, that the drug dosages in this book are correct. Readers must therefore always check the product information and clinical procedures with the most up-to-date published product information and data sheets provided by the manufacturers and the most recent codes of conduct and safety regulations. The authors and the publishers do not accept responsibility or legal liability for any errors in the text or for the misuse or misapplication of material in this work. Except where otherwise stated, drug dosages and recommendations are for the non-pregnant adult who is not breast-feeding

I dedicate my work in this book to the memory of my father,
Wyndham Perring, and to my mother, Odile Whicheloe.
Christian Perring

My portion of this book is dedicated to the memory of David
A. Mrazek, who had a vision about the future of psychiatric diagnosis
which we discussed over several years. He was the best colleague,
friend, and mentor.
Lloyd A. Wells

Acknowledgments

I would like to thank Dowling College for supporting this research.

Christian Perring

I would like to acknowledge the incredible patience of Denise M. Wells during the writing and editing of this book. Her comments on it have been wise and helpful.

Lloyd A. Wells

We are greatly in debt to Charlotte Green of Oxford University Press, who has been available daily regarding this book and has been a source of great assistance.

Christian Perring and Lloyd A. Wells

Preface: Conceptual, Methodological, and Ethical Issues in Categorizing and Diagnosing Child and Adolescent Mental Disorders

Christian Perring

The philosophical study of psychiatry has made great advances since it started to be widely studied and practiced by philosophers, psychiatrists, and other mental health professionals. It has many strands, and these include not only philosophical debates in science and metaphysics, such as the scientific status of the study of the mind, and the relationship between the mind and the body, but also normative debates, such as the duties of a physician to a patient, when a patient is autonomous, and what counts as sanity. The debates have been rich, involving many different perspectives and philosophical methodologies. While there is rarely consensus on particular issues, the vigor and depth of the debates are clear indicators of how important they are. The enthusiasm with which excellent philosophical work has been done shows that the topics are not just socially important but also intellectually rewarding.

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