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Psych MEQs / SAQsfoundations — philosophy of mind

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.

20 marks20 min1 min readVerification in progress

Target exams

FRANZCPMRCPsychABPNMD-DNB
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Target exams

FRANZCPMRCPsychABPNMD-DNB
Prompt
You are teaching a first-year registrar after a ward round. A 34-year-old with first-episode psychosis says 'either my brain chemicals are broken or I am morally weak.' Family ask whether a brain scan will prove free will is absent so that legal responsibility disappears. The team has written a biopsychosocial formulation that lists 'bio / psycho / social' with no hypotheses. (i) Define philosophy of mind versus descriptive psychopathology for clinical work. (ii) Contrast substance dualism, physicalism, and functionalism in exam-usable sentences. (iii) Outline Kendler's multilevel / pluralist approach and the 'dappled causes' idea. (iv) Defend a non-empty biopsychosocial method against Ghaemi's critique. (v) Respond to the free-will and responsibility claim and outline capacity abilities if treatment consent is contested. (20 marks)

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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]

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References6ShowHide
  1. [1]Engel GL The need for a new medical model: a challenge for biomedicine Science, 1977.PMID 847460
  2. [2]Ghaemi SN The rise and fall of the biopsychosocial model Br J Psychiatry, 2009.PMID 19567886
  3. [3]Kendler KS Toward a philosophical structure for psychiatry Am J Psychiatry, 2005.PMID 15741457
  4. [4]Kendler KS The dappled nature of causes of psychiatric illness: replacing the organic-functional/hardware-software dichotomy Mol Psychiatry, 2012.PMID 22230881
  5. [5]Appelbaum PS Clinical practice. Assessment of patients' competence to consent to treatment N Engl J Med, 2007.PMID 17978292
  6. [6]Pierre JM The neuroscience of free will: implications for psychiatry J Psychiatr Pract, 2014.PMID 24330830
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