Talk:Psychogenic disease

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Wiki Education Foundation-supported course assignment

This article was the subject of a Wiki Education Foundation-supported course assignment, between 8 September 2021 and 19 December 2021. Further details are available on the course page. Student editor(s): Mreicher.

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This article was the subject of a Wiki Education Foundation-supported course assignment, between 5 September 2018 and 5 December 2018. Further details are available on the course page. Student editor(s): Oliviacastagno.

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Definition, Psychosomatic versus Psychogenic, and Misdiagnosis

My planned edits for this article is to give a solid definition of Psychogenic Disease based off of DSM-IV criteria, to distinguish between psychosomatic illness and Psychogenic Disease, and to explain how Psychogenic Disease can commonly be a misdiagnosis in medical settings

Psychosomatic cf. Psychogenic

If anyone knows the difference between a psychosomatic illness and a psychogenic one, that would be a useful bit of information to throw into the article.

-I agree completely with the above anonymous comment. It looks like only the authors of the obscure book cited at the end have used this term. I propose the article for deletion. Crusio 13:51, 21 May 2007 (UTC)[reply]

Psychogenic needs to remain, as it is a long established medical term, and removal creates ten pages of dead Wiki links, or 192 uses in other articles at this time. I believe the reference to the obscure book cited at the end, added by an anonymous user, needs to be removed, as it confuses the definition, which has long been in use and only refers to a specialized use of the term. I will go ahead and do that if no one objects. Ralphyde 01:53, 31 May 2007 (UTC)[reply]

I can live with the article as it stands now. It might still be usefull as suggested by the anonymous comment at the top of this page to clarif the difference (if any) between psychogenic and psychosomatic. Crusio 06:28, 31 May 2007 (UTC)[reply]

This entry seems to be confusing 'Psychogenic disease', if such a thing exists, with Psychogneic pain, which is far more widely known, and has it's own wiki entry. If the page is to stay it really needs to be clear that Psychogenic disease and Psychogneic pain are different and should not be confused.90.204.30.224 (talk) 15:48, 20 April 2009 (UTC)[reply]

pathogen

i think the first line should be altered to include how a pathogen would trigger it, or something to that effect. Megapeen (talk) 03:42, 22 October 2009 (UTC)[reply]

Introduction and definition

This article lacks introductory text, which include a definition of the term. Some examples with explanations would be helpful. At present the article is of little value, the lay reader is left none the wiser. — Preceding unsigned comment added by 2A01:E35:2EF8:C250:213:E8FF:FEA8:4C3F (talk) 08:47, 31 July 2012 (UTC)[reply]

Definition of "psychosomatic" across pages

(Comment simultaneously posted on the three relevant talk pages.)

There appears to be a disconnect between the definition of "psychosomatic" in use for the Psychogenic disease, Psychosomatic medicine, and Somatic symptom disorder pages.

Psychogenic disease describes it as "illnesses with a known medical cause where psychological factors may nonetheless play a role (e.g., asthma can be exacerbated by anxiety)."

Somatic symptom disorder, which is the redirect for "psychosomatic," doesn't directly reference the word at all in the body of the article, but if we assume from the redirect that the two words are implied to be synonymous, it is "any mental disorder that manifests as physical symptoms that suggest illness or injury, but cannot be explained fully by a general medical condition or by the direct effect of a substance, and are not attributable to another mental disorder (e.g., panic disorder)." Already, these two conflict.

Psychosomatic medicine corroborates the definition used in Psychogenic illness, saying "in contemporary psychosomatic medicine, the term is normally restricted to those illnesses that do have a clear physical basis, but where it is believed that psychological and mental factors also play a role." But it further states that "psychiatry traditionally distinguishes between psychosomatic disorders, disorders in which mental factors play a significant role in the development, expression, or resolution of a physical illness, and somatoform disorders, disorders in which mental factors are the sole cause of a physical illness."

It also appears to use the terms "psychosomatic" and "psychogenic" interchangeably (or without a clarified distinction) without linking to Psychogenic disease.

As Somatic symptom disorder is the redirect for somatoform disorder, this now means Psychosomatic medicine claims two of its redirects are distinct concepts.

This appears to be a tangle in need of cleaning up and I do not know how to approach it. Aliengeometries (talk) 05:50, 13 September 2022 (UTC)[reply]

Poorly phrased example of misdiagnosis

"Misdiagnoses of psychogenic disease may be accidental, or may arise intentionally due to bias or ignorance. For example a doctor with a bias towards men may tell women that their symptoms are psychogenic, despite actual symptoms of a physical disorder."

This is vague. What does "bias towards men" here mean? Also the word "may" in "may tell women that ..." doesn't make sense to me.

Maybe a specific example could be used here instead? Such as "There have been reports of doctors with a bias towards taking women less seriously then women, telling women that their symptoms are psychogenic, despite actual symptoms of a physical disorder.". This prevents the implication "that it is something that is expected to happen again in the future" which the word "may" implies, which regardless of whether that may or may not happen, seems to be too far of topic here and with too little information to explore such a claim with sufficient depth. Wallby (talk) 11:56, 29 March 2024 (UTC)[reply]

That particular sentence parses as: If a doctor has a preference for treating male patients or is more likely to believe male patients' self-reported symptoms, they are more likely to tell women their symptoms are imagined. The second half of the sentence is just fine but I admit the "bias towards" could be replaced by something along the lines of "preference towards".

"There have been reports" does not imply anything about the present or future. It simply says that it has already happened at least once in the past. It doesn't say it can't continue to happen or even give any hint as to the likelihood of it happening in the future.

"May" there is not doing what it seems you think it is: it is modifying the doctor's telling the women that their symptoms are psychogenic. That is, "may" softens it from guaranteeing that such a doctor would tell women it is psychogenic, to may tell women it is psychogenic. This "may" does not say anything about future occurrences of such a doctors' telling women their symptoms are psychogenic.

Kimen8 (talk) 12:26, 29 March 2024 (UTC)[reply]

Now, the sentence before that, Misdiagnoses of psychogenic disease may be accidental, or may arise intentionally due to bias or ignorance, I have more issue with. Ignorance should be called accidental misdiagnosis; bias may even be considered accidental unless it is overt bias. I suggest this change:

Misdiagnoses of psychogenic disease may be accidental or intentional, and may arise due to bias or ignorance. Kimen8 (talk) 12:28, 29 March 2024 (UTC)[reply]