Cards 2.0 - A2CynthiasDilemma...

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A2 Cynthia’s Dilemma Open Peer Commentaries  Some words of caution about Charland’s paper are nevertheless warranted.  First , his paper  [Charland] does not take on the  knotty problem of the medical profession “enabling” substance  dependence through the prescription of addictive  substances; this requires our consideration.   Second, the argument  advanced in the paper about “presuming the incompetence”  rather than the “competence” of addicted individuals  is very radical. Moreover, this is an empirical  question needing diligent and long-term study, especially  as it may be misconstrued to erode the rights and devalue  the true strengths of people struggling with substance dependence.   Finally,  there is broad international debate on  the capacities of people with various psychiatric disorders  to consent. This has further stigmatized the mentally ill  and, interestingly, the professionals who study and treat  mental illness. Some policy makers have moved to implement  strategies that may undermine the rights of people  with illnesses ranging from depression to schizophrenia,  thus adding insult to injury. It is important that we, as  scholars in this ªeld, proceed in a manner that fulªlls the  bioethics imperatives of respect for persons and nonmale ªcence by studying and truthfully characterizing in- formed-consent-related phenomena while also working  carefully to provide a balanced perspective on the  strengths and gifts that ill individuals bring to the consent  situation. ¦ Foddy The Disease View  The most popular view among neuroscientists is  that an addict’s drug-seeking behavior is the direct  result of some physiological change in their brain,  caused by chronic use of the drug.  The Disease  View states that there is some “normal” process  of motivation in the brain and that this process is  somehow changed or perverted by brain damage  or adaptation caused by chronic drug use. On 
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This note was uploaded on 01/09/2011 for the course US 12 taught by Professor Trelawney during the Spring '10 term at Colby-Sawyer.

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Cards 2.0 - A2CynthiasDilemma...

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