Department of Psychiatry, Case Western Reserve University, Cleveland, OH, USA.
Northcoast Behavioral Healthcare (Ohio Department of Mental Health and Addiction Services), Northfield, OH, USA.
Int Rev Psychiatry. 2021 Aug;33(5):458-462. doi: 10.1080/09540261.2020.1800600. Epub 2020 Nov 6.
This interview with Derek Bolton, PhD, goes into a discussion of his philosophical work on the diagnosis and definition of mental disorder, the basis of the standards or norms by which we judge that a person has a mental disorder, and the validity of the distinction between abnormal and normal mental functioning. Bolton argues that the notion that emerges from a conceptual analysis of psychiatry's diagnostic manuals is not a naturalist notion of disorder, but one that is focussed on harm and suffering, and in which the personal, the social and the biological cannot be clearly distinguished. The implications of this thinking with regards to the relationship between the medical model and the psychological approaches are also discussed. His most recent philosophical work reconceptualizes the biopsychosocial model as a philosophical theory of biopsychosocial causal interactions and he argues that there are causal regulatory functions within the psychological domain, and this is so independent of whether they can be captured by a physicochemical description of brain processes.
这段访谈深入探讨了德里克·博尔顿博士（Derek Bolton）在精神障碍的诊断和定义方面的哲学工作，包括我们用于判断一个人是否患有精神障碍的标准或规范的基础，以及异常和正常心理功能之间的区别的有效性。博尔顿认为，从精神病学诊断手册的概念分析中得出的概念并不是一种自然主义的紊乱概念，而是一种关注伤害和痛苦的概念，在这种概念中，个人、社会和生物因素无法明确区分。这种思维方式对于医学模式和心理方法之间的关系也有影响。他最近的哲学工作将生物心理社会模型重新概念化为生物心理社会因果相互作用的哲学理论，并认为心理领域存在因果调节功能，这与大脑过程的物理化学描述是否能够捕捉到这些功能无关。
