Divided Minds and Successive Selves: Ethical Issues in Disorders of Identity and Personality
Radden (Jennifer)
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BOOK ABSTRACT:

Inside Cover Blurb

  1. If people change radically as a result of mental disturbance or brain damage or disease, how should we acknowledge that change in the way in which we respond to them? And how should society and the law acknowledge that change, particularly in cases of multiple-personality and manic-depressive disorders? This book addresses these and a cluster of other questions about changes in the self through time and about the moral attitudes we adopt in the face of these changes. The result is a broad-ranging interdisciplinary discussion at the boundaries of psychiatry, philosophy, law, and social policy. Theories of personal identity are applied to, and clarified in light of, the appearance of multiple selves in a variety of personality and identity disturbances.
  2. Divided minds force us to clarify our thinking about human subjectivity, Radden points out, and when they result in a succession of "selves," they provoke interesting ethical and legal issues. Radden provides a clear and thorough discussion of basic issues faced by clinicians and philosophers contending with the unity of consciousness and personal identity, particularly in the area of dissociative disorders, where issues of unity of consciousness have a direct impact on clinical and forensic1 decisions.

BOOK COMMENT:

Bradford Books, MIT Press, Cambridge, Massachusetts, 1996



"Rovane (Carol) - Review of Jennifer Radden's 'Divided Minds and Successive Selves: Ethical Issues in Disorders of Identity and Personality'"

Source: Ethics 110.4, July 2000, pp. 863-868
COMMENT: Review of "Radden (Jennifer) - Divided Minds and Successive Selves: Ethical Issues in Disorders of Identity and Personality".



"Radden (Jennifer) - Divided Minds and Successive Selves: Introduction"

Source: Radden - Divided Minds and Successive Selves: Ethical Issues in Disorders of Identity and Personality, 1996, Introduction


Sections
  1. Introduction – 3
  2. Why It Matters – 4
  3. Modernist Misgivings over a Unified Self – 6
  4. The Framework and Sequence of Argument – 7
  5. A Reader's Guide – 10
  6. Preliminary Terminological Clarification – 11


COMMENT: Part I – Divided Minds and Successive Selves



"Radden (Jennifer) - Heterogeneities of Self in Everyday Life"

Source: Radden - Divided Minds and Successive Selves: Ethical Issues in Disorders of Identity and Personality, 1996, Chapter 1


Sections
  1. Perspectives – 13
  2. Disunity: Heterogeneities of Self at a Given Time – 15
  3. Discontinuity; Heterogeneities of Self over Time – 18
  4. More Puzzling Divisions: Self-Deception and Akrasia – 20
  5. The Heterogeneous Self: A Touchstone – 23


COMMENT: Part I – Divided Minds and Successive Selves



"Radden (Jennifer) - A Language of Successive Selves"

Source: Radden - Divided Minds and Successive Selves: Ethical Issues in Disorders of Identity and Personality, 1996, Chapter 2


Sections
  1. Identity and Uniqueness – 25
  2. The Language of Sameness and Difference – 26
  3. A Language of Successive Selves – 28
  4. A Metaphysics of Successive Selves – 31
  5. John Locke's Language and Metaphysics of Successive Persons – 34


COMMENT: Part I – Divided Minds and Successive Selves



"Radden (Jennifer) - Multiplicity Through Dissociation"

Source: Radden - Divided Minds and Successive Selves: Ethical Issues in Disorders of Identity and Personality, 1996, Chapter 3


Sections
  1. Fragmentation: Unarguable Cases – 37
  2. Multiplicity – 38
  3. Ambiguities of Multiplicity – 43
  4. Dissociative-Identity Disorder and Multiplicity – 46
  5. Dissociative-Identity Disorder as Entrenched Self-Deception – 54


COMMENT: Part I – Divided Minds and Successive Selves



"Radden (Jennifer) - Succession and Recurrence Outside Dissociative Disorder"

Source: Radden - Divided Minds and Successive Selves: Ethical Issues in Disorders of Identity and Personality, 1996, Chapter 4


Sections
  1. The Continuity Requirement – 59
  2. Personality Change Due to Disease and Damage to the Brain – 60
  3. Personality Change Due to Mood and Schizophrenic Disorders – 61
  4. Multiplicity Conditions and Ideological Conversion – 66
  5. Akrasia and Disorders of Impulse Control – 68
  6. The Separate "Selves" of Self-Deception – 71


COMMENT: Part I – Divided Minds and Successive Selves



"Radden (Jennifer) - From Abnormal Psychology to Metaphysics: A Methodological Preamble"

Source: Radden - Divided Minds and Successive Selves: Ethical Issues in Disorders of Identity and Personality, 1996, Chapter 5


Sections
  1. A Methodological Preamble – 77
  2. Imagined Examples – 78
  3. Real Examples – 82
  4. Metaphysical Conclusions from Moral Convictions – 83
  5. The Presumption of Organicity – 86
  6. Multiplicity and Generalization – 87


COMMENT: Part II – Successive Selves and Personal Responsibility



"Radden (Jennifer) - Memory, Responsibility, and Contrition"

Source: Radden - Divided Minds and Successive Selves: Ethical Issues in Disorders of Identity and Personality, 1996, Chapter 6


Sections
  1. The Forensic1 Sense of Self – 92
  2. Memory and Responsibility – 93
  3. Moral Attitudes Attending Responsibility Ascriptions – 95
  4. Responsibility, Memory, and the Cognitive Components of Contrition – 96
  5. Foreseeability and Prevention – 99
  6. Responsibility and the Successive Selves of Abnormal Psychology – 99
  7. "Real Selves" and Responsibility – 105


COMMENT: Part II – Successive Selves and Personal Responsibility



"Radden (Jennifer) - Purposes and Discourses of Responsibility Ascription"

Source: Radden - Divided Minds and Successive Selves: Ethical Issues in Disorders of Identity and Personality, 1996, Chapter 7


Sections
  1. Discourses of Culpability and Discourses of Care – 110
  2. Therapeutic Contexts – 111
  3. Legal Contexts and Purposes – 117
  4. The Therapist's Role – 120
  5. Everyday Relationships – 121


COMMENT: Part II – Successive Selves and Personal Responsibility



"Radden (Jennifer) - Multiplicity and Legal Culpability"

Source: Radden - Divided Minds and Successive Selves: Ethical Issues in Disorders of Identity and Personality, 1996, Chapter 8


Sections
  1. Mental Disturbance and Criminal Law; Retributivist Presuppositions – 126
  2. Legal Guilt and the Successive Selves of Nondissociative Disorders – 127
  3. Dissociative-Identity Disorder and Legal Culpability – 129
  4. The Insanity Defense – 131
  5. The Defense of Unconsciousness – 133
  6. Suspended Personhood – 135
  7. Diminished Capacity – 137
  8. Guilty – 139
  9. Punishing the Innocent? – 140


COMMENT: Part II – Successive Selves and Personal Responsibility



"Radden (Jennifer) - Paternalistic Intervention"

Source: Radden - Divided Minds and Successive Selves: Ethical Issues in Disorders of Identity and Personality, 1996, Chapter 9


Sections
  1. Paternalism and Treatment Refusals – 144
  2. Who Decides and How? – 145
  3. Responsibility and Incompetence – 146
  4. Restoring the Authentic Self – 150
  5. The Proxy and Substituted Judgments of Guardians – 154
  6. "Best Interests" Reasoning – 155
  7. "Would Have Wanted" Reasoning – 155
  8. "Will Want" Reasoning and "Thank You" Theory – 157


COMMENT: Part II – Successive Selves and Personal Responsibility



"Radden (Jennifer) - Responsibilities Over Oneself in the Future or One's Future Selves"

Source: Radden - Divided Minds and Successive Selves: Ethical Issues in Disorders of Identity and Personality, 1996, Chapter 10


Sections
  1. Advance Directives or Ulysses
  2. Contracts in Psychiatry – 163
  3. Not Enslavement but Unfairness – 164
  4. Attempts to Rebut the Moral Challenge – 165
  5. Weakness of Will, Changes of Mind, Promises, and Resolves – 167
  6. Self-Destructive Wishes – 172
  7. Responsibilities over Oneself or One's Selves – 177


COMMENT: Part II – Successive Selves and Personal Responsibility



"Radden (Jennifer) - A Metaphysics of Successive Selves"

Source: Radden - Divided Minds and Successive Selves: Ethical Issues in Disorders of Identity and Personality, 1996, Chapter 11


Sections
  1. Empiricist Theories of Personal Identity – 184
  2. The Role of the Imagination – 186
  3. Psychological Forms of Continuity – 187
  4. Psychological Continuity1 and Connectedness2 – 188
  5. Interpreting the Criteria of Survival or Singularity – 191
  6. Refining the Language of Successive Selves – 192
  7. Objections to Psychological-Continuity Theories – 194


COMMENT: Part III – Successive Selves and Individualism



"Radden (Jennifer) - The Normative Tug of Individualism"

Source: Radden - Divided Minds and Successive Selves: Ethical Issues in Disorders of Identity and Personality, 1996, Chapter 12


Sections
  1. Does Continuity Matter? – 197
  2. Moral Categories – 198
  3. Time-Spanning Emotions of Self-Assessment – 200
  4. The Concept and Acknowledgment of Agency – 201
  5. Judicious Trust – 202
  6. Self-Understanding – 203
  7. Vices and Virtues, and Their Moral Framework – 204
  8. Dependency Theses: Clinical Confirmation – 205
  9. Dependent "Goods": Are They Good? – 205


COMMENT: Part III – Successive Selves and Individualism



"Radden (Jennifer) - Therapeutic Goals for a Liberal Culture"

Source: Radden - Divided Minds and Successive Selves: Ethical Issues in Disorders of Identity and Personality, 1996, Chapter 13


Sections
  1. Seeking Integration in the Dissociative Disorders – 212
  2. Self-Knowledge in Insight Therapies – 215
  3. Helping the Client Help Herself: The Value of Self-Determination – 220


COMMENT: Part III – Successive Selves and Individualism



"Radden (Jennifer) - Continuity Sufficient for Individualism"

Source: Radden - Divided Minds and Successive Selves: Ethical Issues in Disorders of Identity and Personality, 1996, Chapter 14


Sections
  1. Continuity Sufficient for Agency – 229
  2. Continuity Sufficient for Our Moral Categories – 230
  3. Continuity Sufficient for Moral Concepts and Emotions – 232
  4. Continuity Sufficient for Trust – 233
  5. Continuity Sufficient for Self-Understanding – 234
  6. Continuity Sufficient for Virtues – 234
  7. Continuity Sufficient for Self-Determination and Autonomy – 236
  8. Life Changes in More Normal Lives – 236


COMMENT: Part III – Successive Selves and Individualism



"Radden (Jennifer) - The Divided Minds of Mental Disorder"

Source: Radden - Divided Minds and Successive Selves: Ethical Issues in Disorders of Identity and Personality, 1996, Chapter 15


Sections
  1. Divided Minds and Questions of Evidence – 242
  2. Behavioral Evidence for Coconsciousness – 243
  3. Separate awareness in dissociative-identity disorder – 243
  4. Alleged separate awareness in hypnotic states and commissurotomy1 – 245
  5. Subjective Evidence for Divided Minds – 248
  6. Thought insertion – 248
  7. Depersonalization, derealization, possession states, and out-of-body2
    experience – 250


COMMENT: Part IV – Divided Minds



"Radden (Jennifer) - The Grammar of Disownership"

Source: Radden - Divided Minds and Successive Selves: Ethical Issues in Disorders of Identity and Personality, 1996, Chapter 16


Sections
  1. Philosophical Accounts of Ownership – 256
  2. Hume, James, and the Self's Unity – 259
  3. The Meaning of Disowned Experience – 263


COMMENT: Part IV – Divided Minds



"Radden (Jennifer) - Divided Minds and Successive Selves: Conclusion"

Source: Radden - Divided Minds and Successive Selves: Ethical Issues in Disorders of Identity and Personality, 1996, Introduction
COMMENT: Part IV – Divided Minds



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