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EN
This article sets out a manifesto for the development of an international values-based practice fully engaged with the diversity of cultural values and implemented through the resources of the international movement in philosophy and psychiatry. Anticipated by mid-twentieth century ordinary language philosophy of the “Oxford School,” the last three decades have witnessed a remarkable flowering of cross-disciplinary work between philosophy and psychiatry. The article indicates the scope and scale of this work and then describes the emergence of contemporary values-based practice as its philosophy-into-practice cutting edge. Values-based practice although originating in philosophy and psychiatry is currently being developed mainly in areas of bodily medicine such as surgery. As such, it has been criticized for focusing, as contemporary health care has largely focused, on the individual at the expense of cultural values. Hence arises the need for extending values-based practice internationally. The resources available from international philosophy and psychiatry for so extending values-based practice are outlined and some of the challenges are indicated. The article concludes with the hope that psychiatry in supporting the development of international values-based practice will by the same token take poll position in the development of contemporary science-led clinical care.
DE
Der Verfasser schildert seinen Weg zur Erkenntnis des Wesens von Gesundheit und Krankheit und der Beziehung zwischen Psychiatrie und Philosophie. Er beschreibt seine Erfahrungen in der Studentenschule für Psychische Hygiene (1984-1996) und die Inspiration durch das Schaffen von Kazimierz Dąbrowski. Das ganzheitliche Verständnis der Gesundheit und der psychischen Krankheit erfordert die Berücksichtigung der Selbsterkenntnis und der Rolle der Gefühle und Vorstellungen sowie der Dynamik der Integration von psychischen Prozessen. Zum Schluss verweist der Autor auf diagnostisch-semantische Probleme in der Beschreibung der Gesundheit und psychischer Krankheit.
EN
The author, as a philosopher, presents a way to come to understand the nature of health and disease in relation psychiatry and semantics. He describes his own experience working in the School Student Mental Hygiene (1984-1995) and inspired by the work of Kazimierz Dabrowski (1902-1980). It is believed that the understanding of health and mental illness requires full their experience of living and thoughts. And active use of extreme mental states for their own development. In the text the author formulates a diagnosis of attention-semantic, which relate to the description and understanding of health and mental illness on the border of the century.
PL
 Autor prezentuje drogę dojścia do rozumienia natury zdrowia i choroby w relacji psychiatrii filozofii i semantyki. Opisuje własne doświadczenia pracy w Studenckiej Szkole Higieny Psychicznej (1984–1995) oraz inspiracje twórczością Kazimierza Dąbrowskiego (1902–1980). Uważa, że rozumienie zdrowia i choroby psychicznej wymaga pełnego ich doświadczenia, przeżywania, przemyślenia. I aktywnego wykorzystania skrajnych stanów psychicznych dla własnego rozwoju. W tekście autor formułuje uwagi diagnostyczno-semantyczne, które dotyczą opisu i rozumienia zdrowia i choroby psychicznej na granicy XX i XXI wieku.
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