Gemma Lucy Smart

Chapter Overview: This chapter looks at the foundations of modern psychiatry, with its stress on neurological malfunction, and asks about its strengths and limitations. We start by tracing some of the historical development of the ideas that have found their way into modern psychiatry from their roots in 19th-century medicine and neuroscience. Turning to the present day, we briefly look at competing conceptions of mental illness, before we discuss the philosophy of science that forms some of the theoretical foundations of modern psychiatry. We suggest that modern psychiatry makes a number of commitments that are quite familiar to philosophers of psychology, employing mechanistic explanations to address disorders that are seen as natural kinds. We end with an example that seems to fit this picture, specific phobia, and one that seems not to, addiction.