LiteratureBase
The Self and its Disorders
Gallagher (2024) The Self and its Disorders
Abstract
- Shaun Gallagher offers an account of psychopathologies as disorders of the self. The Self and its Disorders develops an interdisciplinary approach to an ‘integrative’ perspective in psychiatry. In contrast to some integrative approaches that focus on narrow brain-based conceptions, or on symptomology, this book takes its bearings from embodied and enactive conceptions of human experience. Gallagher offers an understanding of the self as a pattern of processes that include bodily, experiential, affective, cognitive, intersubjective, narrative, ecological and normative factors. He provides a philosophical analysis of the notion of self-pattern; then, drawing on phenomenological, developmental, clinical and experimental evidence, he proposes a method to study the effects of psychopathologies on the self-pattern. The book includes specific discussions of schizophrenia, anxiety disorders, depression, borderline personality disorder, and autism, among other disorders, as well as the effects of torture and solitary confinement. It also explores a variety of issues that relate to therapeutic approaches, including deep brain stimulation, meditation-based interventions, and the use of artificial intelligence and virtual reality.
- Concepts Decentralized Self, Decentralized thinking, Human Behavior, Identity, Philosophy of Mind, Psychological flexibility, Selfhood, Systems thinking
- Relevant learning goals Conceptual Thinking, Critical Thinking, Metacognitive Competency, Systems Thinking
- Relevant subject areas Philosophy, Psychology, Selfhood in Philosophy
- Relevant research methods Conceptual clarification, Content analysis, Scientific clarification
- Relevant projects Annotated Reading List, Decentralized Self, Understanding Agency
- Relevant school improvement goals Conceptual pluralism, Conceptual understanding
Related Lesson Materials
Related Literature
- Acceptance and commitment therapy (ACT) is regarded as part of the “third wave” of cognitive- behavioral therapy (CBT) that has emerged over the past quarter century (Hayes, Reference Hayes2004). It is a transdiagnostic approach recognized by Division 12 of the American Psychological Association (Society of Clinical Psychology, n.d.) as having strong research support in the treatment of chronic pain and modest empirical support in addressing depression, mixed anxiety, obsessive–compulsive disorder, and psychosis. Rather than seeking to directly change problematic thoughts, emotions, and other private events, ACT and related approaches within the latest generation of CBT writ large incorporate mindfulness, acceptance, and decentering/defusion strategies to change the function of such psychological events and alter how clients relate to them (Hayes, Luoma, Bond, Masuda, & Lillis, Reference Hayes, Luoma, Bond, Masuda and Lillis2006). Unlike other third-wave approaches such as dialectical behavior therapy (Linehan, Reference Linehan1993), mindfulness-based cognitive therapy (MBCT; Segal, Williams, & Teasdale, Reference Segal, Williams and Teasdale2002), and metacognitive therapy (Wells, Reference Wells2009), ACT is unique in (a) being explicitly grounded within a modern pragmatic philosophy of behavioral science known as functional contextualism (Hayes, Reference Hayes, Hayes, Hayes, Reese and Sarbin1993), (b) being informed by relational frame theory as an associated account of human language and cognition (Hayes, Barnes-Holmes, & Roche, Reference Hayes, Barnes-Holmes and Roche2001), and (c) identifying increased psychological flexibility, or the ability to make behavioral adjustments in the service of one’s values, as its superordinate goal. Some discussion of each of these defining features of ACT is necessary to understand its stance on the self.