Mona Gupta - Is evidence-based psychiatry ethical?

Series editors: Bill (K.W.M.) Fulford, Lisa Bortolotti, Matthew Broome, 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

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

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

Kendler and Parnas (eds.)

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

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 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

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To my patients

Writing this book was both an engaging and a demanding experience, in all of the ways that make academic life rich and rewarding. It was, admittedly, less glamorous than I had imagined, with long hours spent in my windowless basement, dressed in track pants, and surrounded by unpacked boxes from a house move that had occurred two years previously. But these temporary inconveniences were minor compared to the contributions of so many people who have helped me along the way.

The book began its life as my doctoral dissertation, completed at the University of Toronto. I owe a debt of gratitude to my thesis committee for their unfailing support and guidance: Ross Upshur (my supervisor), Bill Harvey, Lynne Lohfeld, and Lawrie Reznek. Anthony Levitt was my department chief during these years. He believed in me and his support enabled me to fulfil my dream of having a career in academic medicine.

The research that formed the basis of this book could not have been completed without the research participants, who gave their time generously and trusted me with their insights. The Canadian Institutes of Health Research provided invaluable financial support. Bill Fulford, editor of the IPPP series, has been a mentor from the start. Martin Baum and Charlotte Green at Oxford University Press (UK) offered the correct proportions of persistence and patience. Robyn Bluhm, Suzanne Leclair, Nancy Potter, John Sadler, and Peter Zachar unhesitatingly reviewed various chapters and provided detailed and constructive feedback.

I am very grateful for the extensive moral and material support I have received during my career. I had just started writing the book when I moved from Toronto to Montral to the Centre Hospitalier de lUniversit de Montral (CHUM). My colleagues there welcomed me warmly and maintained a regular supply of optimism and chocolate, encouraging me at every turn. The CHUMs Department of Psychiatry and Centre de Recherche, as well as the Department of Psychiatry of the University of Montral, have supported me as a clinician-investigator, both valuing and promoting the humanities in psychiatry.