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On "I": the conceptual foundations of responsibility
The American Journal of Psychiatry
|April 1, 1980
Summary
This study explores the concept of patient responsibility in clinical settings, arguing that the subjective "I" is fundamental to understanding it. It distinguishes between "having" and "assuming" responsibility for better clinical application.
Area of Science:
- Philosophy of Mind
- Clinical Psychology
- Linguistics
Background:
- Clinical practice highly values patient responsibility, but its theoretical underpinnings remain unclear.
- Existing views often dismiss the subjective "I" as an illusionary concept.
Purpose of the Study:
- To investigate the conceptual foundations of patient responsibility.
- To re-evaluate the role of the subjective "I" in understanding responsibility.
Main Methods:
- Philosophical analysis of the concept of "I".
- Examination of the link between "I" and tacit, rule-governed actions.
- Distinction between "having" and "assuming" responsibility.
Main Results:
- The subjective "I" is not an illusion but is grounded in the basic actions of distinguishing and meaning.
- "I" is intrinsically tied to the rule-governed, grammatical actions that shape our personal experiences.
- A clear distinction is drawn between "having" responsibility and "assuming" it.
Conclusions:
- Understanding the subjective "I" is crucial for a robust concept of patient responsibility in clinical practice.
- The proposed framework offers a clearer basis for therapeutic interventions focused on responsibility.
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