Uncomfortable treatment without diagnosis

Abstract

One explanation for breakdown of the traditional medical connection of diagnosis and treatment is presented. It is suggested that it was a natural process brought to life by the results of the development of genetics and the results of the application of clinical epidemiology (the theory of evidence-based medicine), which led to the beginning of the downfall of the nosological concept, so far de facto, and in the long term de jure. Medicine is painfully returning to a holistic view of a patient.

Keywords

nosological concept / clinical epidemiology / crisis / pathomorphosis / comorbidity / disease concept / industrial development of medicine

References

[1] Зорин Н.А. Кризис клинической психиатрии: истоки и попытки преодоления (философско-методологический аспект). Философские науки. 1989; 8: 42–52. [Zorin N.A. The crisis of clinical psychiatry: Origins and attempts to overcome. Filosofskie nauki. 1989; 8: 42–52. (In Russ.)]

[2] Зорин Н.А. Коморбидность. Вам всё понятно? (Часть I.) Пластич. хир. и косметол. 2016; 8: 1–8. [Zorin N.A. Comorbidity. Does it all make sense to you? (Part I.) Plastiches-kaja hirurgija i kosmetologija. 2016; 8: 1–8. (In Russ.)]

[3] Пузырёв В.П. Генетические основы коморбидности у человека. Генетика. 2015; 51 (4): 491–502. [Puzyrev V.P. Genetic basis of comorbidity in humans. Genetika. 2015; 51 (4): 491–502. (In Russ.)]

[4] Зорин Н.А. «Необъяснимые» соматические симптомы. Реферат M. Sharpe, A. Carson “Unexplained” somatics, functional syndromes, and somatiszation: Do we need a paradigm shift? Ann. Int. Med. 2000; 134 (2): 803–808. [Zorin N.A. “Unexplained” somatics, functional syndromes. Commented abstract M. Sharpe, A. Carson “Unexplained” somatics, functional syndromes, and somatiszation: Do we need a paradigm shift? Ann. Int. Med. 2000; 134 (2): 803-808 (In Russ.)]

[5] Дильман В.М. Четыре модели медицины. Л.: Медицина. 1987; 288 с. [Dilman V.M. Four models of medicine. L.: Medicina. 1987; 288 р. (In Russ.)]

[6] Sadock B.J., Sussman N., Sadock V.A. Kaplan & Sadock’s pocket handbook of psychiatric drug treatment. Seventh edition. Philadelphia: Wolters Kluwer. 2019; 1.

[7] Профессиональная медицинская платформа Medelement. Диагностика ex juvantibus. https://diseases.medelement.com/term/диагностика-ex-juvantibus/1081 (дата обращения: 08.02.2021). [Professional medical platform Medelement. Diagnosis ex juvantibus. https://diseases.medelement.com/term/диагностика-ex-juvantibus/1081 (access date: 08.02.2021). (In Russ.)]

RIGHTS & PERMISSIONS

Zorin N.A.