Bridging the Science/Humanism Divide
200 pp., 6 x 9 in,
- Published: August 21, 2009
- Publisher: The MIT Press
- Published: March 3, 2006
- Publisher: The MIT Press
A new patient-centered approach to psychiatry that aims to resolve the field's conceptual tension between science and humanism by drawing on classical American pragmatism and contemporary pragmatic bioethics.
Psychiatry today is torn by opposing sensibilities. Is it primarily a science of brain functioning or primarily an art of understanding the human mind in its social and cultural context? Competing conceptions of mental illness as amenable to scientific explanation or as deeply complex and beyond the reach of empirical study have left the field conceptually divided between science and humanism. In Healing Psychiatry David Brendel takes a novel approach to this stubborn problem. Drawing on the classical American pragmatism of Charles Sanders Peirce, William James, and John Dewey, as well as contemporary work of pragmatic bioethicists, Brendel proposes a "clinical pragmatism" that synthesizes scientific and humanistic approaches to mental health care. Psychiatry, he argues, must integrate scientific and humanistic models by emphasizing the practical, pluralistic, participatory, and provisional aspects of clinical diagnosis and treatment. Psychiatrists need to have the skill and flexibility to use scientific and humanistic approaches in a collaborative, open-ended clinical process; they must recognize the complexity of human suffering even as they strive for scientific rigor. This is the only way, he writes, that psychiatry can heal its conceptual rift and the emotional wounds of its patients.
Healing Psychiatry explores these issues from both clinical and theoretical standpoints and uses case histories to support its basic argument. Brendel calls for an open-minded and flexible yet scientifically informed approach to understanding, diagnosing, and treating mental disorders. And he considers the future of psychiatry, applying the principles of clinical pragmatism to a broad range of ethical concerns in psychiatric training and research.
American psychiatry, in its commitment to biological determinism, is in danger of dehumanizing the patient it is attempting to cure. To heal itself, psychiatry must change its philosophical assumptions. I believe that Brendel is absolutely right that it needs to adopt a skeptical, pragmatic, pluralistic outlook. This is an important contribution to the philosophy of psychiatry.
Arnold H. Modell, M. D., Clinical Professor of Psychiatry, Harvard Medical School
Any mental health worker would do well to read this book and take note of the main theme; patients come before theory.
Journal of Mental Health
The approach throughout is thoughtful, well-reasoned, and persuasive. Psychiatrists, psychoanalysts, and all mental health professionals will find it informative and challenging.
The Bulletin of the Menninger Clinic
Healing Psychiatry clarifies what a philosophical pragmatic approach to psychiatry would be. There has been little work done on applying pragmatism to psychiatry, so this is a valuable contribution to the debate. One of the great strengths of this book is that it manages to bridge the gap between philosophy and psychiatry. It is a significant contribution to the fields of medical ethics and philosophy of medicine, pragmatism, medical humanities, and philosophy of psychiatry.
Christian Perring, Department of Philosophy, Dowling College
This work is valuable, and will contribute to a dialogue that focuses on our patients' needs rather than our professional theoretical biases.
Ashok J. Bharucha, Department of Psychiatry, University of Pittsburgh Medical Center