The American Psychiatric Association (APA) has updated its Privacy Policy and Terms of Use, including with new information specifically addressed to individuals in the European Economic Area. As described in the Privacy Policy and Terms of Use, this website utilizes cookies, including for the purpose of offering an optimal online experience and services tailored to your preferences.

Please read the entire Privacy Policy and Terms of Use. By closing this message, browsing this website, continuing the navigation, or otherwise continuing to use the APA's websites, you confirm that you understand and accept the terms of the Privacy Policy and Terms of Use, including the utilization of cookies.

×
No Access

On "I": the conceptual foundations of responsibility

Published Online:https://doi.org/10.1176/ajp.137.4.417

In clinical practice, great emphasis is placed on the patient's being responsible, yet the conceptual bases of this therapeutic posture are obscure. The author examines the conceptual foundations of responsibility by focusing on the subjective "I". Although "I" is widely considered to be an empty term, signifying only an illusory "ghost in the machine," the author argues that our acquaintance with "I" is acceptable at face value. "I" is strictly identified with the tacit, rule-governed, grammatical actions of distinguishing (or meaning) that constitute the experienced personal world. The author discusses the clinically important distinction between "having" and "assuming" responsibility.

Access content

To read the fulltext, please use one of the options below to sign in or purchase access.