Preface . . ix Prologue . . 1 PART ONE "Antisocial Personality", Values, Psychiatry . . 7 1. Socratic Questions in Broadmoor . . 9 2. The Contours of a Moral Landscape . . 18 3. Childhood and After . . 38 4. Interpreting This Landscape . . 67 5. Shakespeare Comes to Broadmoor . . 74 PART TWO On Human Interpretation . . 87 6. Hopes for the Future of Psychiatry . . 89 7. "A Skill So Deeply Hidden in the Human Soul" . . 97 8. Intuitive Interpretation . . 106 9. Reflective Interpretation . . 115 PART THREE Human Interpretation in Psychiatry . . 123 10. "A Gulf Which Defies Description" . . 125 11. Autism and Interpretation . . 130 12. Interpreting Delusions . . 139 13. Waking Dreams . . 161 PART FOUR The Boundaries of Psychiatry . . 187 14. The Need for Boundaries . . 189 15. Personality and Sexuality . . 203 16. Dysfunction? . . 211 17. Harm . . 218 18. What Is Autism? . . 228 19. Crossing the Medical Boundary? . . 235 20. Strands in a Good Human Life . . 240 PART FIVE Agency, Control, and Responsibility . . 247 21. Brain, Mind, and Agency . . 249 22. Psychiatric Conditions and the Framework of Responsibility . . 262 23. What Is Addiction? . . 275 24. Unwilling Addiction as Diminished Control . . 283 25. Character, Personality Disorder, and Responsibility . . 296 PART SIX Identity . . 307 26. The Sense of Self . . 309 27. Moral Identity and Moral Injury . . 313 28. Psychotherapy, Autonomy, and Self-Creation . . 329 29. Entrapment in Eating Disorders . . 345 30. Authenticity and Identity in Eating Disorders . . 354 31. Dementia, Responsibility, and Identity . . 366 32. Schizophrenia . . 372 33. Self-Creation, Values, and Psychiatric Disorder . . 379 Epilogue . . 388 Notes . . 395 Acknowledgments . . 419 Index . . 423