Patients, profession, and guild

Bill (KWM) Fulford, Katherine Morris, John Z Sadler and Giovanni Stanghellini

in Values and Psychiatric Diagnosis

Published on behalf of Oxford University Press

Published in print October 2004 | ISBN: 9780198526377
Published online March 2013 | e-ISBN: 9780191754357 | DOI:

Series: International Perspectives in Philosophy & Psychiatry

Patients, profession, and guild

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In this chapter I will describe what it means to be a patient, what it means to be a professional, what it means to have guild interests, and what all this has to do with the classification of mental disorders. In the earlier part of the chapter I will deal with the consequences of the tension between the practice of diagnosis and the practice of treatment, how patients experience this tension, and what contribution the DSMs make to such tensions. Understanding the predicament of the ‘patient’ is a prerequisite for my brief discussion of the ethics of professions, and I later contrast such ethics with guild interests. These distinctions will in turn be applied to the professional ‘place’ of the diagnostic classification and manual, using a few examples from the DSM III/III-R/IV processes.

Chapter.  11393 words. 

Subjects: Psychiatry

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