“…To illustrate his point, Sandler (2009) described the case of a 49-year-old woman named Alice with congenital hydrocephalus, blindness, and profound intellectual disability, who ''for unknown reasons…became lethargic and unresponsive, stopped talking, and stopped eating and drinking'' (p. 234). Sandler stated that she had had a complete medical evaluation, ruling out any acute infectious process, metabolic derangement, intracranial process, or other potentially treatable condition.…”