Theory, Research and Clinical Applications

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    Psychiatric Diagnostic (DSM 5) Contexts of Psychopathological Interference in Conscience Formation and Functioning across the Youth-span: a Guideline
    (IU Conscience Project, 2014) Galvin, Matthew R.
    Pastoral counselors as well as psychotherapists might readily engage with conscience sensitive psychiatrists at the moral psychological level in understanding psychopathological interferences in conscience formation and functioning. The timeline of conceptual efforts made thus far to chart the course of psychopathological interferences in conscience formation and functioning is demarcated. Conscience sensitive psychiatry requires durable, conceptual tools for organizing bio-psycho-social considerations refined according to current standard diagnostic conventions in order for research to continue but also for the sake of enabling meaningful conscience sensitive contributions to healing. The absence of a designated group of disorders centered upon conscience accentuates the need to provide an up-to-date supplemental typology that will promote conscience sensitivity in diagnostic considerations. A GUIDELINE is provided for considering types of psychopathological interference in conscience formation and functioning in the context of current psychiatric diagnostic conventions.
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    Conscience Sensitive Psychiatric Diagnosis of Maltreated Children and Adolescents
    (Indiana University Conscience Project, 2001) Galvin, Matthew R.; Stilwell, Barbara; Adinamis, Ann; Kohn, Arlene
    The sequelae of maltreatment are conceptualized according to the DSM IV multiaxial system expanded for heuristic purposes. Axis I and Axis IV are expanded to take into account important variables of maltreatment. Differential Axis I diagnoses are identified with special emphasis placed on PTSD, Dissociation, Depression and Disruptive Behavior Disorders. Axes II and III are heuristically expanded to call attention to developmental psychopathology, particularly in the domains of conscience, and associated putative neurobiological sequelae of maltreatment, indicating a pathway to the psychobiology of conscience. Conscience sensitive assessment of maltreated children is illustrated with two case vignettes and selected conscience drawings. A ‘transaxial,’ conscience sensitive approach to DSM nosology is recommended as a corrective. There will likely be additional implications for the psychobiology of conscience as neuroimaging and assessment of conscience functions in health and psychopathology become more refined.
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    The Stilwell Conscience Interview
    (IU Conscience Project, 1994-11-05) Stilwell, Barbara M.
    This is a semi-structured interview. All initial queries should be asked verbatim. Afterwards the interviewer can develop the dialogue in any way that helps the subject share the meaning of his/her moral life.
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    Five Domains of Conscience
    (IU Conscience Project, 2005-02-05) IU Conscience Project
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    The Stilwell Structured Conscience Interview
    (IU Conscience Project, 1999-02-11) Stilwell, Barbara M.
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    Global Assessment of Psychopathological Interference to Conscience Functioning
    (IU Conscience Project, 1999-12-02) Stilwell, Barbara M.
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    Bibliography
    (IU Conscience Project, 2002-02-05) IU Conscience Project
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    Trauma, Moral Development, and Conscience Functioning
    (IU Conscience Project, 2002-01-27) Stilwell, Barbara M.
    Our model of moral development--which we refer to as conscience development-- incorporates the ways in which individuals come to apply moral value or moralize their attachment, emotional, cognitive, and volitional behavioral systems. The end result is a working model--a dynamic conceptualization within the mind commonly known as the conscience.
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    Progress in conscience-sensitive psychiatry: assessment, diagnosis and treatment planning
    (IU Conscience Project, 2006) Stilwell, Barbara M.; Galvin, Matthew R.; Gaffney, Margaret M.
    Study of the relationship between episodic or continuous moral malfunctioning and psychopathology is an undeveloped field in child and adolescent psychiatry. An empirically derived theory of conscience provides a normative base from which to launch such studies. This work reviews five normative stages of functioning within five domains of conscience: conceptualization, moralization of attachment, moral-emotional responsiveness, moral valuation, and moral volition. Current professional guidelines for the doctor-patient relationship, psychiatric assessment, diagnostic categorization, and treatment planning address conscience functioning sometimes directly, sometimes indirectly, and sometimes not at all. A case report is provided to illustrate progress already made in conscience sensitive clinical psychiatry. Further advances may begin with consideration of proposed hypothetical models, comporting with recent research, which describe progressive impairment involving both delay and deviancy in conscience functioning.