Denial of problem, lack of insight, self-awareness

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Denial of problem, lack of insight, self-awareness

Postby Marina » Thu Oct 12, 2006 12:46 pm

Links on Denial of problem, lack of insight, self-awareness

Freedom of Thought
Declaration of Human Rights

Article 18.
1. Everyone has the right to freedom of thought

Cognitive Liberty & Mental Health ... _index.htm

Cognitive Liberty & Mental Health
1. What exactly is "mental health" and who gets to decide whether or not your mind is healthy? Certainly, if a person's conduct is a danger to others, the State ought to intervene. But, history shows that various mental health labels have been exploited by the State for political purposes, and that people have been (and continue to be) subjected to "mental health" treatment against their will, although they pose no danger to others. Such State actions raise deep concerns, and ought to be recognized as human rights violations that are unconstitutional violations of the fundamental right to cognitive liberty and autonomy.

Shrinking the Freedom of Thought ... n1997.html

Psychiatry has little trouble in establishing its potential benefit to the exercise of human rights when 'difficult' individuals acknowledge that they have a mental disease and seek treatment for it. A specific article of human rights law that psychiatry can enhance in this way is Article 12 of the International Covenant on Economic, Social and Cultural Rights (ICESCR). Article 12 concerns "the right of everyone to the enjoyment of the highest attainable standard of physical and mental health."[3]

International law – Right to Mental Health
'International Covenant on Economic, Social and Cultural Rights
Article 12.
1. The States Parties to the present Covenant recognize the right of everyone to the enjoyment of the highest attainable standard of physical and mental health.

Lack of insight ... sheet4.htm

Fact Sheet:
LACK OF INSIGHT—a Barrier to Voluntary Treatment

Service system lacks insight into lack of insight

Anosognosia ("anasugNOHZeeah") or lack of awareness of one's mental illness is another biologically based symptom...
Sadly, the mental health service system has not demonstrated an understanding of this symptom in most of its programs. Individuals suffering from anosognosia are frequently homeless, incarcerated, noncompliant, violent, refuse treatment,

Psychiatry's Lack of Insight: Four Double-Binds That Place Patients in a Living Nightmare ... binds.html

Anosognosia: Unaware of or denies the existence of their handicap.

(Sorry, the short link wouldn’t work.)

Recently an important new mental disorder, Anosognosia (translation: lack of awareness of illness), has been announced by the American Psychiatric Association (see Professional News, 2001, 36, 17, p. 13.). While this phenomenon was long known by the psychological term denial, it is now said to be a result of a brain defect, according to a recent article in Psychiatric News. (September 7, 2001).

Organic Denial in alcoholism

Alcoholism and chemical dependency are brain disorders. At some point, psychological denial may give way to organic unawareness or anosognosia. If a patient's denial seems so strong that it is almost palpable and seems organic, it may be

Psychiatric News
September 7, 2001
Volume 36 Number 17, p. 13, Professional News
Anosognosia Keeps Patients From Realizing They're Ill

Court case with a bunch of citations (search on U.S. Gov. website for term “Anosognosia”

Promoting Self-Determination for Individuals with Psychiatric Disabilities

One of the major controversies in the field of psychiatry today is a debate about the competency of individuals with serious mental illnesses.

On one side of the debate is the argument that significant numbers of people with mental illnesses lack the insight to make rational decisions (likened to the neurological disorder anosognosia, see Amador & Paul-Odouard, 2000). Some proponents of this argument support legal reforms that require persons deemed incompetent to receive outpatient services and unwanted medications against their will, thereby encroaching on their personal freedom. The argument for these legal reforms is based on assertions that persons with serious mental illnesses are or may become dangerous, and therefore need to be protected from causing harm to self or others.

On the other side of the argument is the assertion that freedom from coercion is a basic societal value in a democracy, as well as a human right, regardless of one’s level of competency. Advocates of this perspective believe that forced treatment will only worsen the fundamental problem of an already overly coercive mental health service delivery system. Proponents of this approach to dealing with problems of competency assert that a well-designed system of care based on principles of recovery and self-direction that is also integrated at the community level will largely negate the need for coercive treatment. ... 1&.intl=us

Conference Probes Pathology of Self-Awareness ... 1&.intl=us

That rethinking of the biological basis for a lack of self-awareness is affecting the way other illnesses are viewed, too. For instance, although dealing with denial is a critical component in alcohol rehabilitation, the self-awareness deficit is not even among the DSM-IV's diagnostic criteria for substance abuse, said Kenneth Sher, Ph.D., professor of psychology in the department of psychological services at the University of Missouri, Columbia. Telling attendees that there was almost no research on the self-awareness component of alcoholism, he urged further investigation.
Last edited by Marina on Fri Oct 27, 2006 3:44 pm, edited 2 times in total.

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Self–Report Screening for Alcohol Problems Among Adults

Postby Marina » Sat Oct 14, 2006 8:47 am ... report.htm

Self–Report Screening for Alcohol Problems Among Adults

Definition of Screening

Goals of Screening

Distinguishing Between Screening and Assessment

Screening in Relation to the Treatment Process

Approaches to Evaluating Measures



Predictive Value

Likelihood Ratios

Self–Report Validity and Screening Tests

"For example, the accuracy of self–reports may decrease as a function of recent alcohol consumption, concurrent psychiatric problems, physical and cognitive impairments, the absence of assurances of confidentiality, and an ambiguous or strained relationship between the person administering the screening measure and the person taking it."

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Postby Marina » Fri Oct 27, 2006 3:29 pm ... 08a042.txt

Schizophrenic loses court battle over children

Medill News Service

Friday, October 27, 2006

A Cook County Juvenile Court judge Thursday found a Chicago mother and the fathers of her two children unfit to care for the girls, ages 3 and 12.

One father suffers from schizophrenia paranoia, according to prosecutors who want foster parents to adopt the man's 3-year-old daughter.

In order to adopt a child in Illinois, either both parents must be deceased or parental rights must be terminated. To terminate parental rights, a medical expert must prove a parent is unable to fulfill his or her parental responsibilities.

Prosecutors are slowly working through the case so the 12-year-old girl can accept the fact that her sister will be adopted by foster parents, an action she is against.

The main psychologist on the case, who classified the father of the 3-year-old as suffering from schizophrenia, relocated to California.

Jennifer Clark, the supervising psychologist and the clinical director of the court's child protection division, testified on her behalf. Clark said due to the lack of the father's insight, his instability, his reaction to stress and his limited support network, a child in his care may be subject to harm.

David Roleck, who represents the father, argued that because Clark was not physically present at the time of the medical reviews and evaluations, her testimony should not be considered. Roleck added that any medial evaluations based on someone else's opinion could result in an "erroneous finding."

Assistant Public Guardian Todd Kooperman, who represents the 3-year-old, said the father refused to sign visitation orders in 2004 and has not seen his daughter since.

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Postby Marina » Fri Oct 27, 2006 3:45 pm

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