Dr rob said:
Take the vteran angle out of it. You have a near drowning. You have bad dreams about it. You get night sweats and terrible insomnia. You go see a shrink. He diagnoses PTSD.
Wheter it's right or wrong there are consequences to this diagnosis that might have NOTHING to do with what the patient is being treated for, and PTSD can arguably be 'cured' or at least 'managed.'
Still want to impinge his rights?
PTSD is a good example to highlight.
Arguably PTSD could be a natural response to an event that was beyond the control of the individual and so shocks the person into a more hyper vigilant state regarding similar stimuli.
We may view it as abnormal because it impairs what we feel is what a normal person should feel and do, but arguably it is a self preservation response.
If someone nearly drowned as in your example, the traumatization of the experience helps to insure they would not put themselves in a similar situation willingly, and if faced with one would be anxious and hyper vigilant.
They may avoid water, not like swimming, or swimming in the type of situation that lead to the traumatic experience.
Arguably that could be a good thing, keeping them from what their brain has subconsciously learned is a good way to end up dead, and so insuring their survival.
Yet society would see it as an illness, preventing them from doing certain things. And it very well could be interfering with things they need to do, maybe their job requires them to be around or in water, or be comfortable swimming. But from a more primitive perspective, if they avoided that activity that nearly caused them to die, they would be far less likely to die from that in the future. So it could be a natural self preservation technique of the brain at a subconscious level.
Likewise the soldier put into a situation where they have minimal options under the ROE and orders and as a result of their limited options experiences near death experiences or death of those around them from IEDs or ambush, is psychologically forced to realize their vulnerability in that situation. A vulnerability which may be beyond management, which is certain to result in hyper vigilance and stress when forced into similar situations.
Past experience telling their brain they are in a heightened state of vulnerability causing a fight or flight response while those without that feeling will perform without that additional stress.
The military will see that as a disability, making them less able to put themselves into required but vulnerable positions without 'excessive stress', but in reality it is their mind telling them to stop doing what is going to get them killed. 'Coping' and putting themselves in the same situation may be more likely to get them killed from the same risk, but their brain learned it should avoid that risk and developed PTSD.
PTSD can be a way of the brain telling the body to avoid that which experience has taught it is a likely way to end up dead or seriously injured. "Flashbacks" for example a way of reminding them in a vivid way a lesson which will be less likely forgotten.
Arguably from an evolutionary standpoint, those with such a reaction would probably be more likely to cease the activity and so be less likely to die from it in the future. While those without that reaction are more likely to once again feel comfortable in the same situations or doing the same activity and subject to the same risk.
Or likewise it may cement a new learned psychological self preservation response when faced with what is perceived as similar, but may not translate into a response that is appropriate outside of the environment is was learned in like in normal society as a civilian.
You may be able to tell a robot to keep doing the same things that get it damaged over and over, but the human mind may have a reaction to that and try to adapt.
Arguably those without PTSD responses would be the abnormal ones. The guy told to man a checkpoint where they have nearly died or seen others die and be maimed from car bombs they had no chance of foreseeing may realize they are subject to unmanageable risk of death performing that activity. Their brain is telling them not to do it anymore, and stressing them out, subconsciously putting them into a fight or flight response from the perceived danger. The military would consider this a defective soldier if they become informed of it.
While the brain of the person yet to have that experience is more comfortable and still feels it can manage the risks, and so it not 'excessively' stressed and will more comfortable stand there stopping vehicles until it is blown up.
While the brain of one that has had the experience before yet still feels comfortable and able to manage in the situation experience has taught it carries high and unmanageable risk (lacking PTSD) is probably the defective one, at an evolutionary disadvantage of survival. Yet is what the military would consider an ideal soldier.
A problem of course arises when say the stimuli proceeding the traumatizing event is one that is similar to something in normal society. For example if they learned being in large crowds was a precursor to ambushes that resulted in being shot at or suicide bombs, their brain may similarly subconsciously feel such normal gatherings of people in regular society hold a similar risk, and so illicit a hyper vigilant and fight or flight response outside of a warzone. Impairing 'normal' function. But it would still be their brain following a learned response to keep the person from death or serious injury.
This would be a 'mental illness' requiring treatment to unlearn that response.
But arguably it is still an advantageous evolutionary response, because it subconsciously aims to keep the person from situations similar to those which are learned to carry a high risk. If they were still in the environment where that learned response was advantageous it may keep them around longer. So it would only be their change of environment that turns an advantageous response into an 'illness'.
My point is how many disorders are really natural adaptions which under some situations could be advantageous, yet are termed mental disorders because in our modern society where most people live a rather constant safe routine they are expected to perform each day they impair rather than enhance the individual?