Uniwersytet Medyczny w Lublinie, II Klinika Psychiatrii i Rehabilitacji Psychiatrycznej.
Psychiatr Pol. 2022 Feb 27;56(1):183-193. doi: 10.12740/PP/OnlineFirst/124774.
The consequence of social exclusion of the mentally ill patients is often a worsening of the course of the disease and prognosis. The psychiatric diagnosis is very important for the so-called labeling, which is one of the stages of the stigma process, and it also has a lot of social implications. The purpose of this work is to take look at the issue of psychiatric diagnosis, especially the diagnosis of paranoid schizophrenia and its consequences for the patient's social functioning. The authors of the article have reviewed the literature on the importance of psychiatric diagnosis in the context of self-stigmatization of mental illness and have presented, based on medical records, a clinical case of a patient who had significant difficulties in accepting the diagnosis of paranoid schizophrenia. The stigma of mental illness is the reason of subjectively experienced suffering for people with psychiatric diagnosis and their relatives, but it is also relevant to public health. Psychiatric diagnosis has significant social consequences, which is why it is so important that the process of diagnosis is not a routine activity for psychiatrists, free from ethical reflection.
精神疾病患者的社会排斥后果通常是疾病恶化和预后不良。精神病学诊断对所谓的“标签”非常重要，这是污名化过程的一个阶段，也具有很多社会影响。这项工作的目的是探讨精神病学诊断的问题，特别是偏执型精神分裂症的诊断及其对患者社会功能的影响。本文作者回顾了精神病学诊断在精神疾病的自我污名化背景下的重要性，并基于病历介绍了一位患有偏执型精神分裂症的患者在接受诊断方面遇到重大困难的临床案例。精神疾病的污名化是精神病学诊断患者及其亲属主观经历痛苦的原因，但它也与公共卫生相关。精神病学诊断具有重大的社会后果，因此，诊断过程不仅仅是精神科医生的常规活动，而是要避免伦理反思，这一点非常重要。
