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Embracing RiskThe Changing Culture of Insurance and Responsibility$
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Tom Baker and Jonathan Simon

Print publication date: 2002

Print ISBN-13: 9780226035185

Published to Chicago Scholarship Online: March 2013

DOI: 10.7208/chicago/9780226035178.001.0001

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PRINTED FROM CHICAGO SCHOLARSHIP ONLINE (www.chicago.universitypressscholarship.com). (c) Copyright University of Chicago Press, 2020. All Rights Reserved. An individual user may print out a PDF of a single chapter of a monograph in CHSO for personal use.date: 28 May 2020

At Risk of Madness

At Risk of Madness

(p.209) Nine At Risk of Madness
Embracing Risk

Nikolas Rose

University of Chicago Press

This chapter explores a very different embrace of risk, that of “psy-professionals” (the chapter's general term for the array of professionals and para-professionals who wield expertise and power in modern mental health systems). The chapter undertakes what the chapter calls a “diagnostic” approach to risk, exploring how risk has emerged in psychiatry, what consequences accompany governing madness through risk, what new “technologies of power and relations of authority” have arisen, and what ethical issues are raised by the heightened relation of psychiatry and risk. In the process, the chapter considers the role of tort liability and the management of risk and responsibility, and contends that “the shadow of the law” significantly shapes mental health workers' professional conduct. It argues that contemporary psychiatry confines patients not so much to cure them but more for the secure containment of risk.

Keywords:   psy-professionals, mental health systems, psychiatry, madness, risk, tort liability

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