‘Brain on Fire’:an extraordinary cinematic depiction of the phenomenon of diagnostic overshadowing  

作　　者：Soumitra Das Karishma Kulkarni 

机构地区：[1]Dept of Adult Psychiatry,Melbourne Health,Parkville,Victoria,Australia

出　　处：《General Psychiatry》2021年第4期78-79,共2页综合精神医学（英文）

摘　　要：Diagnostic overshadowing refers to a phenomenon commonly characterised by a person with pre-existing or recently diagnosed mental illness receiving inadequate attention for symptoms of physical illness,which are then misattributed as manifestations of the mental illness.There are potentially several underlying reasons for this,including diagnostic challenges in establishing a medical cause for the presenting symptoms,likely lack of expertise in medicine,stigma directed towards mental illness,a protean or polymorphic presentation not immediately relating to an established nosology,lack of a reliable evidence base in the area leading to an inability to correlate with established medical diagnoses as well as biases towards treating surface-level symp-toms instead of identifying the underlying causes.

关 键 词：LIKELY establishing illness 

分 类 号：R749[医药卫生—神经病学与精神病学] R44[医药卫生—临床医学]