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James Goodman

UK Clinical Psychologists Call for the Abandonment of Psychiatric Diagnosis and the 'Di... - 1 views

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    In a bold and unprecedented move for any professional body, the UK Division of Clinical Psychology, a sub-division of the British Psychological Society, will issue a Position Statement tomorrow which calls for the end of the unevidenced biomedical model implied by psychiatric diagnosis. (Editor's note: MIA will link to statement here as soon as it is made available) The key message of the statement is: "The DCP is of the view that it is timely and appropriate to affirm publicly that the current classification system as outlined in DSM and ICD, in respect of the functional psychiatric diagnoses, has significant conceptual and empirical limitations. Consequently, there is a need for a paradigm shift in relation to the experiences that these diagnoses refer to, towards a conceptual system not based on a 'disease' model." In brief, the argument is that the so-called 'functional' diagnoses - schizophrenia, bipolar disorder, personality disorder, ADHD and so on - are not scientifically valid categories and are often damaging in practice. The statement argues that we already have alternatives, such as psychological formulation, and that there is a need to work in partnership with service users and professional groups, including psychiatrists, in order to develop these further. The full statement can be read here.
James Goodman

Daniel Dennett's seven tools for thinking | Books | The Observer - 0 views

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    "Cognitive scientist and philosopher Daniel Dennett is one of America's foremost thinkers. In this extract from his new book, he reveals some of the lessons life has taught him"
James Goodman

Project Renaissance, The State of Today's Culture - 0 views

  • Conscious/unconscious motivation First, we have to understand the difference between conscious and unconscious motivation. In every aspect of life, most people are acting consciously from one set of motivations but unconsciously are acting from very different motivations. For a century, behavioral science has been familiar with the phenomenon of people with poor self-image and self-expectations who, when faced with imminent "success" (however defined), drastically change what they were doing — for all kinds of rationalized reasons — to ward off that success and to self-sabotage themselves back to the familiar grounds of failure. Likewise, some of those who appear to be the very highest-minded people are frequently observed to be involved with arguments which serve their own stakes and beliefs and interests, despite clear commitment in other topical areas to objectivity and even to intellectual rigor. The people of whom one would expect the highest degree of objectivity and integrity, "above question," are often so far also above self-question as to be especially vulnerable to this effect. The more convinced, many times on many valid grounds, one is of one's own rectitude, the easier it is to not notice niggling contrary evidence or that one's own positions and actions are flowing from a different, less high-minded set of motives.
  • Behaviorally, it has become popular in recent decades to refer to everyone's having, beneath their human and cortical mind, a "reptilian" or "limbic" brain whose first concern is survival and whose next, second, concern is to keeping things much the way they already are. This "lower" brain pushes most of our buttons even when we think we are consciously making "high-minded" or objective, "rational" choices. Those among our readers here who are into the self-help literature have seen a lot of such discussion, and there is a fair amount of truth to it. Behavioral science has known for more than a century that the brain circuitry for every conscious act and decision and even stimulus, however much it may involve the "highest" regions of our cortex, also passes through such "limbic" organs and structures as the amygdala, thalamus and hypothalamus — the parts of our brain most concerned with emotion and patterned-reflex responses.
  • There is no act of intellect or high logic in human functioning which does not also involve, and which is not also affected, consciously or unconsciously and mostly unconsciously, by these organs for emotion and patterned-reflex response. The less we are conscious of this, the less we suspect the emotional biases of our own reasoning, the less we factor this dimension into account, and the more subject we are to acts and decisions whose outcome stems not from our "high" conscious minds but from our emotional reflexes.
James Goodman

Inertia, Not Progress Defines the Decade After 9/11 : The New Yorker - 0 views

  • But the main reason that 9/11 didn’t become a source of jobs, or of ideas for revitalizing the economy, was that the country wasn’t thinking about its own weaknesses. President George W. Bush defined his era in terms of war, and the public largely saw it the same way. September 11th was a tragedy that, in the years that followed, tragically consumed the nation’s attention.The attacks were supposed to have signalled one of the great transformations in the country’s history. Bush talked about ridding the world of evil, columnists wrote of “World War Three,” and almost all Americans felt that, in their private lives and in the national life, nothing would ever be the same. But the decade that followed did not live up to expectations. In most of the ways that mattered, 9/11 changed nothing.
  • The Second World War brought a truce in the American class war that had raged throughout the thirties, and it unified a bitterly divided country. By the time of the Japanese surrender, the Great Depression was over and America had been transformed. This isn’t to deny that there were fierce arguments, at the time and ever since, about the causes and goals of both the Civil War and the Second World War. But 1861 and 1941 each created a common national narrative (which happened to be the victors’ narrative): both wars were about the country’s survival and the expansion of the freedoms on which it was founded. Nothing like this consensus has formed around September 11th. On the interstate south of Mount Airy, there’s a recruiting billboard with the famous image of marines raising the flag at Iwo Jima, and the slogan “For Our Nation. For Us All.” In recent years, “For Us All” has been a fantasy. Indeed, the decade since the attacks has destroyed the very possibility of a common national narrative in this country.
  • “We are at war against terror.” Those were fateful words. Defining the enemy by its tactic was a strange conceptual diversion that immediately made the focus too narrow (what about the ideology behind the terror?) and too broad (were we at war with all terrorists and their supporters everywhere?). The President could have said, “We are at war against Al Qaeda,” but he didn’t. Instead, he escalated his rhetoric, in an attempt to overpower any ambiguities. Freedom was at war with fear, he told the country, and he would not rest until the final victory. In short, the new world of 2001 looked very much like the bygone worlds of 1861 and 1941. The President took inspiration from a painting, in the White House Treaty Room, depicting Lincoln on board a steamship with Generals Grant and Sherman: it reminded Bush of Lincoln’s “clarity of purpose.” The size of the undertaking seemed to give Bush a new comfort. His entire sense of the job came to depend on being a war President.
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  • What were the American people to do in this vast new war? In his address to Congress on September 20, 2001—the speech that gave his most eloquent account of the meaning of September 11th—the President told Americans to live their lives, hug their children, uphold their values, participate in the economy, and pray for the victims. These quiet continuities were supposed to be reassuring, but instead they revealed the unreality that lay beneath his call to arms. Wasn’t there anything else? Should Americans enlist in the armed forces, join the foreign service, pay more taxes, do volunteer work, study foreign languages, travel to Muslim countries? No—just go on using their credit cards. Bush’s Presidency would emulate Woodrow Wilson’s and Warren G. Harding’s simultaneously. Never was the mismatch between the idea of the war and the war itself more apparent. Everything had changed, Bush announced, but not to worry—nothing would change.
  • At the time of the attacks, few educated Americans born after 1950 had any direct experience of war or persecution or cataclysmic failure. After 9/11, this gap in the résumés of intellectuals gave them both a sense of inadequacy—an outbreak of envy for the Greatest Generation—and a compensatory tendency to inflate the drama of the war on terror and their own role in it. This took place at a level of abstraction that is made possible when the fighting is eight thousand miles away. As a result, a number of the country’s best minds mistook the post-September 11th era for a new American golden age.
  • After the attacks, Americans asked, “Why do they hate us?” This turned out to be the wrong line of inquiry. The most pressing questions were about us, not them: our leaders, our institutions, our ability to act as a cohesive nation and make rational decisions, our power to take action abroad in a way that would not be a self-defeating waste. Starting with the intelligence failures that did not foresee the attacks, every major American institution flunked the test of the September 11th decade. The media got the W.M.D.s wrong. The military failed to plan for chaos in postwar Iraq. Congress neglected its oversight duties. The political system produced no statesmen. C.E.O.s and financiers couldn’t see past short-term profits. The Bush Administration had one major success: it succeeded in staving off another terrorist attack in America. It botched almost everything else.
  • After 9/11, life in America changed in a few palpable ways: you needed I.D. to get into an office building, and boarding an airplane became an ordeal. But all the structural trends stayed on course: the stock market, after a setback, maintained its relentless upward climb; inequality soared, as Wall Street fortunes reached unimaginable new heights, while average wages began to decline; just about every remaining textile job in Surry County disappeared; Americans sank deeper into debt and depended more on their houses for wealth; the iMac progressed to the iPad; CBS News continued its descent into irrelevance and Fox News its corrosive rise, while newspapers kept cutting back or closing shop. The political division of America into red and blue hardened into the mutually hostile and unintelligible universes in which we live today. Bush, already viewed as illegitimate by many Democrats, became one of the most hated Presidents in American history; the writer Nicholson Baker even published a novella about the merits of assassinating him. Meanwhile, the Republican Party fell completely under the control of its most extreme elements, and “traitor” became a routine term for its opponents. For all the talk of national unity and a new sense of purpose, the terror attacks did nothing to bring together the country. America after September 11th was like a couch potato who survives a heart attack, vows to start a strict regimen of diet and exercise, and after a few weeks still finds himself camped out in the living room.
  • The Bush Administration collapsed in the late summer of 2005—not in Falluja or Kandahar but in the submerged neighborhoods of New Orleans. The response to Hurricane Katrina gave Americans such a devastating picture of official failure that it suggested something fatally wrong with an entire approach to governing. Iraq, of course, had provided evidence of high-level arrogance, incompetence, and neglect for two years, and Afghanistan for even longer than that, but, because these places were far away and American troops were risking their lives to serve the nation, the public wasn’t ready to withdraw its support. When the footage came out of the Gulf Coast—when, for the second time in four years, a great American city looked like Kabul or Kinshasa—it was Iraq in fast motion, and right around the corner. Government at all levels, but especially in Washington, had failed to plan for the worst outcome, even when the entire country saw it coming. An Administration staffed by cronies neglected to take care of citizens for whom it had the greatest responsibility. Katrina made brutally clear that the White House had substituted passive, self-congratulatory bravado for serious organized effort. Like Iraq, New Orleans represented a failure of individual leaders, but also of national institutions.
  • After Katrina, support for the Iraq war evaporated. Having been asked for very little ever since September 11th, other than to take the Administration’s way on faith, Americans had little trouble reframing their allegiances. This was the price of a foreign policy based on assertion rather than on persuasion. The war on terror had been a kind of confidence game: it depended on a belief in American virtue and ability that had proved unwarranted. With the exception of his advocacy of the surge, in 2007, Bush became an increasingly irrelevant figure, and his foreign policy crawled away from grand projects for “world order.” When Vice-President Cheney called for new wars with Iran and Syria, there were no takers.
  • In the years after Katrina, Americans began to see that the same unstable combination of hoopla and neglect that had characterized the war on terror also characterized the decade’s supposed economic boom. While the media were riveted by the spectacle of celebrity wealth, large areas of the country were—like Surry County—left to rot. The boom had been built on sand: housing speculation, overvalued stocks, reckless deregulation, irresponsible deficits. When the foundation started to crumble with the first wave of mortgage defaults, in 2007, the scale of the destruction became the latest of the decade’s surprises. Hardly anyone foresaw how far the economy would fall; hardly anyone imagined how many people it would take on the way down. Even the economic advisers of the next Administration badly misjudged the crisis. The trillions of dollars spent and, often, misspent on wars and domestic bureaucracies were no longer available to fill the hole left by the implosion of the private economy. Reborn champions of austerity pointed to the deficits in order to make the case that the country couldn’t afford to spend its way back to health. And, like the attacks that were supposed to change everything, the recession—which was given the epithet “Great” and was constantly compared with the Depression of the nineteen-thirties—inspired very little change in economic policy. Without effective leadership, the country blindly reverted to the status quo ante, with the same few people making a lot of money, if a little less than before, and the same people doing badly, if a little worse.
  • This malignant persistence since September 11th is the biggest surprise of all. In previous decades, sneak attacks, stock-market crashes, and other great crises became hinges on which American history swung in dramatically new directions. But events on the same scale, or nearly so, no longer seem to have that power; moneyed interests may have become too entrenched, élites too self-seeking, institutions too feeble, and the public too polarized and passive for the country to be shocked into fundamental change.
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