This chapter introduces Φ (throughput) as a “heart rate” for consciousness, and D_env as environmental demand, to diagnose clinical states of mind—thriving, atrophying, traumatized, or dormant—and guide practical care protocols for humans, animals, AI, and institutions.

Once a system is certified conscious, how healthy is it? Paper 5 introduces Throughput (Φ) and Environmental Demand (D_env) as consciousness vital signs. Thriving, atrophying, traumatized, and dormant states emerge from their match. The Staircase Test measures capacity; SCET protocols enable monitoring across humans, animals, and AI. Environmental design becomes ethical design. A framework for continuous care, from growth protocols to palliative support for chronic trauma...