tag:blogger.com,1999:blog-7772182113499451603.post754192576614212938..comments2024-03-27T10:50:53.692-05:00Comments on Real Psychiatry: On the Validity of PseudopatientsGeorge Dawson, MD, DFAPAhttp://www.blogger.com/profile/03474899831557543486noreply@blogger.comBlogger3125tag:blogger.com,1999:blog-7772182113499451603.post-79141424642867628252012-10-31T18:53:50.842-05:002012-10-31T18:53:50.842-05:00very useful i believe that Rosenhans study cannot ...very useful i believe that Rosenhans study cannot be as reliable as he would have liked. There are so many factors, especially the one being that he did not submit the names of the hospitals in which the Pseudopatients attended therefore the hospitals could not make a return statement to his articles. His work definitely had to be scrutinized for this.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-7772182113499451603.post-58843471309769607832012-07-22T19:48:08.502-05:002012-07-22T19:48:08.502-05:00There are two interesting lines of study looking a...There are two interesting lines of study looking at medical and neurological patients. One of them started as unexplained medical symptoms showing that a substantial number of symptoms (25-50% in some studies) are unexplained even after extensive investigation. That is an eye opener when medical training suggests that if you are compulsive and do a good job the correct diagnosis follows. The other looks at the importance of context in diagnosis. In psychiatry we have always needed to attend to context and there was a good study of internists looking at this issue. I hope to add much more on that as time goes by. Thanks for your comments and I think that residents need to be prepared to respond to these criticisms. I don't think that it is an accident that psychiatry is singled out.George Dawson, MD, DFAPAhttps://www.blogger.com/profile/03474899831557543486noreply@blogger.comtag:blogger.com,1999:blog-7772182113499451603.post-48085987309093577662012-07-22T13:01:38.949-05:002012-07-22T13:01:38.949-05:00Thanks for the always well thought statements. I ...Thanks for the always well thought statements. I find very distressing how this particular "study" byrosenhan was given so much attention and noone seemed motivated enough to try it out with medical and surgical fields too. Heck, that would have probably been more helpfulsince i would have provided data to correlate and compare with psychiatric services and diagnostic practices. As a new resident, it surprises me just how much pressure,critique,misconceptions,stigma and history we as a field have to push against. That being said, even if our diagnostic capabilities today are just as impaired, incomplete or flawed, i find it hard to believe that anyone currently suffering or thathas personally withnessed the suffering of mentally ill patients can deny the benefit of psychiatric treatment.ev.mdnoreply@blogger.com