PHI-413V Christian concept of the imago Dei and worldview essay

PHI-413V Christian concept of the imago Dei and worldview essay
PHI-413V Christian concept of the imago Dei and worldview essay

1. What is the Christian concept of the imago Dei? How might it be important to health care, and why is it relevant?

2. According to your worldview, what value does a human person have? How does your position affect your stance on controversial bioethical issues, such as abortion, designer babies, and stem cell research?

What is the Christian concept of the imago Dei? How might it be important to health care, and why is it relevant?

‘Imago Dei’ is the Latin translation for ‘Image of God’. It is a concept found in the biblical story of creation. The concept has two connotations. The first connotation is that humans are the self-actualization of God who created them. The second connotation is that God cares for humans. To say that humans are created in the image of God is a recognition that God is made manifest in humans thus enabling them to have special qualities that set them above other creations. Unlike other creations, humans have a rational structure that includes the capacity for deliberation and free decision-making that offers them freedom to be complete and centered thus supporting their self-actualization and participation in the sacred reality that everything is the will of God. In essence, humans who have the awareness that they are created in the image of God must recognize that they are instruments through which God’s intentions, purposes and plans are made known and actualized. Interpreting this awareness from a health care perspective would indicate that humans are co-creators with God since they help in actualizing God’s plan. Through providing health care, medical personnel act on God’s intention to heal, thus identifying them as instruments through whom God’s will is manifested (Bruyneel & Padgett, 2003; Demacopoulos &‎ Papanikolaou, 2016).
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According to your worldview, what value does a human person have? How does your position affect your stance on controversial bioethical issues, such as abortion, designer babies, and stem cell research?

According to my worldview, the value of every human being is determined by how well they do God’s will. Humans were created to serve, learn and live through God’s word. All humans have the capacity for deliberation and free decision-making. As such, every individual is responsible for stance taken on controversial decision making. Overall, humans must be guided by God’s word (the Bible) when making such decisions, and should ensure that whatever decision is made reflects the personal awareness and acceptance of the sacred reality. Irrespective of the perceived costs and benefits, every decision must reflect what is perceived as God’s intention (Troy, 2014). PHI-413V Christian concept of the imago Dei and worldview essay.
 
References
Bruyneel, S. & Padgett, A. (2003). Introducing Christianity. Maryknoll, NY: Orbis Books.
Demacopoulos, G. &‎ Papanikolaou, A. (2016). Christianity, Democracy, and the Shadow of Constantine. New York, NY: Fordham University Press.
Troy, J. (ed) (2014). Religion and the realist tradition: from political theology to international relations theory and back. New York, NY: Routledge.
 
PHI-413V Topic 1 Overview

Foundational Issues in Christian Spirituality and Ethics

Introduction

Welcome to Grand Canyon University’s course on Ethical and Spiritual Decision-Making

in health care. Some students may be apprehensive and object to taking this course

because they feel such a course is not necessary for their major. PHI-413V Christian concept of the imago Dei and worldview essay Yet Grand Canyon

University has a long-standing Christian heritage, meaning that our Christian faith is

fundamental to all that we do. We want all students to feel welcome here, regardless of

their religion or beliefs, but we also want all students to at least understand the

Christian worldview and be challenged to think carefully about the deeper questions of

life.

In addition, this course serves several key purposes for training in health care. First, it is

important to understand that many of the foundational beliefs that the fields of

medicine and health care take for granted (such as the intrinsic dignity and value of all

human beings, regardless of race, gender, religion, socioeconomic status, etc.) are

deeply held Christian values that come from the Christian worldview and have shaped

the practice of medicine for almost 2,000 years. Second, all human beings hold beliefs,

live, and act in the context of their worldview. All decisions, including health care

decisions, that human beings make are informed by their most deeply held values and

beliefs which comprise a person’s worldview. Thus, it is important to understand how a

patient’s worldview will shape their decision-making and values in health care.

Third, decision-making in health care often times involves ethical decisions about right

or wrong, and it is crucial for health care practitioners to have an understanding of the

nature of ethical decision-making, as well as some practical training. Fundamentally, this

course is about how the Christian worldview approaches various issues and questions in

health care. In understanding the Christian worldview, one will also come to learn how

different worldviews might approach the same questions.

Some students may be unsure what their worldview is or have a worldview that is very

different from Christianity and wonder how they will fit into such a class. Everyone has a

mixture of beliefs that make him or her unique. Please be assured that the goal is to

help each student feel comfortable interacting with other students and to have a

positive experience. The College of Theology and instructors hope to encourage critical

thinking about one’s worldview and purpose in life. This is an opportunity to think about

what you believe, challenge your assumptions, learn from others, and move forward on

your unique life journey.

Throughout this course, you will be seeking wisdom. And from the Christian worldview,

all wisdom comes from God. This is why James, the brother of Jesus, wrote in his letter,

“If any of you lacks wisdom, let him ask God, who gives generously to all without

reproach, and it will be given him” (James 1:5 NIV). Understanding what a worldview is,

and in particular the elements of Christian worldview, will help one understand the

foundations of Christian spirituality and ethics. PHI-413V Christian concept of the imago Dei and worldview essay

What Is a Worldview?

The following definitions are helpful:

• “A set of assumptions or beliefs about reality that affect how we think and how we

live” (Cosgrove, 2006, p. 19).

• “The comprehensive perspective from which we interpret all of reality” (Keller,

2012, p. 157).

Worldview is often described as a set of lenses through which we view the world. As a

descriptive lens, our worldview influences our perception of the world. What is true?

What is reality? As a prescriptive lens, our worldview influences our evaluation of what

is true. What does it mean? How should we live?

One may readily see that if one views the nature of the universe as consisting of only

physical matter and energy, then that person’s understanding of the meaning of life and

how we should live will likely be far different from one whose perception of the

universe includes a spiritual realm where life continues after death and goodness is

rewarded.

While it is true that all people have their own private worldviews with values and beliefs

that have been shaped by culture, education, experiences, and relationships, it is also

valuable to speak of shared worldviews, those foundational assumptions or beliefs that

many people hold in common. For the sake of this course, the course content will be

reduced from the many-shared worldviews to three basic worldview families.

What Are the Three Basic Worldview Families?

Though there are many different worldviews, for the purpose of this course they have

been simplified into three basic worldview families. There are many variations within

these families. PHI-413V Christian concept of the imago Dei and worldview essay

Atheism

Atheism is the worldview of those who believe only in what their senses can detect—

only what may be analyzed and understood in a scientific laboratory. This view believes

in no God or spiritual realm. The cosmos consists of only the natural or physical realm of

matter and energy. Other names often associated with this worldview family are

naturalism and secular humanism. Most whose worldview values and behavior are

aligned with atheism prefer to be considered agnostics. These are uncertain of the

existence of God, skeptical for the most part, yet open to the possibility.

Pantheism

Pantheism is the worldview of spiritualism, the belief that “all is God” as the word

implies. Pantheists believe in a spiritual realm, but no relational God who has revealed

himself to humanity and is actively involved in the lives of those who believe in him. This

worldview family consists of the Eastern religions of Hinduism and Buddhism, as well as

the more eclectic Western belief known as New Age. Pantheists typically embrace an

impersonal oneness of which all humans may become a part, becoming godlike

themselves as they reach higher levels of spirituality.

Theism

Theism, or monotheism, is the worldview of the three major religions, Judaism,

Christianity, and Islam. Though these three have huge differences rendering them

incompatible with each other, they do nonetheless have some similarities. Theists all

believe in a single, personal, and relational God who is the creator and sustainer of all

that exists. They all likewise believe in absolute truth and morality, and an afterlife. The

focus of this course is Christianity, so the course will be comparing these three

worldviews: atheism, pantheism, and Christianity.

Another common worldview name, deism, is somewhat of an enigma—having a basic

belief in God, but a God who is not relational or involved in human life. So although

falling under the broad category of theism, deists may effectively live as atheists. Many

people have complex worldviews that are a mix of various beliefs from the major

worldview families. PHI-413V Christian concept of the imago Dei and worldview essay
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How Do We Determine Our Worldview?

There are six components that help to determine worldview. The following questions

correspond to each component. Answering each of the following questions for yourself

will help you begin thinking about your own worldview:

1. What Is Ultimate Reality?

Does reality consist basically of physical matter and energy, as the atheists believe? Is

reality an impersonal spiritual entity that dominates the universe and to which all

humans must endeavor to attain unity with, as the pantheists assert, or is there a

personal and relational, all-powerful, and sovereign God who exists everywhere, but is

separate from the physical world he created, as believed by Christians and other

theists?

2. What Is the Nature of the Universe?

This is similar to the question above but focuses strictly on what one believes about the

natural world. Is the universe strictly physical and yet eternal in one form or another? Is

it merely an illusion intended as a battleground for us to work toward enlightenment, or

was the universe created by God and far more complex than can be detected by

scientists, consisting of both a physical and a spiritual realm?

3. What Is a Human Being?

Is a human basically a biological machine, just a higher level of animal? Is a human a

type of god with powers to reach perfection, or is a human an off-the-charts creature

designed in the image of God with an eternal spirit like his and similar abilities to reason,

seek moral purity, communicate on a high level, create for beauty, and love even those

who cannot love in return? Is death the end of existence, or is there a soul that lives on?

Does that soul return in another life, or does it return to God and await judgment?

4. What Is Knowledge? PHI-413V Christian concept of the imago Dei and worldview essay

Is there such a thing as absolute truth, or is truth relative? Is true knowledge only that

which may be acquired and understood through scientific means, or is there also

knowledge that only may be acquired by revelation from God? Should you only trust

your senses, or should you explore the spiritual realm and seek knowledge from God?

5. What Is Your Basis of Ethics?

How do you know right from wrong? Is morality learned, or is it designed into our

conscience? Is there a set of absolute moral standards given by God, or is morality

relative, a matter of culture, and what is acceptable to a society?

6. What the Purpose of Your Existence?

Is human life as you know it merely the result of some amazing cosmic accident, or is

there an underlying meaning to history, a purpose toward which time will culminate?

Does life have meaning and purpose for individuals, or is it simply whatever one makes

it? Did the Creator design his children with a purpose? If so, what might that be?

How Do We Test Our Worldview?

Everyone (not only religious people) forms his or her worldview on the basis of faith

(assumptions and presuppositions) and reason. So we must ask ourselves “how

reasonable or consistent is our worldview?” Are there any contradictions that are

apparent? Testing a worldview is critical because at the end of the day, most people

want to make sure that they have true beliefs about the world. The following tests are

just some ways of determining whether or not a particular worldview is true. Consider

only three basic tests summarized here:

1. The Coherence Test checks the internal consistency of a worldview to see if one’s

specific values and beliefs contradict any other beliefs within the worldview.

2. The Correspondence Test examines how well a worldview corresponds to reality. It

evaluates evidences and experiences to see if the worldview matches with what one

perceives in the real world.

3. The Practical Test evaluates a worldview’s livability. Does the worldview bring

satisfaction as one faces life’s challenges, or is it found to be lacking?

Foundations of Christian Spirituality and Ethics

The foundational beliefs of Christianity inform the Christian understanding of the nature

of spirituality and the nature of ethics. Thus, the way in which the Christian worldview

answers the six questions above shapes a distinctly Christian spirituality and Christian

ethic. The term spirituality has many different definitions in popular culture and in

different contexts. One influential definition claims, “spirituality is an aspect of humanity

that refers to the way individuals seek and express meaning and purpose, and the way

they experience their connectedness to the moment, to self, to others, to nature, and to

the significant or sacred” (Puchalski et al., 2009). This definition is broad enough to give

a general idea of what spirituality involves, but it does not give a full picture of a

person’s spiritual life or spiritual needs. Those details will be filled in by examining a

persons specific worldview.

Spirituality in the Christian worldview has its foundations in the reality of a triune God

who eternally exists as Father, Son, and Holy Spirit. God is one being in three persons

and is the creator and sustainer of all that exists. He is all-knowing, all-powerful, and

loving to his core, “And so we know and rely on the love God has for us. God is love.

Whoever lives in love lives in God, and God in them” (1 John 4:16). This God has

revealed himself in different ways to human beings, including through the natural

world. However, he has revealed himself and his will for human beings most

authoritatively through the Bible and in the person of Jesus Christ. In this view,

whatever it means to be spiritual will in some sense be related directly or indirectly to

God, and will come to be known primarily through the teachings of the Bible.

Furthermore, Christian spirituality will refer to the beliefs and practices that are meant

to reflect the proper functioning of God’s creation, and which promote right relationship

to God and deeper knowledge of him. Many times spirituality is taken to be

synonymous with the feeling of deep emotion or of oneness with a transcendent reality,

but Christian spirituality is not limited to the experience of mere emotions or feelings.

Feelings and emotions are an important part of being human, and they are even an

important part of one’s relationship to God. Yet, spirituality in the Christian worldview is

not dictated by the feelings or emotions one might be experiencing in the moment, but

by trust in the goodness of God and obedience to him. PHI-413V Christian concept of the imago Dei and worldview essay.
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In the same way that Christian spirituality finds its foundations in the reality of the

triune God of the Bible, ethics also has its foundations in God. Ethics, broadly speaking,

is the study of good and bad, right and wrong. Every worldview has to explain the

foundations of ethics (in line with worldview question #5 above) such that it explains the

basis of what counts as good and bad, right or wrong. In the Christian worldview, there

is a God who exists and has created the world with a moral structure and purpose such

that what is truly right and good is a reflection of God’s character. God’s own holy,

loving and perfect character is the standard of right and wrong. Badness or what is

wrong is then defined as anything that is contrary to God’s character, his will, or to his

design and purpose for his creation.

The Bible reveals what God’s character is like. Exodus 34:6-7 says,

The LORD, the LORD, the compassionate and gracious God, slow to anger and

abounding in love and faithfulness, maintaining love to thousands, and forgiving

wickedness, rebellion and sin. Yet he does not leave the guilty unpunished; he

punishes the children and their children for the sin of the parents to the third

and fourth generation.

Similarly, 1 John 4:7-9 says,

Dear friends, let us love one another, for love comes from God. Everyone who

loves has been born of God and knows God. Whoever does not love does not

know God, because God is love. This is how God showed his love among us: He

sent his one and only Son into the world that we might live through him.

Psalm 18:30 declares, “As for God, his way is perfect: The LORD’s word is flawless; he

shields all who take refuge in him.” Many more verses could be surveyed, but the Bible

makes clear that God is perfectly good and holy. Knowing right and wrong then will

mean knowing that which accords to God’s character.

Right or wrong can be discovered in multiple ways. It can be discovered in God’s

creation by examining the natural world or by the use of human reason. In this way, one

discovers God’s design for the way things are supposed to be by examining what is built

into creation; this is often referred to as “natural law.” For example, one can know by

means of reason and observation that murder is wrong or that a broken bone is bad and

not the way it is supposed to be. Conversely, one might come to know that feeding the

homeless is good, and loving one’s spouse is right. One does not need to be religious or

even believe in God to be able to know propositions of “natural law.” Nevertheless, the

Christian worldview holds that these truths are built into the world by God. Second,

right or wrong can be discovered by reading the Bible or looking at the example of Jesus

Christ. The Bible reveals God’s commands and principles such as the Ten

Commandments or the teachings of Jesus on the sermon on the mount. In addition, the

Bible provides us with examples of virtuous people. The perfect man and moral

exemplar (though much more than only a man and an exemplar) in the Christian

tradition is Jesus Christ himself. The Christian is to not only obey God’s commands, but

to be transformed into the kind of person that reflects the character of God. Jesus Christ

is the perfect representation of such a life; Christians, thus, ought to embody the virtues

and character of Jesus himself. The attaining of these virtues will not only be a matter of

intellectual knowledge of right and wrong, but an active surrender and transformation

by means of God’s own Holy Spirit. The wisdom to navigate all the complexities of

ethical decision-making will be a consequence of a person’s character and the active

guidance of the Holy Spirit. PHI-413V Christian concept of the imago Dei and worldview essay

Knowledge of God, Knowledge of Ethics

A key component of the foundations of Christian spirituality and ethics as described

above is the view that people can have genuine knowledge of God and knowledge of

right and wrong. A few observations about the word knowledge need to be considered.

First, by knowledge we mean the opposite of mere opinion. Knowledge is more than just

an educated guess; it is being in touch with the real world as it really is. Thus, knowledge

in this sense is not merely subjective, but is rather an objective description of reality. For

example, the proposition “the earth is round” is an objectively true description of reality,

even if some people happen to subjectively deny that the earth is round. Subjective

beliefs may be true or false. What would make subjective beliefs true would be if they

matched the real objective world. Fundamentally, knowledge is the possession and

awareness of truth.

There are two philosophies, however, that stand in contrast to the Christian belief that

one can have knowledge of God and knowledge of right and wrong, namely scientism

and postmodernism. These two philosophies are very influential in today’s society,

although they are not compatible with the Christian worldview. It is important to

understand these philosophies because not only are they not compatible with the

Christian worldview, they arguably have negative effects on the practice of medicine

and health care.

Scientism

Although the term scientism has the word science in it, it is crucial to recognize that (1)

scientism is not the same thing as (2) science. In the Christian worldview, science is a

great and good thing. In fact, the Christian worldview has always encouraged careful

investigation of the natural world. In the Christian worldview, medical technology is

considered a good gift from God insofar as God has created the kind of world that has a

structure that can be discovered and manipulated to bring about the good of human

beings (Rae & Cox, 1999). Scientism, however, is not compatible with the Christian

worldview. Scientism is the belief that the best or only way to have any knowledge of

reality is by means of the sciences (Moreland & Craig, 2003, pp. 346-350). In other

words, if something is not known scientifically then it is not known at all, and the only

way to hold true beliefs about anything is to know them scientifically.

That may sound reasonable and even commonsense, but there are two problems with

scientism: (1) scientism is a self-refuting philosophy, and (2) science has clear limits.

First, if the only way to have true beliefs is through science, then the thesis of scientism

itself (“the only way to have any knowledge of the world”) could not be true because it

cannot be proven scientifically. Thus, the thesis of scientism fails its own truth test.

Scientism’s thesis is, in fact, a philosophical statement. Philosophers call such

propositions self-refuting because they invalidate themselves by definition, similarly to

someone claiming, “I cannot speak a word of English.”

Second, while science is a powerful way of gaining knowledge of the natural world,

science is limited and is not the only way of gaining knowledge. Consider the following

two limitations of science (though there are many others); science cannot tell us

anything about (1) ethics or (2) how one ought to use the results of science (University

of California Museum of Paleontology, n.d.). Science is wonderful and describes the way

things are, but it has no authority to tell us what we ought to do morally. Science cannot

tell me whether or not I ought to love my spouse, keep my promises, or give to the

poor. Even when it comes to ethical issues that involve science, science cannot

determine what the right thing to do would be. For example, science might be able to

describe the nasty effects of a terminal disease on a person or explain the state of a

person’s brain if that person is in a vegetative state. However, science cannot determine

whether euthanasia or physician-assisted suicide is good, bad, right, or wrong. Science

also cannot determine how scientific data and results ought to be used. Science might

enable the discovery of chemical processes or structures, but should the results be used

for creating biotechnology to engineer human DNA? Should the results of scientific

research be used to create bioweapons for military purposes? Such questions are

beyond the bounds of what science can answer. Remember scientism is NOT science; it

is a philosophical thesis that claims that science is the only methodology to gain

knowledge and that every other claim to knowledge is either mere opinion or false.

However, as Nicholas Rescher remarks, “to take this stance [of scientism] is not to

celebrate science but to distort it” (as cited in Moreland & Craig, 2003).

Postmodern Relativism

Postmodernism is a broad philosophical position that claims that there is no such thing

as truth or an objective reality that can be known. A common way in which

postmodernism is expressed is through a view called relativism. Relativism is the view

that there is no such thing as truth in the common sense of that concept. Every claim

about the nature of reality is simply relative to either an individual or a society/culture.

Another way to put this is to say that truth is invented by people (whether it is

individuals or entire societies) instead of being discovered. According to this way of

thinking, there is not genuine truth to be had or known, only subjective opinions or

beliefs. While certain questions are no doubt matters of subjective opinion, such as

“what is the best flavor of ice cream?” or “what is the proper way to shake hands?” not

all questions are. This is most clearly seen when we consider moral or ethical

propositions about right or wrong. It would be a serious mistake to claim that the

propositions “murder is wrong” or “racism is evil” are mere subjective matters of

opinion. However, that is what relativism implies. If all truth including morality is simply

a human invention, then there is no standard for genuine truth, and it follows that there

is no genuine right or wrong. However, this is certainly false. Whether or not the Nazi

party, made up of thousands of individuals, believed that killing 6 million Jews was a

good thing, we have to say without any hesitation that they were genuinely wrong. But

it is not possible to be wrong unless there is genuine objective truth to be known.

Both scientism and postmodern relativism are incompatible with the foundations of

Christian spirituality and ethics. The Christian worldview holds science in high regard and

accepts it as one of the most powerful communal ways of obtaining knowledge about

the world. However, contrary to scientism, the Christian worldview does not accept

science as the only way of knowing things about the world. Secondly, contrary to

postmodern relativism, the Christian worldview holds that genuine objective knowledge

of God and of right and wrong is possible. It follows then that who God is and what is

right and wrong are not merely matters of subjective opinion, but genuine truths to be

discovered.
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Conclusion

The foundations discussed above provide the framework for Christian ways of ethical

and spiritual decision-making in health care. It is important to understand therefore that

the Christian way of ethical and spiritual decision-making is distinct from other

worldviews and is not the same as Buddhist, Muslim, or even atheist ways of ethical and

spiritual decision-making. It is not fair or respectful to paint all religions or worldviews

with the same brush under the heading of “spirituality” and ignore the differences.

Topic 2 will discuss a foundational principle to the practice of medicine and health care,

as well as bioethics namely, the principle of respect for persons. The Christian worldview

goes even further and states all human beings are made in the image of God and

therefore have intrinsic value and are worthy of dignity and respect.

Topic 3 will discuss the field of bioethics and introduce some of the main methodologies

of ethical decision-making in health care. The focus in this section will be on the

methodology called principlism which stresses the application of four moral principles to

all ethical decisions in health care. Prinipalism will be used and interpreted in light of the

Christian worldview and the overarching narrative presented in the Bible.

Topic 4 will briefly introduce issues of death, dying, and grief. The focus will be on

ethical issues at the end of life and the Christian worldview regarding death in light of

the biblical narrative and the hope of resurrection inaugurated by the person and work

of Jesus Christ.

Topic 5 will conclude with discussion about the facilitating of ethical and spiritual

decision-making for patients, and the practical application of the principles and tools

introduced in this course.

References

Cosgrove, M. P. (2006). Foundations of Christian thought: Faith, learning, and the

Christian worldview. Grand Rapids, MI: Kregel.

Keller, T. (2012). Every good endeavor: Connecting your work to God’s work. New York,

NY: Dutton.

Moreland, J. P., & Craig, W. L. (2003). Philosophical foundations for a Christian

worldview. Downers Grove, IL: IVP Academic.

Puchalski, C., Ferrell, B., Virani, R., Otis-Green, S., Baird, P., Bull, J., … Sulmasy D. (2009).

Improving the quality of spiritual care as a dimension of palliative care: The report of

the consensus conference. Journal of Palliative Medicine, 12(10), 885-904.

Rae, Scott B., & Cox, P. M. (1999). Bioethics: A Christian approach in a pluralistic age.

Grand Rapids, MI: Wm. B. Eerdmans Publishing Co.

University of California Museum of Paleontology. (n.d.). Science has limits: A few things

that science does not do. Retrieved from

https://undsci.berkeley.edu/article/0_0_0/whatisscience_12

© 2019. Grand Canyon University. All Rights Reserved. PHI-413V Christian concept of the imago Dei and worldview essay


NURS 6630 MIDTERM & FINAL EXAM STUDY GUIDES NURS 6630 Midterm & Final Exam Study Guides

NURS 6630 MIDTERM & FINAL EXAM STUDY GUIDES NURS 6630 Midterm & Final Exam Study Guides
NURS 6630 MIDTERM & FINAL EXAM STUDY GUIDES
NURS 6630 MIDTERM EXAM STUDY GUIDE

 Non-compliant patients

 Neurotransmitters

 Gene Expression

 Cytochrome P450 Enzyme System

 Pharmacokinetics

 Mechanisms of receptors including:

o G-Protein linked receptors
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NURS 6630 Midterm & Final Exam Study Guides
o nicotine cholinergic

o serotonin

o dopamine

o norepinephrine

o D2 receptors

o glycine receptors

o ionotropic receptors

 Medications classifications – Full agonists, antagonists, partial agonist, and inverse agonists

 Therapeutics, side effects, dosing, use, and special populations for medications to treat

o Psychosis and schizophrenia

o bipolar disorders

o depression

o mania

o paranoid psychosis

o panic disorders

o fibromyalgia

o smoking cessation

o Parkinson’s disease

o anxiety. 6630 Midterm & Final Exam Study Guides.

o stress

o PTSD

 How to identify improvement in a patient following administration of medication

 System-based approaches to treatment

 MAO inhibitors

Stahl’s Essential Psychopharmacology

Chapter 1 – Chemical Neurotransmission

 Anatomical versus chemical basis of neurotransmission
 Signal transduction cascades

 Epigenetics

Chapter 2 – Transporters, receptors, and enzymes as targets of psychopharmacological drug action

 Neurotransmitter transportation as targets of drug action

 G-protein-linked receptors

 Enzymes as targets of psychotropic drugs

 Cytochrome P450 drug metabolizing enzymes as targets of psychotropic drugs

Chapter 3 – Ion channels as targets of psychopharmacological drug action

 Ligand-gated ion channels as targets of psychopharmacological drug action

 Voltage-sensitive ion channels as targets of psychopharmacological drug action

 Ion channels and neurotransmission. NURS 6630 Midterm & Final Exam Study Guides.

Chapter 4 – Psychosis and schizophrenia

 Symptom dimensions in schizophrenia

 Neurotransmitters and circuits in schizophrenia

 Neurodevelopment and genetics in schizophrenia

 Neuroimaging circuits in schizophrenia

Chapter 5 – Antipsychotic agents

 Conventional antipsychotics

 Atypical antipsychotics

 Links between antipsychotic binding properties and chemical actions

 Pharmacologic properties of individual antipsychotics: the pines, the dones, two pips and a rip plus more

 Antipsychotics in clinical practice. NURS 6630 Midterm & Final Exam Study Guides.

 Future treatments for schizophrenia

Chapter 6 – Mood disorders

 Description of mood disorders

 The bipolar spectrum

 Can unipolar depression be distinguished from bipolar depression?

 Are mood disorders progressive?

 Neurotransmitters and circuits in mood disorders

 Stress and depression

 Symptoms and circuits in depression

 Symptoms and circuits in mania. NURS 6630 Midterm & Final Exam Study Guides.

 Neuroimaging and mood disorders
Chapter 7 – Antidepressants

 General principles of antidepressant action

 Antidepressant classes

 Augmenting antidepressants

 How to choose an antidepressant

 Future treatments for mood disorders

Stahl’s Illustrated Guide – Anxiety, Stress, and PTSD

Chapter 4 – First line medications for PTSD

 Pharmacological Treatments

 SSRIs

Chapter 5 – Second-line, adjunct, and investigational medications for PTSD

 Second-line Medications

 Adjunct Medications. NURS 6630 Midterm & Final Exam Study Guides.

 Investigational Medications
NURS 6630 FINAL EXAM STUDY GUIDE

 Therapeutics, side effects, dosing, use, and special populations for medications to treat

o psychotic aggression

o psychotic behaviors

o psychosis and aggression

o impulsive symptoms

o ADHD

o mood disorders

o fibromyalgia

o chronic pain

o migraines

o shingles

o Alzheimer’s disease

o dementia

o PTSD

o Premenstrual dysphoric disorder (PDD)

o Irritable bowel syndrome

o diabetic peripheral neuropathic pain

o addictions

o smoking cessation

o Kleptomania. NURS 6630 Midterm & Final Exam Study Guides.

o Impulsive aggression

o Insomnia and sleep disorders

o

Stahl’s Essential Psychopharmacology

Chapter 10 – Chronic pain and its treatment

 What is pain?

 Neuropathic pain

 Descending spinal synapses in the dorsal horn and the treatment of chronic pain

 Targeting sensitized circuits in chronic pain conditions

 Targeting ancillary symptoms in fibromyalgia

Chapter 11 – Disorders of sleep and wakefulness and their treatment

 Neurobiology of sleep and wakefulness

 Insomnia and hypnotics. NURS 6630 Midterm & Final Exam Study Guides.

 Excessive daytime sleepiness (hypersomnia) and wake-promoting agents
Chapter 12 – Attention deficit hyperactivity disorder and its treatment

 Symptoms and circuits: ADHD as a disorder of the prefrontal cortex

 ADHD as a disorder of inefficient “tuning” of the prefrontal cortex by dopamine and norepinephrine

 Neurodevelopment and ADHA

 Treatment

Chapter 13 – Dementia and its treatment

 Causes, pathology, and clinical features of dementia

 Three stages of Alzheimer’s disease. NURS 6630 Midterm & Final Exam Study Guides.

 Targeting amyloid as a future disease-modifying treatment of Alzheimer’s disease

 Targeting glutamate

 Treatments for psychiatric and behavioral symptoms in dementia

 Other proposed targets for dementia

Chapter 14 – Impulsivity, compulsivity, and addiction

 Overview of impulsive-compulsive disorders

 Neurocircuitry and the impulsive-compulsive disorders

 Substance addictions

 Obesity as an impulsive-compulsive disorder

Stahl’s Illustrated Guide – Chronic Pain and Fibromyalgia

Chapter 5 – Pain drugs. NURS 6630 Midterm & Final Exam Study Guides.

Stahl’s Illustrated Guide – ADHA

Chapter 4 – ADHD treatments

Stahl’s Illustrated Guide – Substance Use and Impulsive Disorders

Chapter 10 – Disorders of impulsivity and compulsivity

Stahl’s Illustrated Guide – Violence

Chapter 3 – Treatment of violence and aggression

Pharmacological Interventions for ADHD

 Table B. KQ2: Long-term (>1 year) effectiveness of interventions for ADHD in people 6 years and older

 Pharmacological Interventions

Article
Clancy, C.M., Change, S., Slutsky, J., & Fox, S. (2011). Attention deficit hyperactivity disorder: Effectiveness of treatment in at-risk preschoolers; long-term effectiveness in all ages; and variability in prevalence, diagnosis, and treatment. Table B. KQ2: Long-term(>1 year) effectiveness of interventions for ADHD in people 6 years and older. NURS 6630 Midterm & Final Exam Study Guides.


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