Literature DB >> 25374370

Thwarting the Diseased Will: Ulysses Contracts, the Self and Addiction.

Kirsten Bell1.   

Abstract

Ulysses contracts are a particular type of advance directive that has been advocated for use in mental health settings and addictions treatment. Taking their name from the legend of Ulysses, such contracts are distinctive insofar as they are designed to thwart certain anticipated future wishes rather than realize them. In this paper, I consider what Ulysses contracts reveal about contemporary conceptions of addiction and the self. Drawing on discussions of Ulysses contracts in the psychiatric and addictions literature, as well as historical and contemporary examples of such, I show that Ulysses contracts are premised on a split between the present 'rational' self and the future 'irrational' self, thereby reproducing a very particular notion of addiction--one that serves to naturalize certain ways of thinking about freedom, choice, coercion, and the self.

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Year:  2015        PMID: 25374370     DOI: 10.1007/s11013-014-9416-5

Source DB:  PubMed          Journal:  Cult Med Psychiatry        ISSN: 0165-005X


  17 in total

1.  Bound to freedom: the Ulysses contract and the psychiatric will.

Authors:  Audrey Macklin
Journal:  Univ Tor Fac Law Rev       Date:  1987

2.  Reviving Ulysses contracts.

Authors:  Ryan Spellecy
Journal:  Kennedy Inst Ethics J       Date:  2003-12

3.  Pressure and coercion in the care for the addicted: ethical perspectives.

Authors:  M J P A Janssens; M F A M Van Rooij; H A M J ten Have; F A M Kortmann; F C B Van Wijmen
Journal:  J Med Ethics       Date:  2004-10       Impact factor: 2.903

4.  Ulysses in Minnesota: first steps toward a self-binding psychiatric advance directive statute.

Authors:  R Cuca
Journal:  Cornell Law Rev       Date:  1993-09

5.  Beyond "self-paternalism": response to Rosenson and Kasten.

Authors:  J A Rogers; J B Centifanti
Journal:  Schizophr Bull       Date:  1991       Impact factor: 9.306

Review 6.  Putting at risk what we know: reflecting on the drug-using subject in harm reduction and its political implications.

Authors:  David Moore; Suzanne Fraser
Journal:  Soc Sci Med       Date:  2006-01-18       Impact factor: 4.634

7.  How to justify enforcing a Ulysses contract when Ulysses is competent to refuse.

Authors:  John K Davis
Journal:  Kennedy Inst Ethics J       Date:  2008-03

8.  Can a subject consent to a 'Ulysses contract'?

Authors: 
Journal:  Hastings Cent Rep       Date:  1982-08       Impact factor: 2.683

9.  The psychiatric will. A new mechanism for protecting persons against "psychosis" and psychiatry.

Authors:  T S Szasz
Journal:  Am Psychol       Date:  1982-07

10.  The discovery of addiction. Changing conceptions of habitual drunkenness in America.

Authors:  H G Levine
Journal:  J Stud Alcohol       Date:  1978-01
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  2 in total

1.  Estranged relations: coercion and care in narratives of supported decision-making in mental healthcare.

Authors:  Meredith Stone; Renata Kokanovic; Felicity Callard; Alex F Broom
Journal:  Med Humanit       Date:  2019-07-30

2.  Against Ulysses contracts for patients with borderline personality disorder.

Authors:  Antoinette Lundahl; Gert Helgesson; Niklas Juth
Journal:  Med Health Care Philos       Date:  2020-12
  2 in total

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