
Frontiers in Psychiatry, Journal Year: 2025, Volume and Issue: 16
Published: April 22, 2025
The intersection of psychiatry and medicine presents unique diagnostic ethical challenges, particularly for conditions involving significant brain-body interactions, such as psychosomatic, somatopsychic, complex systemic disorders. This article explores the historical contemporary issues in diagnosing conditions, emphasizing fragmentation medical psychiatric knowledge, biases clinical guidelines, mismanagement illnesses. Diagnostic errors often arise from insufficient integration between general psychiatry, compounded by reliance on population-based guidelines that neglect individual patient needs. Misclassification like myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS), Lyme disease, fibromyalgia psychosomatic or psychogenic has led to stigmatization delayed care. While these are referenced emblematic examples misclassified poorly understood disorders, five cases discussed this do not directly illustrate diseases. Instead, they exemplify shared dilemmas at medicine–psychiatry interface, including uncertainty, fragmentation, risk epistemic injustice. critically examines terms medically unexplained symptoms functional highlighting their limitations potential misuse. Case underscore consequences inaccuracies urgent need improved approaches. Ethical considerations also explored, respecting experiences, promoting individualized care, acknowledging inherent uncertainties diagnosis. Advances technologies brain imaging molecular diagnostics offer hope bridging gap medicine, enabling more accurate assessments better outcomes. concludes advocating comprehensive training medicine-psychiatry interface a patient-centered approach integrates observation, research insights, nuanced understanding mind-body dynamics.
Language: Английский