Sam Fellowes

@samfellowes.bsky.social

Philosophy of psychiatry, history of autism, psychiatric diagnoses, EBE research, self-diagnosis. samfellowes.com https://www.youtube.com/@sfhps

Given that self-diagnosis is stereotypically associated with social media*, it will be interesting to see if self-diagnosis rates decrease after the UK under-16s ban on social media comes into affect. *see below

If an academic job asked for "Research plan – description of current and future research plans", any ideas of what 'current' consists of (just stuff not yet published but in preperation, stuff published in the last two years, etc.)

How might this relate to #neurodiversity? "The vibes are young male vibes,"... there's a strong neurological factor – young men's attitude to sports, money, and prediction markets is down to... "an underdeveloped pre-frontal cortex and a high appetite for risk". www.bbc.co.uk/news/article...

Why young men are drawn to prediction markets

Prediction markets are a fast-growing, multi-billion-dollar industry, and appeal disproportionately to young men

bbc.co.uk

It is my birthday today. So I am taking a day off from the (alas non-academic) day job to do my favourite thing: go to the library and read philosophy of science articles on scientific models!

Has anyone ever written about adopting an identity as requiring some type of epistemic commitment, that most people will not adopt an identity unless they genuinely believe there is a significant level of fit between themselves and the identity. Any philosophy, psychology, sociology etc. on this?

Given the apocalyptic language in the news and the highly remote but non-negligible possibility that the end of the world is nigh, I would just like to reiterate my support of The Enlightenment. Largely failed in its aims but I cannot think of a better alternative. Science, truth, reason, etc.

There is a massively polarised debate in relation to over/under-diagnosis in psychiatry. Over/under-diagnosis are both harmful. Also, both could occur simultaneously: loads of people might get diagnoses they should not, whilst simultaneously loads of other people might not get diagnoses who should.

Giving the keynote on Defending Psychiatric Diagnoses at the Swedish Congress of Psychiatry. You know the drill by now, psychiatric diagnoses as not reflecting real people but that is alight because they are idealised and abstract models, and modelling is great in science. #psychiatry #philsci

At the Swedish Congress of Psychiatry. I am surrounded by hundreds of psychiatrists. Do they know there is a philosopher in their midst? What might they think of such a strange creature?

This is your friendly reminder that when it comes to debates about autism being over or under diagnosed, there are more options than 1) expand autism or 2) leave people who would likely benefit from a diagnosis without a diagnosis. #autism

In relation to self-diagnosis, if someone is autistic/ADHD/DID/etc, and if they consider that condition, I strongly suspect they can accurately self-diagnose. The challenge of self-diagnosis is whether people without the condition can work out that they do not have the condition. #autism #ADHD #DID

For academic job applications, I typically write some 5,000 word plus epic. This one only wants a covering letter. Are there any advantages to keeping things to say 1,500 words, whilst still hitting all the criteria?

Finally found time to do some podcasting. The working title for my next episode is "Over-diagnosis, anti-psychiatry, right-wing narratives and alternatives to autism". This could be interesting...

Just saw that James Bogen died. Every time I talk about psychiatric diagnoses or psychiatric symptoms as being models, or I try and outline expert-by-experience research or self-diagnosis as involving idealisation and abstraction, I'm probably being influenced by Bogen and/or Woodward.

New philosophy paper on self-diagnosis in psychiatry. It is a bit more optimistic than I am but it is definitely worth reading #self-diagnosis #HPS #psychiatry: link.springer.com/article/10.1...

The Politics of Self-narration: Self-Diagnosis as Digital Counter-Narrative - Topoi

This article explores the epistemic, political, and affective dimensions of self-narration in relation to neurodivergence and self-diagnosis, focusing on how such practices can resist forms of epistemic injustice. Building on Fricker’s framework of testimonial and hermeneutical injustice, we argue that self-narratives - especially when articulated through social media - can serve as tools of epistemic resistance and community building, that challenge dominant medicalized narratives. In the first part we develop a theoretical framework to understand the relation between identity claims and narrative practices, as well as their link to epistemic injustice. We will argue that lived experience of mental conditions and neurodivergence can act as a source of self-narrations that can both be influenced by, and counter, pathologizing dominant narratives. Especially through this kind of resistance, self-narrative practices can build what we call collective counter-narratives that can oppose epistemic injustice in psychiatry. Drawing on this, we explore how digital platforms provide neurodivergent individuals with alternative spaces for recognition and knowledge production. Social media affordances, such as visibility and interactivity, enable community building and identity affirmation, while also introducing vulnerabilities through over-sharing and algorithmic normativity. By analyzing self-diagnosis and online disability performance, we highlight how epistemic agency is negotiated amid technological and socio-cultural asymmetries. Ultimately, we argue that digital platforms can serve as arenas of epistemic resistance, where lived experience is claimed as collective expertise, challenging traditional medical authority, while acknowledging the associated risks and political implications.

link.springer.com