Note
Studied by 7 people
Summary of Health, Well-Being, and Transhumanism
Class Discussion Prompts
Significance of 2018 changes in classification, diagnosis, and treatment of disorders of consciousness (Fins).
Meaning of “mad carework” (Fletcher), with examples from her article.
Disorders of Consciousness
Definitions:
Coma: Closed-eye state, lacking consciousness.
Vegetative State: Eyes open, wakeful but no awareness.
Minimally Conscious State (MCS): Awareness, responses may vary, can be verbal (plus +) or non-verbal (minus -)
Classification changes in 2018 noted by Fins.
What are Cognitive Disabilities?
A term encompassing a range of conditions, including:
Intellectual disability
Autism spectrum disorders
Severe mental illness
Brain injuries
Estimated 28.5 million Americans affected (9% of population).
Mental Illness vs Cognitive Disability
Cognitive Disability: Innate, irreversible, early onset.
Mental Illness: Often acquired, treatable, cyclical.
Importance of DSM
Standard manual for diagnosing mental disorders.
Evolving editions reflecting changes in understanding:
DSM I (1952): 60 disorders
DSM-5 (2013): 397 disorders
Consciousness and Personhood
Sentient (sensing feeling, responsive)
awake and normally alert
self-conscious (aware that you are aware)
“something it’s like” (nagel consciousness, thomas nagel)
Richard Locke's view: Personal identity tied to self-consciousness and awareness.
Distinction between different states of consciousness (e.g., sleep, coma, vegetative states).
Human Rights Concerns
Fins argues patients with disorders of consciousness are neglected, representing a human rights violation.
Existing disability policies are inadequately applied to those with severe brain injuries.
SOFA Score in Medical Triage
Used during COVID-19 for resource allocation regarding severe brain injury treatments.
Issues identified in how triage policies were framed, possibly leading to improper denials of care.
DSM 5 - Diagnostic & Statistical Manual of Mental Disorders
What is the DSM-5, and how does it differ from previous editions?
The DSM-5, or Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, is a significant update from previous editions, expanding from 60 disorders in DSM I (1952) to 397 disorders in DSM-5 (2013). This evolution reflects advances in understanding mental health, allowing for more nuanced diagnosis and treatment options.What are the main distinctions between mental illness and cognitive disabilities?
Cognitive disabilities are characterized as innate, irreversible, and typically have an early onset, such as those seen in intellectual disabilities and autism spectrum disorders. In contrast, mental illness is often acquired, potentially treatable, and can exhibit cyclical patterns.How does the DSM-5 approach the classification of disorders of consciousness?
The DSM-5 categorizes disorders of consciousness based on distinct definitions:Coma: A closed-eye state with a complete lack of consciousness.
Vegetative State: Eyes may be open, but there is no awareness or purposeful response.
Minimally Conscious State (MCS): Patients exhibit some awareness, which may vary in terms of verbal and non-verbal responses.
How are cognitive disabilities estimated in the population?
It is estimated that approximately 28.5 million Americans, or 9% of the population, are affected by cognitive disabilities.What role does the DSM play in diagnosing mental disorders?
The DSM serves as the standard manual for diagnosing mental disorders, providing clinicians with guidelines and criteria. It reflects evolving societal and medical understanding, ensuring that diagnoses are based on current research and practices.What implications do the changes in classification and diagnosis of the DSM-5 have on treatment options for disorders?
Changes in the DSM-5 influence treatment options by providing updated frameworks for diagnosis, which can affect the type of therapeutic approaches and policies regarding disability support. Advances in classification allow for tailored treatment plans based on specific disorder criteria.What ethical considerations arise when diagnosing patients with cognitive disabilities?
Clinicians face ethical responsibilities in ensuring accurate diagnoses, as misdiagnosis can lead to inappropriate care. This emphasizes the importance of thorough assessments and a compassionate understanding of the individuals' needs to facilitate appropriate interventions.
What are the main distinctions between mental illness and cognitive disabilities?
Describe cognitive disabilities as innate, irreversible, and early onset compared to mental illness, which is often acquired and treatable.
How does the DSM-5 approach the classification of disorders of consciousness?
Discuss definitions such as coma, vegetative state, and minimally conscious state (MCS).
What human rights concerns are raised regarding patients with disorders of consciousness?
Analyze Fins' argument about the neglect of these patients and how existing disability policies inadequately serve those with severe brain injuries.
What role does the DSM play in diagnosing mental disorders?
Discuss its significance as a standard manual and how it reflects changes in societal and medical understanding of mental health.
What implications do the changes in classification and diagnosis of the DSM-5 have on treatment options for disorders?
Explore how advancements and changes influence therapeutic approaches and policies related to disability.
What ethical considerations arise when diagnosing patients with cognitive disabilities?
Investigate the responsibilities of clinicians in ensuring accurate diagnosis and appropriate care.