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"This book brings together insights from the enactivist approach in philosophy of mind and existing work on autonomous agency from both philosophy of action and feminist philosophy. It then utilizes this proposed account of autonomous agency to make sense of the impairments in agency that commonly occur in cases of dissociative identity disorder, mood disorders, and psychopathy. While much of the existing philosophical work on autonomy focuses on threats that come from outside the agent, this book addresses how inner conflict, instability of character, or motivational issues can disrupt agency. In the first half of the book, the author conceptualizes what it means to be self-governing and to exercise autonomous agency. In the second half, she investigates the extent to which agents with various forms of mental disorder are capable of exercising autonomy. In her view, many forms of mental disorder involve disruptions to self-governance, so that agents lack sufficient control over their intentional behavior or are unable to formulate and execute coherent action plans. However, this does not mean that they are utterly incapable of autonomous agency; rather, their ability to exercise this capacity is compromised in important respects. Understanding these agential impairments can help to deepen our understanding of what it means to exercise autonomy, and also devise more effective treatments that restore subjects' agency. Autonomy, Enactivism, and Mental Disorder will be of interest to researchers and advanced students working in philosophy of mind, philosophy of action, philosophy of psychiatry, and feminist philosophy"--

Intro -- Preface -- Acknowledgments -- Contents -- 1: Introduction: Political Philosophy of Mind -- 1.1 The Philosophy of Mind -- 1.1.1 Situated Cognition and Affectivity -- 1.2 Emancipatory Political Theory -- References -- 2: Three Theses Unpacked: Mind-Shaping, Collective Sociopathy, and Collective Wisdom -- 2.1 The Mind-Shaping Thesis -- 2.1.1 Its Meaning -- 2.1.2 Enactivism, Affective Framing, and Habits -- 2.1.3 Affordances and Enculturated Expectations -- 2.1.4 Its Truth -- 2.2 The Collective Wisdom Thesis -- 2.2.1 Its Meaning -- 2.2.2 Its Truth -- 2.3 The Collective Sociopathy Thesis -- 2.3.1 Its Meaning -- 2.3.2 Its Truth -- 2.4 Mind-Shaping Inside Sociodynamic Systems -- References -- 3: What Is a Destructive, Deforming Institution? -- 3.1 True Needs, False Needs, False Freedom of Choice, and Collective Sociopathy -- 3.2 Eight Criteria, How to Make Them Vivid, and How to Explain Them -- 3.2.1 Commodification -- 3.2.2 Mechanization -- 3.2.3 Coercion -- 3.2.4 Divided Mind -- 3.2.5 Reversal of Affect -- 3.2.6 Loss of Autonomy -- 3.2.7 Incentivization of Desires -- 3.2.8 False Consciousness -- 3.3 How to Prove These Claims -- References -- 4: Case-Study I: Higher Education in Neoliberal Nation-States -- 4.1 Higher Education as the Higher Commodification -- 4.1.1 "Mind Invasion" and Collective Sociopathy -- 4.1.2 Neoliberal U -- 4.1.3 The Affective Pull of Neoliberal Ideology -- 4.2 Neoliberal U and the Eight Criteria of Collective Sociopathy -- 4.2.1 Commodification -- 4.2.2 Mechanization -- 4.2.3 Coercion -- 4.2.4 Divided Mind -- 4.2.5 Reversal of Affect -- 4.2.6 Loss of Autonomy -- 4.2.7 Incentivization of Desires -- 4.2.8 False Consciousness -- 4.3 Shared Expectations in Online Education -- References -- 5: Case-Study II: Mental Health Treatment in Neoliberal Nation-States.

Children at risk of abuse are more likely to be hospitalized and utilize health services according to international research. In a large metropolitan health region in New South Wales, Australia, there was little known of the clinical burden of child physical abuse and/or neglect (PAN), or of systems for clinical assessment of children presenting with abuse/neglect. We aimed to identify the number of children presenting with suspected PAN to emergency departments (EDs) and paediatric services in this region, to determine enablers and barriers to assessment for children with PAN presenting to frontline services, and to identify best practices to address gaps. We collated available data on children presenting to EDs and paediatric services with suspected PAN in 2007. We interviewed 36 health professionals from nine hospitals and 12 statutory child protection professionals, across the region before undertaking relevant document analysis. Of 64,700 paediatric ED presentations, a quarter were due to injury; 2%–5% of these were due to maltreatment. Clinician estimates and assessments of PAN varied widely; health and welfare workers identified major practice gaps, as well as good local practice. We identified feasible minimum standards for improving clinical assessment and follow-up for children presenting with PAN, given the right organizational support.