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    Narratives of Troubled Journeys: Personality disorder and the medicalisation of moral dilemmas

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    Author
    Middleton, Raymond P.
    Supervisor
    Burkitt, Ian
    Sullivan, Paul W.
    Walker, Tammi
    Keyword
    Personality disorder
    Recovery
    Dialogue
    Narrative
    Mental health
    Moral order
    Trauma
    Rights
    Creative Commons License
    The University of Bradford theses are licenced under a Creative Commons Licence.
    Institution
    University of Bradford
    Department
    Faculty of Social Sciences
    Awarded
    2017
    
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    Abstract
    This thesis examines the interaction of the medical and moral in the historical evolution of “personality disorder” starting with the relationship between Prichard’s (1835) diagnosis of “Moral Insanity” and an anti-modern religious text (Hancock, 1824) describing disorder of the moral faculty. Moral insanity is traced through to Psychopathic Personalities and the military’s Medical 203 to Personality Disorder in DSM I (1952) through to DSM 5 (2013). The extent to which DSM medicalises everyday moral categories is examined by building on the works of writers theorising moral orders and moral selves, such as Harré (1993), Bakhtin (1981, 1984, 1986) and Taylor (1989). This thesis moves from macro-level concerns to the micro-level using dialogical narrative methodology (Sullivan, 2012) alongside Bakhtin’s conceptual tools to examine how medical and personal narratives of "Personality Disorder" interact in lived experience by analysing a triangulation of my psychiatric clinical notes, contemporary diary entries and an autobiographical account. An analysis is undertaken of several diverse autobiographical accounts of ‘successful’ recovery from mental health crisis already available in the public sphere. Consideration was given to how concepts developed throughout this study might be used in future work, concepts such as “dialogical search for a new narrative”, the dialogical ethics of “habitual excess and insufficiency” and “authoritative narrators”. This thesis’s originality is in linking DSM 5’s diagnosis of personality disorder to anti-modern moral discourses on disorder of the moral faculty, and in revealing complex genre relationships between literal/medical and literary/moral understandings of emotional and mental crisis and recovery.
    URI
    http://hdl.handle.net/10454/17388
    Type
    Thesis
    Qualification name
    PhD
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    Theses

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