Article ID: CBB252103230

How personality became treatable: The mutual constitution of clinical knowledge and mental health law (February 2013)

unapi

In recent years, personality disorders – psychiatric constructs understood as enduring dysfunctions of personality – have come into ever-greater focus for British policymakers, mental health professionals and service-users. Disputes have focussed largely on highly controversial attempts by the UK Department of Health to introduce mental health law and policy (now enshrined within the 2007 Mental Health Act of England and Wales). At the same time, clinical framings of personality disorder have dramatically shifted: once regarded as untreatable conditions, severe personality disorders are today thought of by many clinicians to be responsive to psychiatric and psychological intervention. In this article, I chart this transformation by means of a diachronic analysis of debates and institutional shifts pertaining to both attempts to change the law, and understandings of personality disorder. In so doing, I show how mental health policy and practice have mutually constituted one another, such that the aims of clinicians and policymakers have come to be closely aligned. I argue that it is precisely through these reciprocally constitutive processes that the profound reconfiguration of personality disorder from being an obdurate to a plastic condition has occurred; this demonstrates the significance of interactions between law and the health professions in shaping not only the State’s management of pathology, but also perceptions of its very nature.

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Authors & Contributors
Rüppel, Jonas
Pickersgill, Martyn
Tessa Dunlop
Dondici, Danilo
Jinee Lokaneeta
Colucci, Mario
Journals
Mefisto: Rivista di medicina, filosofia, storia
Science, Technology and Human Values
Social Studies of Science
Science as Culture
History of Psychology
Gesnerus
Publishers
University of Michigan Press
Texas A&M University Press
Routledge
MIT Press
Massachusetts Institute of Technology, MIT
Concepts
Psychiatry
Mental health and illness
Technoscience; science and technology studies
Psychology
Mental disorders and diseases
Clinical psychology
Time Periods
21st century
20th century
20th century, late
19th century
Places
Italy
United States
Great Britain
United Kingdom
Germany
India
Institutions
European Union
National Institute of Mental Health (U.S.)
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