Schechtman on Revised Personal Identity 

AT LEAST 300 WORDS

Consider Locke’s notion that a single fixed point is required for a person to be themselves – to have a claim to identity. This single fixed point is not a material substance (the body) or an immaterial substance (the soul), but rather it is a singularity of conscious experience. This singularity is what persists through time and is constituted by a person’s past action and experience, which they themselves do not always directly access.

Using citations from the assigned reading, explain briefly how Schechtman modifies Locke’s theory of personal identity to conform to a person’s intelligibility of those memories. Give examples about how this idea of personhood allows us to reasonably form plans for future action. Finally, give reasons why we should or should notaccept Schechtman’s modified account of personal identity.

Required Reading: Marya Schechtman, “Personal Identity and the Past”

Recommended Reading: “Personal Identity”, Introduction and Section 1 – <http://plato.stanford.edu/entries/identity-personal/#AccOurIdeThrTim (Links to an external site.)Links to an external site.>

Remember: A reasoned response consists of more than one words responses or simple agreement with the author of the article or post you are responding to. Please cite all passages in the text (including page number) and cite all outside information according to MLA guidelines. Your answer should have AT LEAST 3 responses (possibly more), aside from your original post.

 

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GENITALIA ASSESSMENT

Subjective:

• CC: “I have bumps on my bottom that I want to have checked out.”

• HPI: AB, a 21-year-old WF college student reports to your clinic with external bumps on her genital area. She states the bumps are painless and feel rough. She states she is sexually active and has had more than one partner during the past year. Her initial sexual contact occurred at age 18. She reports no abnormal vaginal discharge. She is unsure how long the bumps have been there but noticed them about a week ago. Her last Pap smear exam was 3 years ago, and no dysplasia was found; the exam results were normal. She reports one sexually transmitted infection (chlamydia) about 2 years ago. She completed the treatment for chlamydia as prescribed.

• PMH: Asthma

• Medications: Symbicort 160/4.5mcg

• Allergies: NKDA

• FH: No hx of breast or cervical cancer, Father hx HTN, Mother hx HTN, GERD

• Social: Denies tobacco use; occasional etoh, married, 3 children (1 girl, 2 boys)

Objective:

• VS: Temp 98.6; BP 120/86; RR 16; P 92; HT 5’10”; WT 169lbs

• Heart: RRR, no murmurs

• Lungs: CTA, chest wall symmetrical

• Genital: Normal female hair pattern distribution; no masses or swelling. Urethral

meatus intact without erythema or discharge. Perineum intact. Vaginal mucosa

pink and moist with rugae present, pos for firm, round, small, painless ulcer noted

on external labia

• Abd: soft, normoactive bowel sounds, neg rebound, neg murphy’s, neg McBurney

• Diagnostics: HSV specimen obtained

Assessment: Chancre

PLAN:

 

 

 

Assignment: This is to be a NARRATIVE (PARAGRAPHS). Answer each question

· Analyze the subjective portion of the note. List additional information that should be included in the documentation.

· Analyze the objective portion of the note. List additional information that should be included in the documentation.

· Is the assessment supported by the subjective and objective information? Why or why not?

· Would diagnostics be appropriate for this case, and how would the results be used to make a diagnosis?

· Would you reject/accept the current diagnosis? Why or why not?

· Identify at least five possible conditions that may be considered in a differential diagnosis for the patient. Explain your reasoning using at least three different references from current evidence-based literature

 

 

Note: This is to be a NARRATIVE (PARAGRAPHS). Answer each question

 

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