Studies about negative consequences of psychogenic diagnoses - help?

[CantThink]

Also: http://pmj.bmj.com/content/64/750/281.short

Postgrad Med J 1988;64:281-282 doi:10.1136/pgmj.64.750.281

• Research Article

Abdominal epilepsy misdiagnosed as psychogenic pain.

1. P. D. Singhi,
2. S. Kaur

Abstract
The authors present the case report of a child with abdominal epilepsy who had suffered from abdominal pain for several months under the label of psychogenic pain. The important historical clues were pallor and cold sweating during the paroxysm, followed by lethargy and prolonged sleep. An abnormal electroencephalogram and a remarkable response to anticovulsants confirmed the diagnosis. This condition must be considered in a child with undiagnosed recurrent abdominal pain.

 

[CantThink]

http://europepmc.org/abstract/med/9347601


Intradural neurenteric cyst of the cervical spine misdiagnosed as a psychogenic disorder in a 7-year-old-child.

Mochida J, Yamada S, Toh E, Shibata M, Oota K
Department of Orthopaedic Surgery, Tokai University, School of Medicine, Kanagawa, Japan.
Spinal Cord [1997, 35(10):700-703]
Type: Journal Article, Case Reports
DOI: 10.1038/sj.sc.3100474

The patient is a 7-year-old Japanese female child with an intradural neurenteric cyst of the cervical spine. She had been misdiagnosed as having a psychogenic disorder due to the absence of neurological changes and bony anomalies. Subjective recovery followed the removal of the cyst.

 

[Esther12]

Even more OT, but he's a blog on someone who suffered a stroke and got diagnosed with functional problems for 24 hours on how differently people treated her:

http://katedaviesdesigns.com/2015/02/25/my-strokes-misdiagnosis/

 

[CantThink]

Even more OT, but he's a blog on someone who suffered a stroke and got diagnosed with functional problems for 24 hours on how differently people treated her:

http://katedaviesdesigns.com/2015/02/25/my-strokes-misdiagnosis/

Fascinating and awful all in one.

 

[Woolie]

http://mpkb.org/home/alternate/psychosomatic

This is a great site - thanks @GalaxiiGrl!

(to which you reply, in keeping with your superhero username, "No problem, Ma'am, all in a days' workI")

 

[Woolie]

Eda Clare Smith Gender-biased Diagnosing, the Consequences of Psychosomatic Misdiagnosis and 'Doing Credibility'
http://scholar.oxy.edu/sociology_student/5/

Interesting, Cheshire, I think Angela Kennedy talks about this study in her book, but its not referenced anywhere, so great to have the link!

 

[alex3619]

When my computer comes back (its away for repairs and might be gone weeks) I will look through some archives and see if I can find some older studies. There was a famous one in the 60s that tracked hospital patients for a decade, and found most diagnosed with psychosomatic illnesses were later found to have something else.

 

[Woolie]

Thanks everyone for your interesting reviews and studies! Still keen for more if you have them. But in the meantime, I've posted a draft of my blurb on this topic, in case anyone else finds it useful. I've put it in the Members Only section, not ready to go public yet:

http://forums.phoenixrising.me/inde...ic-diagnoses-draft-summary.35943/#post-566432

 

[alex3619]

Doh, I should have said this before, but check out the Sykes references in this blog:

http://forums.phoenixrising.me/index.php?entries/the-witch-the-python-the-siren-and-the-bunny.1149/

 

[Sidereal]

When my computer comes back (its away for repairs and might be gone weeks) I will look through some archives and see if I can find some older studies. There was a famous one in the 60s that tracked hospital patients for a decade, and found most diagnosed with psychosomatic illnesses were later found to have something else.

Eliot Slater's classic paper?

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2166300/pdf/brmedj02396-0023.pdf

 

[daisybell]

Eliot Slater's classic paper?

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2166300/pdf/brmedj02396-0023.pdf

That's a great article... I love the conclusion (written in 1965). Isn't it good to see how far medicine has advanced.....

 

[alex3619]

Eliot Slater's classic paper?

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2166300/pdf/brmedj02396-0023.pdf

Yes, I was trying to recall it. Than you @Sidereal .

 

[chipmunk1]

i don't know of any other studies.

many of the functional syndrome proponents claim that up to 40% of patients in clinical practice are somatizers and don't need (non-psychiatric) medical treatment.

if they are wrong that would mean that up to a 40% of patients don't receive appropriate medical treatment and are encouraged to ignore their illness!!!

http://ajp.psychiatryonline.org/doi/pdf/10.1176/appi.ajp.159.4.528

 

[chipmunk1]

Student is 'locked in a psychiatric ward for six days' after complaining of flu-like symptoms to campus health center

The psychiatrist's notes said that Taylor was in for 'involuntary treatment,' for 'insomnia, pressured speech, disorganized, declining grades'.

Nice find.

 

[Roy S]

"They hadn't done anything for me or my cold. They didn't take my blood pressure or even my temperature,' she told the Post.
A nurse told her that if she cooperated and took the medication they gave her, she would be out in a shorter time period.
She said she was given Risperdal, which is used to treat schizophrenia and bipolar disorder, and Klonopin, used to treat panic disorder.
Taylor told the post that they had to line up and take their pills, 'just like in the movie Cuckoo's Nest'. "
　

One Flew Over the Cuckoo's Nest was written by a man who had worked in a psych hospital and was published in 1959. The movie premiered in 1975. Apparently it still has a great deal of relevance.

 

[Wildcat]

.
@Woolie and all,

The Eda Clare Smith 2011 study ‘Gender based diagnosing, the consequences of psychosomatic misdiagnoses and ‘doing credibility’ is cited on page 97 of Angela Kennedy’s book (‘Authors of our own Misfortune’), with the full EC Smith reference at the bottom of page 239.


~~~~~~~~~~~~~~~~

Cheshire said: ↑
Eda Clare Smith Gender-biased Diagnosing, the Consequences of Psychosomatic Misdiagnosis and 'Doing Credibility'
http://scholar.oxy.edu/sociology_student/5/

Woolie wrote: “Interesting, Cheshire, I think Angela Kennedy talks about this study in her book, but its not referenced anywhere, so great to have the link!”

.

 

[Snowdrop]

There was a famous one in the 60s that tracked hospital patients for a decade, and found most diagnosed with psychosomatic illnesses were later found to have something else.

Time to repeat that study!

 

[Esther12]

Time to repeat that study!

It was repeated by, I think, the person behind that neurosymptoms site.

http://www.bmj.com/content/331/7523/989?linkType=FULL&journalCode=bmj&resid=331/7523/989

It was posted by can'tthink earlier.

 

[Snowdrop]

It was repeated by, I think, the person behind that neurosymptoms site.

Interesting.
It looks like it suggests that there was never really as much misdiagnosis as previously reported, only poor study design.
Which has improved since then.

 

[Woolie]

http://ajp.psychiatryonline.org/doi/pdf/10.1176/appi.ajp.159.4.528

Thanks, @chipmunk, this is a good case of how psychogenic preconceptions can blind to the reality and delay diagnosis - some strong quotable quotes too - its definitely going in!