Diagnosis in Practice

Psychiatry Gone Astray

There still seems to be quite a bit of public controversy surrounding claims and counter-claims for the efficacy of anti-depressive and other psychotropic medications.  In a recent blog, Dr. David Healy — a psychiatrist, psychopharmacologist, scientist and author of over 150 peer-reviewed articles — shows that this controversy is largely artificial, by exploding ten...
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Current Status of Dx

Objections Invited to the International Classification of Diseases (ICD-10-CM)

Deadline: November 15 In what follows here, I am forced to dip my toe into a very complex process that involves a lot of details.  I  beg pardon for any confusions this may create.  My purpose is to invite readers to contribute objections to the oversight committee for the International Classification of Diseases, in...
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Current Status of Dx

Lead, Follow, or Get Out of the Way! (A Layman Perspective on Change)

The worthwhile discussions of DxSummit may be rendered meaningless if not accompanied by a plan of action reflecting the insights generated here.  This article proposes a plan of action for comment and refinement. Introduction I write this article out of a mixture of feelings and perceptions concerning DxSummit and its contributors. I’ve been visiting...
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Critiques of Diagnosis

Psychogenic Pain and Iatrogenic Suicide

A recent large-sample analysis investigated the association between several named chronic pain conditions and suicide.  This analysis provides suggestive evidence that thousands of patients who have been diagnosed with a psychiatric condition called “psychogenic pain” may have been placed at greater risk of suicide by the diagnostic label itself.  Like much of psychosomatic medicine,...
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