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Towards a psyche for psychiatry.

Russell Meares1

  • 1Department of Psychological Medicine, University of Sydney, Westmead Hospital, NSW, Australia. rmeares@usyd.edu.au

The Australian and New Zealand Journal of Psychiatry
|November 26, 2003
PubMed
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Modern psychiatry often neglects personal existence, a concept vital for understanding mental illness. Recovering historical perspectives on consciousness is crucial for a more humanistic approach to psychological well-being.

Area of Science:

  • Psychiatry and Psychology
  • Philosophy of Mind
  • History of Science

Background:

  • Twentieth-century positivist-behaviourist thought marginalized concepts of self and inner life.
  • This shift in Western consciousness predates World War I, impacting core psychological disciplines.
  • A significant vacancy exists in contemporary psychiatric discourse regarding personal existence.

Observation:

  • Standard psychiatric approaches to mental illness lack a concept of personal existence.
  • The historical banishment of self-awareness from psychiatry, psychology, and philosophy created a void.
  • This historical trend devalued essentially human aspects within scientific discourse.

Findings:

  • The positivist-behaviourist era implicitly devalued human subjectivity.

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  • Current understanding and treatment of mental illness risk omitting core human issues.
  • Key historical figures like Hughlings Jackson, Pierre Janet, and William James emphasized consciousness.
  • Implications:

    • There is a need to reintegrate the study of human consciousness into mental health.
    • Recovering pre-behaviourist psychological thought is essential for dynamic psychiatry.
    • A more holistic understanding of mental illness requires acknowledging personal existence and inner life.