Witztum E, Margolin J, Levy A
Community Mental Health Center of North Jerusalem--Ezrat Nashim.
Harefuah. 1995 Jul;129(1-2):15-20, 79.
The complexity of arriving at a correct psychiatric diagnosis in cases in which physical and mental disorders are interrelated is discussed. A case is presented in which a psychiatric diagnosis had been made and malingering suspected, although the patient actually had a severe neurological disorder. The psychiatric diagnosis had not been changed despite recurrent medical and psychological examinations which clearly indicated a physical disorder. The difficulties that follow misdiagnosing organic disorders as psychiatric disorders are illustrated. Various aspects of the effects of psychiatric misdiagnosis on functional, legal and civil aspects of life are discussed. Emphasis is given to the problems facing those discharged from military service for medical reasons, especially mental disorders. Important measures are currently being applied to overcome some of these problems. It is strongly emphasized that there is need for greater openness and tolerance among psychiatrists when making psychiatric diagnoses.
讨论了在生理和精神障碍相互关联的病例中做出正确精神科诊断的复杂性。本文介绍了一个病例，尽管患者实际患有严重的神经系统疾病，但却做出了精神科诊断并怀疑有诈病行为。尽管反复进行医学和心理检查明确显示存在躯体疾病，但精神科诊断并未改变。文中阐述了将器质性疾病误诊为精神疾病所带来的困难。讨论了精神科误诊在生活功能、法律和民事方面产生的各种影响。重点关注了因医疗原因，尤其是精神障碍而退伍的人员所面临的问题。目前正在采取重要措施来克服其中一些问题。强烈强调精神科医生在进行精神科诊断时需要更加开放和包容。
