Diagnostic Reasoning in Psychiatry: Acknowledging an Explicit Role for Intersubjective Knowing

Philosophy, Psychiatry, and Psychology 26 (1):49-64 (2019)
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Abstract

In most areas of medicine, the physician's primary task is to diagnose the patient's presenting problem by correctly identifying the underlying pathology causing that problem. Diagnoses are established through a process of correlating the information obtained from an interview with the patient about his history of illness and circumstances, with additional evidence of the underlying disease derived from physical examination findings and/or the results of laboratory investigations and diagnostic imaging. In contemporary health care, various movements that call for a shift in clinical care away from underlying disease pathology toward understanding people and their experience of disease are receiving growing...

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