Divided Minds and Successive Selves: Ethical Issues in Disorders of Identity and Personality

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MIT Press, 1996 - Philosophy - 311 pages
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If people change radically as a result of mental disturbance or brain damage ordisease, how should we acknowledge that change in the way in which we respond to them? And howshould society and the law acknowledge that change, particularly in cases of multiple-personalityand manic-depressive disorders? This book addresses these and a cluster of other questions aboutchanges in the self through time and about the moral attitudes we adopt in the face of thesechanges. The result is a broad-ranging interdisciplinary discussion at the boundaries of psychiatry,philosophy, law, and social policy. Theories of personal identity are applied to, and clarified inlight of, the appearance of multiple selves in a variety of personality and identitydisturbances.Divided minds force us to clarify our thinking about human subjectivity, Radden pointsout, and when they result in a succession of "selves," they provoke interesting ethical and legalissues. Radden provides a clear and thorough discussion of basic issues faced by clinicians andphilosophers contending with the unity of consciousness and personal identity, particularly in thearea of dissociative disorders, where issues of unity of consciousness have a direct impact onclinical and forensic decisions.Part 1 takes up the divisions and heterogeneities associated firstwith the normal self and then with the pathological self and identifies a "language of successiveselves." Part 2 provides an extended analysis of personal responsibility and culpability with regardto extreme multiplicity. Part 3 takes up the notion of a metaphysics of successive selves. And part4 addresses theoretical concerns associated with clinical material in an effort to further ourunderstanding of the concepts of self-consciousness and subjectivity.A Bradford Book

  

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Contents

A Readers Guide
10
A Touchstone
23
Multiplicity through Dissociation
37
DissociativeIdentity Disorder as Entrenched SelfDeception
54
Personality Change Due to Mood and Schizophrenic Disorders
61
Memory Responsibility and Contrition
91
Real Selves and Responsibility
105
The Therapists Role
120
Responsibilities over Oneself or Ones Selves
177
Interpreting the Criteria of Survival or Singularity
191
Vices and Virtues and Their Moral Framework
204
The Value of SelfDetermination
220
Continuity Sufficient for Trust
233
Continuity Sufficient for Virtues
234
Subjective Evidence for Divided Minds
248
The Meaning of Disowned Experience
263

The Defense of Unconsciousness
133
Responsibility and Incompetence
146
Restoring the Authentic Self
150
Advance Directives or Ulysses Contracts in Psychiatry
163

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About the author (1996)

Jennifer Radden is Associate Professor of Philosophy, University of Massachusetts at Boston.

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