From psychiatric science to folk psychology: an ordinary-language model of the mind for mental health nurses.
In this paper it is argued that, if mental health nurses are to integrate the skills necessary to accomplish the diverse tasks that comprise their professional role, then what is required is a conception of mind independent of any particular paradigm in the biophysical and psychosocial sciences. This is proposed as a necessary condition of articulating the professional autonomy of mental health nurses. A four-part model of mental functioning is presented and developed, drawing on the ordinary language of folk psychology. Objections to this strategy are anticipated and answered. The utility of the model is demonstrated by deploying it to analyse emotional states and to show how subjective experience is a necessary component of mental ill-health, which is why empathic understanding is a necessary skill for mental health nurses. Finally, the major research paradigms associated with scientific approaches to the care and treatment of mental ill-health are aligned with the elements of the model to demonstrate the potential of that model for clarifying the rationale of theoretically divergent treatment approaches for the benefit of both nurses and their clients. It is emphasized that the proposed model is 'theory' only in the weak sense of being a 'systematic account' of the mental life.
Holdsworth
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Northumberland Mental Health NHS Trust, Blyth Community Services, England.
D001521:Behavior Therapy; D015928:Cognitive Behavioral Therapy; D003376:Counseling; D003469:Culture; D004644:Emotions; D005260:Female; D005495:Folklore; D006808:Humanism; D006801:Humans; D007407:Interviews as Topic; D007802:Language; D008297:Male; D001523:Mental Disorders / Q000188:drug therapy / Q000628:therapy; D016294:Models, Nursing; D009723:Nurse-Patient Relations; D009742:Nursing Theory; D011568:Psychiatric Nursing; D011584:Psychology