Public epistemic trustworthiness and the integration of patients in psychiatric classification

Anke Bueter

doi:10.1007/s11229-018-01913-z

Public epistemic trustworthiness and the integration of patients in psychiatric classification

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avis › Tidsskriftartikel › Forskning › peer review

25 Citationer (Scopus)

Abstract

Psychiatric classification, as exemplified by the Diagnostic and Statistical Manual of Mental Disorders (DSM), is dealing with a lack of trust and credibility—in the scientific, but also in the public realm. Regarding the latter in particular, one possible remedial measure for this crisis in trust lies in an increased integration of patients into the DSM revision process. The DSM, as a manual for clinical practice, is forced to make decisions that exceed available data and involve value-judgments. Regarding such decisions, public epistemic trustworthiness requires (1) that these value-judgments should be representative of those of the affected public, and (2) that the public has a reason to believe such a representation to be realized. Due to the long tradition of (public) distrust in psychiatry, such a reason can in this case best be provided by an actual integration of patients into the decision-making process, rather than by their representation through scientific experts.

Originalsprog	Engelsk
Tidsskrift	Synthese
Vol/bind	198
Sider (fra-til)	4711-4729
Antal sider	19
ISSN	0039-7857
DOI	https://doi.org/10.1007/s11229-018-01913-z
Status	Udgivet - aug. 2021
Udgivet eksternt	Ja

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10.1007/s11229-018-01913-z

Citationsformater

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title = "Public epistemic trustworthiness and the integration of patients in psychiatric classification",

abstract = "Psychiatric classification, as exemplified by the Diagnostic and Statistical Manual of Mental Disorders (DSM), is dealing with a lack of trust and credibility—in the scientific, but also in the public realm. Regarding the latter in particular, one possible remedial measure for this crisis in trust lies in an increased integration of patients into the DSM revision process. The DSM, as a manual for clinical practice, is forced to make decisions that exceed available data and involve value-judgments. Regarding such decisions, public epistemic trustworthiness requires (1) that these value-judgments should be representative of those of the affected public, and (2) that the public has a reason to believe such a representation to be realized. Due to the long tradition of (public) distrust in psychiatry, such a reason can in this case best be provided by an actual integration of patients into the decision-making process, rather than by their representation through scientific experts.",

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author = "Anke Bueter",

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AB - Psychiatric classification, as exemplified by the Diagnostic and Statistical Manual of Mental Disorders (DSM), is dealing with a lack of trust and credibility—in the scientific, but also in the public realm. Regarding the latter in particular, one possible remedial measure for this crisis in trust lies in an increased integration of patients into the DSM revision process. The DSM, as a manual for clinical practice, is forced to make decisions that exceed available data and involve value-judgments. Regarding such decisions, public epistemic trustworthiness requires (1) that these value-judgments should be representative of those of the affected public, and (2) that the public has a reason to believe such a representation to be realized. Due to the long tradition of (public) distrust in psychiatry, such a reason can in this case best be provided by an actual integration of patients into the decision-making process, rather than by their representation through scientific experts.

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KW - Epistemic trustworthiness

KW - Lay participation

KW - Procedural objectivity

KW - Public trust

KW - Values in psychiatric classification

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DO - 10.1007/s11229-018-01913-z

M3 - Journal article

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JO - Synthese

JF - Synthese

ER -

Public epistemic trustworthiness and the integration of patients in psychiatric classification

Abstract

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