Classifying Madness A Philosophical Examination of the Diagnostic an

Classifying Madness examines the conceptual foundations of the D.S.M., the main classification of mental disorders used by psychiatrists world-wide. It will be of interest to both mental health professionals and to philosophers interested in classificatio

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Classifying Madness A Philosophical Examination of the Diagnostic and Statistical Manual of Mental Disorders

by Rachel Cooper

CLASSIFYING MADNESS

Philosophy and Medicine VOLUME 86 Founding Co-Editor Stuart F. Spicker

Editor H. Tristram Engelhardt, Jr., Department of Philosophy, Rice University, and Baylor College of Medicine, Houston, Texas

Associate Editor Kevin Wm. Wildes, S.J., Department of Philosophy and Kennedy Institute of Ethics, Georgetown University, Washington, D.C.

Editorial Board George J. Agich, Department of Bioethics, The Cleveland Clinic Foundation, Cleveland, Ohio Nicholas Capaldi, Department of Philosophy, University of Tulsa, Tulsa, Oklahoma Edmund Erde, University of Medicine and Dentistry of New Jersey, Stratford, New Jersey Eric T. Juengst, Center for Biomedical Ethics, Case Western Reserve University, Cleveland, Ohio Christopher Tollefsen, Department of Philosophy, University of South Carolina, Columbia, South Carolina Becky White, Department of Philosophy, California State University, Chico, California

The titles published in this series are listed at the end of this volume

CLASSIFYING MADNESS A PHILOSOPHICAL EXAMINATION OF THE DIAGNOSTIC AND STATISTICAL MANUAL OF MENTAL DISORDERS

by

RACHEL COOPER University of Lancaster, U.K.

A C.I.P. Catalogue record for this book is available from the Library of Congress.

ISBN-10 1-4020-3344-3 (HB) Springer Dordrecht, Berlin, Heidelberg, New York ISBN-10 1-4020-3345-1 (e-book) Springer Dordrecht, Berlin, Heidelberg, New York ISBN-13 978-1-4020-3344-5 (HB) Springer Dordrecht, Berlin, Heidelberg, New York ISBN-13 978-1-4020-3345-2 (e-book) Springer Dordrecht, Berlin, Heidelberg, New York

Published by Springer, P O. Box 17, 3300 AA Dordrecht, The Netherlands. P.

Printed on acid-free paper

springeronline.com All Rights Reserved © 2005 Springer No part of this work may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, microfilming, recording or otherwise, without written permission from the Publisher, with the exception of any material supplied specifically for the purpose of being entered and executed on a computer system, for exclusive use by the purchaser of the work. Printed in the Netherlands.

CONTENTS

Acknowledgements

vii

Introduction

1

1

What is mental disorder?

5

2

Are mental disorders natural kinds?

45

3

The problem of theory-ladenness

77

4

The D.S.M. and feedback in applied science

105

Conclusions

149

Appendix

151

References

153

Index

165

v

ACKNOWLEDGEMENTS

A great many people have helped me in writing this book. Most of all I am grateful to John Forrester, Robin Downie, Nick Jardine, and Chris Megone who read and commented on entire drafts. I’d also like to thank the following people who read and commented on sections: Nick Clark-Steel, Stephen Cowley, Gregory Currie, Julien Deonna, John Dupré, Martin Elphink, Katherine Hawley, David Healy, Susan James, Joel Katzav, Martin Kusch, Peter Lipton, Hugh Mellor, Dominic Murphy, Ha