Psych MEQs / SAQs · foundations — philosophy of mind
Philosophy of mind, multilevel explanation, and capacity (MEQ)
FRANZCP-style MEQ on philosophy of mind applied to formulation, free will rhetoric, BPS critique, and capacity.
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(i) Definitions. Philosophy of mind asks what mental states are and how they relate to brain/body/world. Descriptive psychopathology names the form of experience and behaviour with clinical language before causal theory or diagnosis. Use form first, then philosophy-informed explanation.[3]
(ii) Stances. Substance dualism: mind and body as distinct substances. Physicalism: mental depends on or is physical. Functionalism: mental states defined by causal roles, not by 'stuff.' Clinical pay-off: avoid 'only weak-minded or only chemical' forced choice.[3]
(iii) Kendler. Prefer explanatory pluralism across levels (molecular to social) with only patchy reduction; causes of psychiatric illness are dappled — many kinds, not a clean organic-functional or hardware-software split. Each hypothesis must live at a named level with appropriate evidence.[3][4]
(iv) BPS. Engel challenged narrow biomedicine to include biological, psychological, and social data in clinical method. Ghaemi: the label often became empty eclectic checklists. Rescue: prioritised, testable multilevel hypotheses (not three blank boxes).[1][2]
(v) Free will and capacity. Neuroscience of volition is frequently over-read; a scan does not abolish responsibility frameworks or duty of care. Teach careful separation of causal explanation from legal/moral responsibility talk. If consent contested: assess understanding, appreciation, reasoning, and communicating a choice — decision-specific, not identical to insight or to free-will metaphysics. Do not invent statute numbers.[5][6]
References6ShowHide
- [1]Engel GL The need for a new medical model: a challenge for biomedicine Science, 1977.PMID 847460
- [2]Ghaemi SN The rise and fall of the biopsychosocial model Br J Psychiatry, 2009.PMID 19567886
- [3]Kendler KS Toward a philosophical structure for psychiatry Am J Psychiatry, 2005.PMID 15741457
- [4]Kendler KS The dappled nature of causes of psychiatric illness: replacing the organic-functional/hardware-software dichotomy Mol Psychiatry, 2012.PMID 22230881
- [5]Appelbaum PS Clinical practice. Assessment of patients' competence to consent to treatment N Engl J Med, 2007.PMID 17978292
- [6]Pierre JM The neuroscience of free will: implications for psychiatry J Psychiatr Pract, 2014.PMID 24330830