In The Shadow Of Diagnosis
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Author | : Pat Croskerry |
Publisher | : CRC Press |
Total Pages | : 294 |
Release | : 2017-09-19 |
Genre | : Medical |
ISBN | : 135165019X |
Despite diagnosis being the key feature of a physician's clinical performance, this is the first book that deals specifically with the topic. In recent years, however, considerable interest has been shown in this area and significant developments have occurred in two main areas: a) an awareness and increasing understanding of the critical role of clinical decision making in the process of diagnosis, and of the multiple factors that impact it, and b) a similar appreciation of the role of the healthcare system in supporting clinicians in their efforts to make accurate diagnoses. Although medicine has seen major gains in knowledge and technology over the last few decades, there is a consensus that the diagnostic failure rate remains in the order of 10-15%. This book provides an overview of the major issues in this area, in particular focusing on where the diagnostic process fails, and where improvements might be made.
Author | : Mary Ellen Richmond |
Publisher | : |
Total Pages | : 524 |
Release | : 1919 |
Genre | : Charities |
ISBN | : |
Author | : Johan Huizinga |
Publisher | : |
Total Pages | : |
Release | : 2019 |
Genre | : |
ISBN | : 9781950970117 |
Author | : Douglas W. Maynard |
Publisher | : University of Chicago Press |
Total Pages | : 282 |
Release | : 2022-05-25 |
Genre | : Medical |
ISBN | : 0226816001 |
Examines the diagnostic process to question how we understand autism as a category and to better recognize its intelligence and uncommon sense. As autism has become a widely prevalent diagnosis, we have grown increasingly desperate to understand it. Whether by placing baseless blame on vaccinations or seeking a genetic cause, Americans have struggled to understand what autism is and where it comes from. In Autistic Intelligence, Douglas Maynard and Jason Turowetz focus on a different origin of autism: the diagnostic process. By looking at how autism is diagnosed, they ask us to question the norms we use to measure autistic behavior against, why we understand autistic behavior as disordered, and how we go about assigning that disorder to particular people. To do so, the authors take a close look at a clinic in which children are assessed for and diagnosed with autism. Their research draws on hours observing assessment evaluations among psychologists, pediatricians, parents, and children in order to make plain the systems, language, and categories that clinicians rely upon when making their assessments. Those diagnostic tools determine the kind of information doctors can gather about children, and indeed, those assessments affect how children act. Autistic Intelligence shows that autism is not a stable category, but the result of an interpretive act, and in the process of diagnosing children with autism, we often miss all of the unique contributions they make to the world around them.
Author | : Myra Bluebond-Langner |
Publisher | : Princeton University Press |
Total Pages | : 321 |
Release | : 2020-06-30 |
Genre | : Medical |
ISBN | : 0691214700 |
A revealing account of how families adapt to living with a chronically ill child What is it like to live with a child who has a chronic, life-threatening disease? What impact does the illness have on well siblings in the family? Myra Bluebond-Langner suggests that understanding the impact of the illness lies not in identifying deficiencies in the lives of those affected, but in appreciating how family members carry on with their lives in the face of the disease's intrusion. The Private Worlds of Dying Children, Bluebond-Langner's previous book, now considered a classic in the field, explored the world of terminally ill children. In her new book, she turns her attention to the lives of those who live in the shadow of chronic illness: the parents and well siblings of children who have cystic fibrosis. Through a series of narrative portraits, she draws us into the daily lives of nine families of children at different points in the natural history of the illness—from diagnosis through the terminal phase. In these portraits, as family members talk about their experiences in their own words, we see how parents, well siblings, and the ill children themselves struggle, in different ways, to contain the intrusion of the disease into their lives. Bluebond-Langner looks at how parents adjust their priorities and their idea of what constitutes a normal life, how they try to balance the needs of other family members while caring for the ill child, and how they see the future. This context helps us understand how well siblings view the illness and how they relate to their ill sibling and parents. Since the issues raised are not unique to cystic fibrosis but are common to other chronic and life-threatening illnesses, this book will be of interest to all who study, care for, or live with the seriously ill.
Author | : Regina Kunzel |
Publisher | : University of Chicago Press |
Total Pages | : 240 |
Release | : 2024-04-01 |
Genre | : History |
ISBN | : 0226831841 |
A look at the history of psychiatry’s foundational impact on the lives of queer and gender-variant people. In the mid-twentieth century, American psychiatrists proclaimed homosexuality a mental disorder, one that was treatable and amenable to cure. Drawing on a collection of previously unexamined case files from St. Elizabeths Hospital, In the Shadow of Diagnosis explores the encounter between psychiatry and queer and gender-variant people in the mid- to late-twentieth-century United States. It examines psychiatrists’ investments in understanding homosexuality as a dire psychiatric condition, a judgment that garnered them tremendous power and authority at a time that historians have characterized as psychiatry’s “golden age.” That stigmatizing diagnosis made a deep and lasting impact, too, on queer people, shaping gay life and politics in indelible ways. In the Shadow of Diagnosis helps us understand the adhesive and ongoing connection between queerness and sickness.
Author | : Regina G. Kunzel |
Publisher | : |
Total Pages | : 412 |
Release | : 2008-09 |
Genre | : History |
ISBN | : |
Sex is usually assumed to be a closely guarded secret of prison life. But it has long been the subject of intense scrutiny by both prison administrators and reformers—as well as a source of fascination and anxiety for the American public. Historically, sex behind bars has evoked radically different responses from professionals and the public alike. In Criminal Intimacy, Regina Kunzel tracks these varying interpretations and reveals their foundational influence on modern thinking about sexuality and identity. Historians have held the fusion of sexual desire and identity to be the defining marker of sexual modernity, but sex behind bars, often involving otherwise heterosexual prisoners, calls those assumptions into question. By exploring the sexual lives of prisoners and the sexual culture of prisons over the past two centuries—along with the impact of a range of issues, including race, class, and gender; sexual violence; prisoners’ rights activism; and the HIV epidemic—Kunzel discovers a world whose surprising plurality and mutability reveals the fissures and fault lines beneath modern sexuality itself. Drawing on a wide range of sources, including physicians, psychiatrists, sociologists, correctional administrators, journalists, and prisoners themselves—as well as depictions of prison life in popular culture—Kunzel argues for the importance of the prison to the history of sexuality and for the centrality of ideas about sex and sexuality to the modern prison. In the process, she deepens and complicates our understanding of sexuality in America.
Author | : Marton Lanyi |
Publisher | : Springer Science & Business Media |
Total Pages | : 376 |
Release | : 2003-08-04 |
Genre | : Medical |
ISBN | : 9783540441137 |
An explanation of modern breast pathology aimed at physicians practicing mammography. Mammography can be thought of as a (sub)macroscopic "shadow pathology" - confident diagnosis necessitates comprehensive knowledge of breast pathology. The traditional rules of thumb, for example that a regular, rounded shadow means a benign lesion, a radiating structure represents a malignant tumor, and microcalcification indicates biopsy, no longer hold true. The over 600 individual illustrations and more than 1,000 references help the reader understand breast morphology. The book is rounded off by a detailed description of the clinical symptoms and a helpful summary of the supplementary diagnostic procedures and the possibilities for treatment.
Author | : Meredith R. Bergey |
Publisher | : JHU Press |
Total Pages | : 413 |
Release | : 2018-01-01 |
Genre | : Medical |
ISBN | : 1421423804 |
Examining ADHD and its social and medical treatments around the world. Attention deficithyperactivity disorder (ADHD) has been a common psychiatric diagnosis in both children and adults since the 1980s and 1990s in the United States. But the diagnosis was much less common—even unknown—in other parts of the world. By the end of the twentieth century, this was no longer the case, and ADHD diagnosis and treatment became an increasingly widespread global phenomenon. As the diagnosis was adopted around the world, the definition and treatment of ADHD often changed in the context of different psychiatric professions, medical systems, and cultures. Global Perspectives on ADHD is the first book to examine how this expanding public health concern is diagnosed and treated in 16 different countries. In some countries, readers learn, over 10% of school-aged children and adolescents are diagnosed with ADHD; in others, that figure is less than 1%. Some countries focus on medicating children with ADHD; others emphasize parent intervention or child therapy. Showing how a medical diagnosis varies across contexts and time periods, this book explains how those distinctions shape medical interventions and guidelines, filling a much-needed gap by examining ADHD on an international scale. Contributors: Madeleine Akrich, Mari J. Armstrong-Hough, Meredith R. Bergey, Eugenia Bianchi, Christian Bröer, Peter Conrad, Claire Edwards, Silvia A. Faraone, Angela M. Filipe, Alessandra Frigerio, Valéria Portugal Gonçalves, Linda J. Graham, Hiroyuki Ito, Fabian Karsch, Victor Kraak, Claudia Malacrida, Lorenzo Montali, Yasuo Murayama, Sebastián Rojas Navarro, Órla O'Donovan, Francisco Ortega, Mónica Peña Ochoa, Brenton J. Prosser, Vololona Rabeharisoa, Patricio Rojas, Tiffani Semach, Ilina Singh, Rachel Spronk, Junko Teruyama, Masatsugu Tsujii, Fan-Tzu Tseng, Manuel Vallée, Rafaela Zorzanelli
Author | : Regina G. Kunzel |
Publisher | : Yale University Press |
Total Pages | : 292 |
Release | : 1993-01-01 |
Genre | : Social Science |
ISBN | : 9780300065091 |
During the first half of the twentieth century, out-of-wedlock pregnancy came to be seen as one of the most urgent and compelling problems of the day. The effort to define its meaning fueled a struggle among three groups of women: evangelical reformers who regarded unmarried mothers as fallen sisters to be saved, a new generation of social workers who viewed them as problem girls to be treated, and unmarried mothers themselves. Drawing on previously unexamined case records from maternity homes, Regina Kunzel explores how women negotiated the crisis of single pregnancy and analyzes the different ways they understood and represented unmarried motherhood. Fallen Women, Problem Girls is a social and cultural history of out-of-wedlock pregnancy in the United States from 1890 to 1945. Kunzel analyzes how evangelical women drew on a long tradition of female benevolence to create maternity homes that would redeem and reclaim unmarried mothers. She shows how, by the 1910s, social workers struggling to achieve professional legitimacy tried to dissociate their own work from that earlier tradition, replacing the reform rhetoric of sisterhood with the scientific language of professionalism. By analyzing the important and unexplored transition from the conventions of nineteenth-century reform to the professional imperatives of twentieth-century social welfare, Kunzel offers a new interpretation of gender and professionalization. Kunzel places shifting constructions of out-of-wedlock pregnancy within a broad history of gender, sexuality, class, and race, and argues that the contests among evangelical women, social workers, and unmarried mothers distilled larger generational and cross-class conflicts among women in the first half of the twentieth century.