Stilwell, Barbara M.

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Global Assessment of Psychopathological Interference to Conscience Functioning  Barbara M. Stilwell, M.D.  [December 2, 1999]  Level 1  Acute feeling of estrangement in a major attachment relationship(s) due to moral conflict(s). Strong desire to mend the relationship Episodes of mounting anxiety and/or despair over moral conflicts within self or with others Acute value dissonance a. questioning of values or behavior that were formerly accepted as right or wrong b. questioning of behavior in self, others, or the world formerly not considered in moral terms Episodes of behavior that show _____ disruption in respect for authority _____ disruption in the pursuit of fairness and caring among peers _____ disruption in self-worth Belief that one ought to pursue goodness in self, relationships, and the world is preserved  Level 2 Ongoing feelings of estrangement in a major attachment relationship(s) due to moral conflict(s). Loss of desire or feeling of futility about mending the relationship(s) Protracted feelings of anxiety and/or despair over moral conflict within self or with others Ongoing value dissonance  a. questioning of values or behavior that were formerly accepted as right or wrong b. questioning of behavior in self, others, or the world formerly not considered in moral terms Ongoing pattern of behavior that shows _____ disruption in respect for authority _____ disruption in the pursuit of fairness and caring among peers _____ disruption in self-worth Belief that one ought to pursue goodness of self, relationships, and the world is questioned but not abandoned   Level 3 Acute episodes of feeling estranged from the goodness-pursuing mandates of conscience  Episodes of mounting anxiety and/or despair over struggle between good and bad within self  Episodic devaluation of the authority of one's conscience, the worth of pursuing fairness and caring among peers, or finding goodness in the self An internal war between good and bad is reflected in erratic, emotionally charged contradictory behavior Belief that one ought to pursue goodness in self, relationships, and the world is seriously doubted  Level 4 Ongoing feeling of estrangement from the goodness-pursuing mandates of conscience. Moral identity is fragmented or dissociated into good and bad selves _____Moral-emotional confusion is pervasive or _____Emotional expression is consistent with the moral identity that is operative at the time When bad self is dominant, pursuit of evil is idealized and justified Behavior is "comfortably antisocial" when bad self is dominant. _____anti-authoritarian _____anti-peers _____pro-bad self Belief that one ought to pursue goodness in self, relationships, and the world is erratically challenged by satisfaction in pursuing badness   Level 5  Moral identity consolidates around _____ pursuit of evil or _____ indifference to right and wrong Positive emotions _____ consolidate around triumph of evil or _____ become completely disconnected from moral values Pursuit of evil or living without a moral framework becomes the authority of conscience, governs relationships with others, and maintains self-esteem Behavior is consistent with _____ antisocial moral values or _____ indifference to morality Belief that one ought to pursue badness or live outside of a moral system is accepted  

Global Assessment of Psychopathological Interference to Conscience Functioning

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Global Assessment of Psychopathological Interference to Conscience Functioning

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