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Difficulties with Diagnosis

Written by Steven Coles on September 29, 2008. Posted in Clinical Psychology Bite-Size

Difficulties with Diagnosis

Issue 06 – September 2008

Key points

  • There appears to be a continuum between what is deemed ‘psychotic’ and so-called normality, rather than distinct diagnostic categories.
  • Unlike medical diagnosis in physical health, psychiatric diagnosis lacks clear physical markers (signs) and is reliant on what clients say and do (symptoms).
  • Psychiatric diagnosis does not appear to reflect real or meaningful categories.
  • Diagnosis of “schizophrenia” is a poor predictor of outcome (symptomatically and socially) and does not indicate response to specific psychiatric medications.
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Discrimination, Ethnicity and Psychosis

Written by Steven Coles on May 1, 2008. Posted in Clinical Psychology Bite-Size

Discrimination, Ethnicity and Psychosis

Issue 02 – May 2008

Author: Steven Coles (steven.coles@nottshc.nhs.uk)

Key points

  • Evidence points to environmental factors rather than genetic / biological factors as the reason for the increased rate of psychosis in some ethnic minority groups. Social factors in particular have been put forward as likely.
  • Encountering discrimination seems to be related to people experiencing ‘delusional ideation’ at a later time.
  • Individual discrimination can be subtle as well as blatant. Subtle forms can be as psychologically damaging as more obvious forms.
 
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