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zondag 20 februari 2011

Een psychiatrische diagnose kan men niet bewijzen

Psychiatric diagnoses prone to abuse

Note from CCHR: The below article is short but the point made by author Richard Vatz, Professor of political rhetoric, is all to often overlooked—quite simply that psychiatric diagnoses are completely subjective and there is no known scientific or medical means by which any “psychiatric diagnosis” can be proven. For more information see video of CCHR Co-founder, Professor Thomas Szasz, Professor of Psychiatry Emeritus, of whom Vatz has called, “the preeminent critic of psychiatry in the world.”

The Baltimore Sun, November 8, 2010
by Richard E. Vatz, Professor of political rhetoric at Towson University.

One of the few issues not thoroughly covered in Scott Calvert’s well-researched, comprehensive articles on Baltimore Behavioral Health (“Hooked on treatment,” Nov. 7 and “Sheltered addicts, strained recovery,” Nov. 8) is why psychiatric diagnoses are particularly prone to misdiagnosis and overdiagnosis.

The reason is that psychiatric diagnosis is not based on pathological criteria. The closest the article comes to addressing this problem is the statement that “Even in the best clinical scenario, a psychiatric diagnosis is tricky, experts say; doctors have no X-rays to help apply the criteria defining a mental illness.”

In fact a diagnosis can never be indisputably ruled in or ruled out in psychiatry. All we have is testimony by differing psychiatrists, psychologists and social workers. In somatic medicine there is an array of pathological tests which often permit much greater diagnostic certainty. A biopsy of a lump in the breast will almost always tell you whether it’s benign or malignant.

The ability of professionals and patients to play the system financially and to exculpate addicts from responsibility will forever be aided by makeshift diagnoses which can neither be confirmed nor ruled out.

Richard E. Vatz

For more information on psychiatry as a pseudo-science, visit CCHR’s Thomas Szasz pages

Mijnheer Van Houdenhove & Co, uw zogezegde evidence based medicine bestaat niet. Onze medische afwijkingen wél.

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