3 ms·
I'm a psychiatrist, and I disagree with much of your post. I see below you mentioned going to a psychiatry conference many times, but if it was with the same do
by phren0logy 13y ago
I'm a psychiatrist, and I disagree with much of your post. I see below you mentioned going to a psychiatry conference many times, but if it was with the same docs why did you expect a higher level of scientific discourse? It's true that there are crummy psychiatrists, but please don't throw the rest of us under a bus. At our patient conferences, not being to cite articles to back up your treatment plan would be considered an embarrassment.
I think this article puts psychiatry's dilemma into some good perspective:
http://www.sciencebasedmedicine.org/dsm-5-and-the-fight-for-the-heart-of-psychiatry/ http://www.sciencebasedmedicine.org/dsm-5-and-the-fight-for-...
I do think that it's interesting how people conceive of psychiatry. We cannot really objectively measure or test pain. There's no blood test or scan that confirms it. But as everyone has experienced it, nobody doubts it exists. There's migraine headaches, which are, like psychiatric illness, diagnosed based on history and symptoms. It's pretty uncontroversial. Yet, as everyone believes themselves to be an expert in behavior, if they have not experienced or known someone with mental illness, it's suddenly all invented.
- saber_taylor 13y ago> We cannot really objectively measure or test pain. http://en.wikipedia.org/wiki/Dolorimeter http://en.wikipedia.org/wiki/Dolorimeter Perhaps you meant in the brain.
- phren0logy 13y agoThis is a systematized way to elicit a subjective report. My original point stands; we cannot measure it objectively (if, indeed, there is even merit to such a concept).
- ubercore 13y agoI think the point stands, since that test is reliant on a patient reporting a sensation of pain. In the same way, psychiatrists must rely on patients expression the emotional problem they're feeling. Reading that wiki entry, it looks like any objective measurements that arose from dolorimeters are not in active use, because they weren't helpful.
- beagle3 13y agoThere's a way to objectively measure subjective pain. At least, these guys[1] claimed to have done it, and i've been told by someone who examined them as part of investment due-diligence, that it actually works (better than the cartoon face scale, anyway) [1] http://www.medasense.com/ http://www.medasense.com/
- carbocation 13y agoIn clinical medicine, "we cannot measure pain" is true, or at least "at [this institution], we cannot measure pain" is true, where [this institution] is every institution I've ever seen. What's happening in the research world takes time to translate into practice, especially if it's not been validated in a large multi-center trial.
- snambi 13y agowhat is the basic fundamental in psychiatry? how a condition is diagnosed and treated?