Fulford K W
Department of Psychiatry, University of Oxford, Warneford Hospital, England.
Theor Med. 1993 Jun;14(2):181-94. doi: 10.1007/BF00997275.
Until recently there has been little contact between the mind-brain debate in philosophy and the debate in psychiatry about the nature of mental illness. In this paper some of the analogies and disanalogies between the two debates are explored. It is noted in particular that the emphasis in modern philosophy of mind on the importance of the concept of action has been matched by a recent shift in the debate about mental illness from analyses of disease in terms of failure of functioning to analyses of illness in terms of failure of action. The concept of action thus provides a natural conduit for two-way exchanges of ideas between philosophy and psychiatry. The potential fruitfulness of such exchanges is illustrated with an outline of the mutual heuristic significance of psychiatric work on delusions and philosophical accounts of Intentionality.
直到最近，哲学界关于心灵与大脑的争论和精神病学界关于精神疾病本质的争论之间几乎没有什么联系。本文探讨了这两种争论之间的一些相似之处和不同之处。特别值得注意的是，现代心灵哲学对行动概念重要性的强调，与近期关于精神疾病的争论从功能障碍角度的疾病分析转向行动失败角度的疾病分析相呼应。因此，行动概念为哲学与精神病学之间的双向思想交流提供了一个自然的渠道。通过概述精神病学研究妄想的工作与关于意向性的哲学解释之间的相互启发意义，说明了这种交流可能产生的丰硕成果。
