在评估和诊断功能性神经系统疾病和其他功能性体征症状时,预防阳性损害的风险
Giovanni Stanghellini1,2, George Ikkos3, Cecilia Maria Esposito4
1Department of Health Sciences, University of Florence, Florence, Italy.
概括
诊断功能神经和体质障碍可能会导致阳性损害. 历史和现代脑成像证据表明,在诊断这些疾病时需要谨慎.
科学领域:
- 神经学 神经学
- 精神病学是一个精神病学.
- 医学伦理 医学伦理
背景情况:
- 功能神经和人体疾病 (FNSD) 的诊断越来越多.
- 人们担心这些诊断可能会造成与这些诊断相关的阳性损害.
- 历史背景,如歇斯底里症的诊断,提供了相关的平行.
研究的目的:
- 在诊断FNSD时,引起人们对阳性损害风险的担忧.
- 检查与FNSD诊断相关的历史证据和当代发现.
- 讨论这些问题对临床实践的实际影响.
主要方法:
- 基于对歇斯底里症的历史分析的评论.
- 审查来自脑成像研究的当代发现.
- 讨论临床实践的影响.
主要成果:
- 歇斯底里史上的证据表明,可能会造成伤害.
- 当代的大脑成像发现引发了进一步的担忧.
- 诊断出FNSD会带来阳性损害的风险.
结论:
- 在诊断FNSD时,临床医生应该意识到潜在的阳性损害.
- 历史和神经成像证据支持谨慎.
- 对临床实践的影响需要仔细考虑,以尽量减少对患者的伤害.
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