Mental illness is an issue of great practical importance. Yet, despite sustained inquiry from scientists and philosophers alike, relatively little attention has been paid to the significance of mental disorder to agency and responsibility. While there is some work that touches on the topic, and a few extended treatments of particular disorders, these only scratch the surface. Agency in Mental Disorder seeks to provide a starting point for deeper and broader philosophical analyses. The 8 new essays in this book address various questions about the relationship between agency and mental disorder. What is the nature of that relationship? In what ways do mental disorders affect capacities for control? How should we understand the mitigations of blame that mental disorders seem to provide, and can we generalize from specific disorders to any interesting claims about disorders as a class? And what makes for a mental disorder in the first place?

The past twenty years have manifested worrying trends in the field of mental health in the United States. Most concerning is the increasingly popular idea that mental disorders are best understood as brain disorders. From this point of view, when confronted with an overly-energetic little boy, parents are informed that their son has a "brain disease" which causes inattention and hyperactivity and that this disease is best treated with drugs. Likewise, a person suffering from a major depressive disorder is told that her depression is caused by a "chemical imbalance" in her brain and that this imbalance is best treated with other chemicals that can restore equilibrium to her brain's chemistry. The idea is not just common - it is ubiquitous. "Everyone knows that mental illness is caused by the brain; those are the facts." And therein lies the problem. Those are not the facts. In this groundbreaking study, William Schultz demonstrates on both philosophical and scientific grounds that mental disorders are best understood not as brain disorders, but rather as solvable problems of personal agency and meaning. This book is essential reading for clinicians, practitioners, philosophers, and any interested in the future of mental health.

Bonnie Steinbock presents the authoritative, state-of-the-art guide to current issues in bioethics, covering 30 topics in original essays by some of the world's leading figures in the field, as well as by some newer 'up-and-comers'. Anyone who wants to know how the central debates in bioethics have developed in recent years, and where the debates are going, will want to consult this book.

Mental illness stigma is rooted in a perceived lack of agency, but stigma itself undermines agency. While most philosophical accounts of the matter are concerned with the question of how much agency a person with mental illness has, this book asks how we can enhance the agency of people with mental illness. Humanizing Mental Illness explains and explores these connections, arguing that all of us can and should adjust our social practices to enhance the agency of people with mental illness. This agency is complicated and nuanced, as it is often directly constrained due to a person's symptoms and indirectly constrained due to stigma. Abigail Gosselin, both a scholar in the field of social philosophy and a person with a psychiatric disability, illustrates the importance of social interaction for developing and exercising agency. By overcoming mental illness stigma and by adopting certain epistemic and moral virtues, we can interact with people who have mental illness in ways that help enhance their agency and enable them to flourish. Humanizing Mental Illness demonstrates that we need to challenge our explicit and implicit biases and learn to interact with mental illness in more intentional, supportive, and inclusive ways.

Agency has two meanings in psychology and neuroscience. It can refer to one's capacity to affect the world and act in line with one's goals and desires--this is the objective aspect of agency. But agency can also refer to the subjective experience of controlling one's actions, or how it feels to achieve one's goals or affect the world. This subjective aspect is known as the sense of agency, and it is an important part of what makes us human. Interest in the sense of agency has exploded since the early 2000s, largely because scientists have learned that it can be studied objectively through analyses of human judgment, behavior, and the brain. This book brings together some of the world's leading researchers to give structure to this nascent but rapidly growing field. The contributors address questions such as: What role does agency play in the sense of self? Is agency based on predicting outcomes of actions? And what are the links between agency and motivation? Recent work on the sense of agency has been markedly interdisciplinary. The chapters collected here combine ideas and methods from fields as diverse as engineering, psychology, neurology, neuroscience, and philosophy of mind, making the book a valuable resource for any student or researcher interested in action, volition, and exploring how mind and brain are organized.

Estimates indicate that as many as 1 in 4 Americans will experience a mental health problem or will misuse alcohol or drugs in their lifetimes. These disorders are among the most highly stigmatized health conditions in the United States, and they remain barriers to full participation in society in areas as basic as education, housing, and employment. Improving the lives of people with mental health and substance abuse disorders has been a priority in the United States for more than 50 years. The Community Mental Health Act of 1963 is considered a major turning point in America's efforts to improve behavioral healthcare. It ushered in an era of optimism and hope and laid the groundwork for the consumer movement and new models of recovery. The consumer movement gave voice to people with mental and substance use disorders and brought their perspectives and experience into national discussions about mental health. However over the same 50-year period, positive change in American public attitudes and beliefs about mental and substance use disorders has lagged behind these advances. Stigma is a complex social phenomenon based on a relationship between an attribute and a stereotype that assigns undesirable labels, qualities, and behaviors to a person with that attribute. Labeled individuals are then socially devalued, which leads to inequality and discrimination. This report contributes to national efforts to understand and change attitudes, beliefs and behaviors that can lead to stigma and discrimination. Changing stigma in a lasting way will require coordinated efforts, which are based on the best possible evidence, supported at the national level with multiyear funding, and planned and implemented by an effective coalition of representative stakeholders. Ending Discrimination Against People with Mental and Substance Use Disorders: The Evidence for Stigma Change explores stigma and discrimination faced by individuals with mental or substance use disorders and recommends effective strategies for reducing stigma and encouraging people to seek treatment and other supportive services. It offers a set of conclusions and recommendations about successful stigma change strategies and the research needed to inform and evaluate these efforts in the United States.