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Nosology raises philosophical questions about what bases are and should be used for classifying diseases, often focusing on the use of biomedical (etiological/pathogenetic) versus symptomatic bases, and the nature of the ‘boundaries’ between conditions. Much of the existing literature focuses on mental disorder. Literature in applied ethics and related medical humanities examines how nosological systems have been shaped by social and historical factors; shape the practice of medicine at both clinical and policy levels; and raises a range of ethical issues such as access to treatment, labelling, and research practices.

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  1. Conceptual Engineering of Medical Concepts.Elisabetta Lalumera - forthcoming - In Manuel Gustavo Isaac, Kevin Scharp & Steffen Koch (eds.), New Perspectives on Conceptual Engineering. Synthese Library.
    There is a lot of conceptual engineering going on in medical research. I substantiate this claim with two examples, the medical debate about cancer classification and about obesity as a disease I also argue that the proper target of conceptual engineering in medical research are experts’ conceptions. These are explicitly written down in documents and guidelines, and they bear on research and policies. In the second part of the chapter, I propose an externalist framework in which conceptions have both the (...)
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  2. The Disease Loophole: Index Terms and Their Role in Disease Misclassification.Alex N. Roberts - forthcoming - Journal of Medicine and Philosophy.
    The definitions of disease proffered by philosophers and medical actors typically require that a state of ill health be linked to some known bodily dysfunction before it is classified as a disease. I argue that such definitions of disease are not fully implementable in current medical discourse and practice. Adhering to the definitions would require that medical actors keep close track of the current state of knowledge on the causes and mechanisms of particular illnesses. Yet, unaddressed problems in medical terminology (...)
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  3. Crossing the Threshold: An Epigenetic Alternative to Dimensional Accounts of Mental Disorders.Davide Serpico & Valentina Petrolini - forthcoming - British Journal for the Philosophy of Science.
    Recent trends in psychiatry involve a transition from categorical to dimensional frameworks, in which the boundary between health and pathology is understood as a difference in degree rather than as a difference in kind. A major tenet of dimensional approaches is that no qualitative distinction can be made between health and pathology. As a consequence, these approaches tend to characterize such a threshold as pragmatic or conventional in nature. However, dimensional approaches to psychopathology raise several epistemological and ontological issues. First, (...)
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  4. Dimensions not types: On the phenomenology of premonitory urges in Tourette Syndrome.Lisa Curtis-Wendlandt & Jack Reynolds - 2024 - Philosophy, Psychiatry, and Psychology 35 (1):25-42.
    The use of philosophical phenomenology for conceptual debates in psychiatric nosology and psychopathology is beginning to be recognized. In this paper, we extend this trajectory to include Tourette Syndrome, focusing on so-called premonitory urges (PU) preceding Tourettic tics. We clarify some inconsistencies around typology in both phenomenological description and medical classification (i.e., in the Diagnostic and Statistical Manual of Mental Disorders, 5th edition, Text Revision, International Classification of Diseases, 10th edition [World Health Organization, 2004], and the scales that elicit PU). (...)
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  5. Using Deep Learning to Classify Eight Tea Leaf Diseases.Mai R. Ibaid & Samy S. Abu-Naser - 2024 - International Journal of Academic Information Systems Research (IJAISR) 8 (4):89-96.
    Abstract: People all over the world have been drinking tea for thousands of centuries, and for good reason. Many types of teas can help you stay healthy by boosting your immune system, reducing inflammation, and even preventing cancer and heart disease. There is sufficient material to show that regularly consuming tea can improve your health over the long term. A deep learning model that categorizes tea disorders has been completed. When focusing on the tea, we must also focus on and (...)
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  6. The New Hysteria: Borderline Personality Disorder and Epistemic Injustice.Natalie Dorfman & Joel Michael Reynolds - 2023 - International Journal of Feminist Approaches to Bioethics 16 (2):162-181.
    The diagnostic category of borderline personality disorder (BPD) has come under increasing criticism in recent years. In this paper, we analyze the role and impact of epistemic injustice, specifically testimonial injustice, in relation to the diagnosis of BPD. We first offer a critical sociological and historical account, detailing and expanding a range of arguments that BPD is problematic nosologically. We then turn to explore the epistemic injustices that can result from a BPD diagnosis, showing how they can lead to experiences (...)
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  7. Close Enemies: The Relationship of Psychiatry and Psychology in the Assessment of Mental Disorders.Philippe Le Moigne - 2023 - Philosophy Psychiatry and Psychology 30 (3):259-261.
    In lieu of an abstract, here is a brief excerpt of the content:Close Enemies: The Relationship of Psychiatry and Psychology in the Assessment of Mental DisordersPhilippe Le Moigne, PhDAs Peter Zachar rightly points out in his comment, the assessment of mental disorders underwent new developments with the release of the Diagnostic and Statistical Manual of Mental Disorders-V in 2013 (American Psychiatric Association, 2013). Whereas in 1980, the manual had been thought of in a rigorously categorical way, on the basis of (...)
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  8. Mild Cognitive Impairment in Relation to Alzheimer’s Disease: An Investigation of Principles, Classifications, Ethics, and Problems.Joseph Lee - 2023 - Neuroethics 16 (2):1-18.
    Mild Cognitive Impairment (MCI) is a diagnostic category indicating cognitive impairment which does not meet diagnostic criteria for dementia such as Alzheimer’s disease. There are public health concerns about Alzheimer’s disease (AD) prompting intervention strategies to respond to predictions about the impacts of ageing populations and cognitive decline. This relationship between MCI and AD rests on three interrelated principles, namely, that a relationship exists between AD and MCI, that MCI progresses to AD, and that there is a reliable system of (...)
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  9. A Scoping Review of Ethical and Legal Issues in Behavioural Variant Frontotemporal Dementia.Anirudh Nair, Colleen M. Berryessa & Veljko Dubljevic - 2023 - Canadian Journal of Bioethics / Revue canadienne de bioéthique 6 (2):120-132.
    Behavioural variant frontotemporal dementia (bvFTD) is a subtype of frontotemporal dementia characterized by changes in personality, social behaviour, and cognition. Although neural abnormalities cause bvFTD patients to struggle with inhibiting problematic behaviour, they are generally considered fully autonomous individuals. Subsequently, bvFTD patients demonstrate understanding of right and wrong but are unable to act in accordance with moral norms. To investigate the ethical, legal, and social issues associated with bvFTD, we conducted a scoping review of academic literature with inclusion & exclusion (...)
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  10. Does Schizophrenia Exist?Georg Repnikov - 2023 - Philosophy of Medicine 4 (1).
    This paper develops and defends a deflationary analysis of existence claims involving psychiatric disorders. According to this analysis, a given psychiatric disorder exists if, and only if, there are people who have the disorder. The implications of this analysis are spelled out for our views of nosological decision making, and for the relationship between claims about the existence of psychiatric disorders and claims about their reality. A pragmatic view of psychiatric nosology is defended and it is argued that worries about (...)
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  11. Interdisciplinary Aspects of Mental Disorders Classification Systems.Sergii Rudenko & Mykhailo Tasenko - 2023 - Bulletin of Taras Shevchenko National University of Kyiv Philosophy 2 (9):44-49.
    B a c k g r o u n d. The article demonstrates the development and influence of the main diagnostic systems in psychiatry, such as the DSM and the ICD, on the concept of psychiatric diseases. The problem of classification of psychiatric disorders is one of the main topics that is the field of study of the philosophy of psychiatry. The correct diagnosis within a particular diagnostic system directly affects the choice of appropriate drug treatment, psychotherapy and social support (...)
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  12. Functional systems as explanatory tools in psychiatry.M. Salcedo-Gómez & Claudia-Lorena García - 2023 - Philosophical Explorations 27 (1):21-40.
    Here we defend the view that one ought to categorize and classify at least some mental disorders as clusters of interrelated dysfunctions of (usually, several) cognitive capacities – that is, the kinds of capacities that are postulated in cognitive science; capacities that are understood as entities that are primarily individuated in cognitive-functional terms (CF-systems); systems that have a set of peculiar properties in their manner of operation when processing information or representations. Usually, some of the mental disorders postulated in psychiatry (...)
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  13. Preclinical Disease or Risk Factor? Alzheimer’s Disease as a Case Study of Changing Conceptualizations of Disease.Maartje H. N. Schermer - 2023 - Journal of Medicine and Philosophy 48 (4):322-334.
    Alzheimer’s Disease (AD) provides an excellent case study to investigate emerging conceptions of health, disease, pre-disease, and risk. Two scientific working groups have recently reconceptualized AD and created a new category of asymptomatic biomarker positive persons, who are either said to have preclinical AD, or to be at risk for AD. This article examines how prominent theories of health and disease would classify this condition: healthy or diseased? Next, the notion of being “at risk”—a state somewhere in-between health and disease—is (...)
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  14. The Essentialism of Early Modern Psychiatric Nosology.Hein van den Berg - 2023 - History and Philosophy of the Life Sciences 45 (2):1-25.
    Are psychiatric disorders natural kinds? This question has received a lot of attention within present-day philosophy of psychiatry, where many authors debate the ontology and nature of mental disorders. Similarly, historians of psychiatry, dating back to Foucault, have debated whether psychiatric researchers conceived of mental disorders as natural kinds or not. However, historians of psychiatry have paid little to no attention to the influence of (a) theories within logic, and (b) theories within metaphysics on psychiatric accounts of proper method, and (...)
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  15. Socializing Psychiatric Kinds : A Pluralistic Explanatory Account of the Nature and Classification of Psychopathology.Tuomas Vesterinen - 2023 - Dissertation, University of Helsinki
    This thesis investigates the nature of psychiatric disorders, and to what extent they can form a basis for classification, explanation, and treatment interventions. These questions are important in the light of the “crisis of validity” in psychiatry, according to which current diagnostic categories do not pick out real disorders. I address the questions by defending an account of psychiatric disorders that can better accommodate social aspects and non-epistemic values than the symptom-based model of the Diagnostic and Statistical Manual of Mental (...)
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  16. Can The Psychopathologized Speak? Notes on Social Objectivity and Psychiatric Science.Awais Aftab - 2022 - Philosophy Psychiatry and Psychology 29 (4):267-270.
    In lieu of an abstract, here is a brief excerpt of the content:Can The Psychopathologized Speak?Notes on Social Objectivity and Psychiatric ScienceAwais Aftab*, MD (bio)In "Exclusion of Psychopathologized Standpoints Due to Hermeneutical Ignorance Undermines Psychiatric Objectivity" (2022), Bennett Knox offers a compelling argument that failure of psychiatric community to engage with the "psychopathologized" in processes such as the revision of the Diagnostic and Statistical Manual of Mental Disorders (DSM) constitutes a form of epistemic injustice and threatens the social objectivity of (...)
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  17. A Systematic Review of Empirical Evidence on Art Therapy With Traumatized Refugee Children and Youth.Nadia Annous, Anies Al-Hroub & Farah El Zein - 2022 - Frontiers in Psychology 13.
    The current global refugee crisis revealed that refugee children, youth, and adults are uniquely vulnerable to traumatic events. Yet, there are only a few studies available that report robust systematic data on art therapy interventions with mental health in recent refugee populations. The purpose of the study is to synthesize and evaluate the available research evidence on the use of art therapy in reducing post-traumatic stress disorder levels in refugees, and the quality of empirical evidence for each of the reviewed (...)
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  18. Classification of Anomalies in Gastrointestinal Tract Using Deep Learning.Ibtesam M. Dheir & Samy S. Abu-Naser - 2022 - International Journal of Academic Engineering Research (IJAER) 6 (3):15-28.
    Automatic detection of diseases and anatomical landmarks in medical images by the use of computers is important and considered a challenging process that could help medical diagnosis and reduce the cost and time of investigational procedures and refine health care systems all over the world. Recently, gastrointestinal (GI) tract disease diagnosis through endoscopic image classification is an active research area in the biomedical field. Several GI tract disease classification methods based on image processing and machine learning techniques have been proposed (...)
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  19. Going beyond the DSM in predicting, diagnosing, and treating autism spectrum disorder with covarying alexithymia and OCD: A structural equation model and process-based predictive coding account.Darren J. Edwards - 2022 - Frontiers in Psychology 13.
    BackgroundThere is much overlap among the symptomology of autistic spectrum disorders, obsessive compulsive disorders, and alexithymia, which all typically involve impaired social interactions, repetitive impulsive behaviors, problems with communication, and mental health.AimThis study aimed to identify direct and indirect associations among alexithymia, OCD, cardiac interoception, psychological inflexibility, and self-as-context, with the DV ASD and depression, while controlling for vagal related aging.MethodologyThe data involved electrocardiogram heart rate variability and questionnaire data. In total, 1,089 participant's data of ECG recordings of healthy resting (...)
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  20. Reactive Natural Kinds and Varieties of Dependence.Harriet Fagerberg - 2022 - European Journal for Philosophy of Science 12 (4):1-27.
    This paper asks when a natural disease kind is truly 'reactive' and when it is merely associated with a corresponding social kind. I begin with a permissive account of real kinds and their structure, distinguishing natural kinds, indifferent kinds and reactive kinds as varieties of real kind characterised by super-explanatory properties. I then situate disease kinds within this framework, arguing that many disease kinds prima facie are both natural and reactive. I proceed to distinguish ‘simple dependence’, ‘secondary dependence’ and ‘essential (...)
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  21. Nosological Diagnosis, Theories of Categorization, and Argumentations by Analogy.Francesco Gagliardi - 2022 - Journal of Medicine and Philosophy 47 (2):311-330.
    The nosological diagnosis is a particular type of nontheoretical diagnosis consisting of identifying the disease that afflicts the patient without explaining the underlying etiopathological mechanisms. Its origins are within the essentialist point of view on the nature of diseases, which dates back at least to 18th-century taxonomy studies. In this article, we propose a model of nosological diagnosis as a two-phase process composed of the categorization of inductive inferences and argumentations by analogy. In the inductive phase, disease entities are identified (...)
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  22. Employing Machine Learning-Based Predictive Analytical Approaches to Classify Autism Spectrum Disorder Types.Muhammad Kashif Hanif, Naba Ashraf, Muhammad Umer Sarwar, Deleli Mesay Adinew & Reehan Yaqoob - 2022 - Complexity 2022:1-10.
    Autism spectrum disorder is an inherited long-living and neurological disorder that starts in the early age of childhood with complicated causes. Autism spectrum disorder can lead to mental disorders such as anxiety, miscommunication, and limited repetitive interest. If the autism spectrum disorder is detected in the early childhood, it will be very beneficial for children to enhance their mental health level. In this study, different machine and deep learning algorithms were applied to classify the severity of autism spectrum disorder. Moreover, (...)
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  23. Pathological Withdrawal Syndrome: A New Kind of Depression?Katelynn V. Healy - 2022 - Inquiries Journal.
    Marion Godman makes the argument that Pathological Withdrawal Syndrome (PWS) makes the case for psychiatric disorders as a natural kind. Godman argues that we can classify kinds according to their shared ‘grounding’, but we need not know what the grounding is to know that the natural is a natural kind. However, I argue that Godman erroneously classifies PWS as its own natural kind when it is in fact a variant of depression, which is its own natural kind. Cooper highlights culture-bound (...)
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  24. A classification system for post-acute sequelae of Sars cov-2 infection.Leonard A. Jason & Mohammed F. Islam - 2022 - Central Asian Journal of Medical Hypotheses and Ethics 3 (1):38-51.
    This study aimed to contribute to the development of a research case definition for post-acute sequelae of SARS CoV-2 infection using a PASC data set and experiences from case definitions developed for myalgic encephalomyelitis/chronic fatigue syndrome. Our database included patients with PASC who provided self-report symptomology during the onset of infection and the time of survey completion. We found that we could distinguish between those with mild, moderate, and severe PASC. Regarding the proportion meeting an ME/CFS case definition, we found (...)
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  25. Exploring the links between various traumatic experiences and ICD-11 PTSD and Complex PTSD: A cross-sectional study.Agniete Kairyte, Monika Kvedaraite, Evaldas Kazlauskas & Odeta Gelezelyte - 2022 - Frontiers in Psychology 13.
    BackgroundThe 11th revision of the International Classification of Diseases included two distinct trauma-related diagnoses—Posttraumatic Stress Disorder and Complex Posttraumatic Stress Disorder. The initial diagnostic factor for both disorders is exposure to a traumatic event. This study aimed to explore whether exposure to different traumatic experiences distinguish risk for PTSD and CPTSD.MethodsThe study sample comprised 158 trauma-exposed participants, Mage = 33.61. The Life Events Checklist-Revised was used to evaluate trauma exposure, and the International Trauma Questionnaire was used to assess risk for (...)
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  26. Se-duction is not sex-duction: Desexualizing and de-feminizing hysteria.Milena Mancini, Martina Scudiero, Silvio Mignogna, Valentina Urso & Giovanni Stanghellini - 2022 - Frontiers in Psychology 13.
    The psychopathological analysis of hysteria is a victim of narrow conceptualizations. Among these is the inscription of hysteria in the feminine sphere, about body and sexuality, which incentivized conceptual reductionism. Hysteria has been mainly considered a gendered pathology, almost exclusively female, and it has been associated with cultural and/or religious features over time rather than treated as a psychopathological world. Further, hysteria has been dominated by conceptual inaccuracies and indecision, not only in terms of clinical features but also in terms (...)
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  27. La classification des maladies entre faits et valeurs : le cas de l’obésité.Pierre-Olivier Méthot - 2022 - Philosophiques 49 (1):61-80.
    L’obésité est aujourd’hui reconnue par de nombreuses associations médicales comme un état pathologique. Dans cet article, je m’intéresse d’abord à la construction des entités nosologiques avant d’aborder les étapes ayant conduit à la médicalisation de l’obésité au siècle dernier. J’examine ensuite les principales approches en philosophie de la médecine pour déterminer si elles offrent des arguments qui sont en faveur ou qui vont à l’encontre de la thèse selon laquelle l’obésité est une maladie. Je soutiens que l’approche naturaliste, plus sensible (...)
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  28. A review on voice pathology: Taxonomy, diagnosis, medical procedures and detection techniques, open challenges, limitations, and recommendations for future directions. [REVIEW]Mazin Abed Mohammed, Belal Al-Khateeb & Nuha Qais Abdulmajeed - 2022 - Journal of Intelligent Systems 31 (1):855-875.
    Speech is a primary means of human communication and one of the most basic features of human conduct. Voice is an important part of its subsystems. A speech disorder is a condition that affects the ability of a person to speak normally, which occasionally results in voice impairment with psychological and emotional consequences. Early detection of voice problems is a crucial factor. Computer-based procedures are less costly and easier to administer for such purposes than traditional methods. This study highlights the (...)
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  29. A hybrid particle swarm optimization with multi-objective clustering for dermatologic diseases diagnosis.R. Nagaraja & Ravinder Reddy Baireddy - 2022 - Journal of Intelligent Systems 31 (1):876-890.
    Effective and personalized treatment relies heavily on skin disease categorization. In the stratification of skin disorders, it is crucial to identify the subtypes of illnesses to provide an efficient therapy. To attain this aim, researchers have focused their attention on cluster algorithms for the stratification of skin disorders in recent decades. But, cluster algorithms have real-world drawbacks, including experimental noises, a large number of dimensions, and a poor ability to comprehend. Cluster algorithms, in particular, determine the quality of clusters using (...)
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  30. Classification of Alzheimer's Disease Using Convolutional Neural Networks.Lamis F. Samhan, Amjad H. Alfarra & Samy S. Abu-Naser - 2022 - International Journal of Academic Information Systems Research (IJAISR) 6 (3):18-23.
    Brain-related diseases are among the most difficult diseases due to their sensitivity, the difficulty of performing operations, and their high costs. In contrast, the operation is not necessary to succeed, as the results of the operation may be unsuccessful. One of the most common diseases that affect the brain is Alzheimer’s disease, which affects adults, a disease that leads to memory loss and forgetting information in varying degrees. According to the condition of each patient. For these reasons, it is important (...)
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  31. Breaking Down: a critical discourse analysis of John Langdon Down’s (1866) classification of people with trisomy 21 (Down syndrome). [REVIEW]Fievel Tong - 2022 - Critical Discourse Studies 19 (6):648-666.
    This article critiques how the chromosomal condition ‘trisomy 21’ (‘T21’) (‘Down syndrome’) was originally conceptualised using colonial, scientific and medical discourses on ‘race’ and ‘idiocy’. Nineteenth century discourses surrounding ‘degeneracy’ commonly intertwined the notions of ‘race’ and ‘idiocy’. In Observations of an Ethnic Classification of Idiots, Down categorises people with T21 as ‘Mongolians’ because of their purported similarities to ethnic ‘Mongolians’. The discourse-historical approach (DHA) to critical discourse analysis (CDA) is used in this article to examine how the ‘Mongolian idiot’ (...)
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  32. The DSM-5 introduction of the Social (Pragmatic) Communication Disorder as a new mental disorder: a philosophical review.M. Cristina Amoretti, Elisabetta Lalumera & Davide Serpico - 2021 - History and Philosophy of the Life Sciences 43 (4):1-31.
    The latest edition of the Diagnostic and Statistical Manual of Mental Disorders included the Social Communication Disorder as a new mental disorder characterized by deficits in pragmatic abilities. Although the introduction of SPCD in the psychiatry nosography depended on a variety of reasons—including bridging a nosological gap in the macro-category of Communication Disorders—in the last few years researchers have identified major issues in such revision. For instance, the symptomatology of SPCD is notably close to that of Autism Spectrum Disorder. This (...)
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  33. Cardiac Disorder Classification by Electrocardiogram Sensing Using Deep Neural Network.Ali Haider Khan, Muzammil Hussain & Muhammad Kamran Malik - 2021 - Complexity 2021:1-8.
    Cardiac disease is the leading cause of death worldwide. Cardiovascular diseases can be prevented if an effective diagnostic is made at the initial stages. The ECG test is referred to as the diagnostic assistant tool for screening of cardiac disorder. The research purposes of a cardiac disorder detection system from 12-lead-based ECG Images. The healthcare institutes used various ECG equipment that present results in nonuniform formats of ECG images. The research study proposes a generalized methodology to process all formats of (...)
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  34. The prospects of precision psychiatry.Kathryn Tabb & Maël Lemoine - 2021 - Theoretical Medicine and Bioethics 42 (5):193-210.
    Since the turn of the twenty-first century, biomedical psychiatry around the globe has embraced the so-called precision medicine paradigm, a model for medical research that uses innovative techniques for data collection and analysis to reevaluate traditional theories of disease. The goal of precision medicine is to improve diagnostics by restratifying the patient population on the basis of a deeper understanding of disease processes. This paper argues that precision is ill-fitting for psychiatry for two reasons. First, in psychiatry, unlike in fields (...)
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  35. Natural kinds of mental disorder.Sander Werkhoven - 2021 - Synthese 199 (3-4):10135-10165.
    Are mental disorders natural kinds or socially constructed categories? What is at stake if either of these views prove to be true? This paper offers a qualified defence for the view that there may be natural kinds of mental disorder, but also that the implications of this claim are generally overestimated. Especially concerns about over-inclusiveness of diagnostic categories and medicalisation of abnormal behaviour are not addressed by the debate. To arrive at these conclusions the paper opens with a discussion of (...)
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  36. Clasificar en psiquiatría y el DSM-V: algunas reflexiones con y más allá de Georges Canguilhem.Rodrigo Lagos Berríos - 2020 - Hybris, Revista de Filosofí­A 11 (2):13-44.
    This article addresses the issues related to the problem of classification of mental disorders in psychiatry in the context of the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders. First, some background information is provided on the history of the classification of mental disorders and the evolution that DSM has had over time is shown. Secondly, the delimitation of the normal and the pathological in psychiatry is investigated through Canguilhem's medical-philosophical thought. Thirdly, the biopolitical management of psychic (...)
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  37. (1 other version)Prisca Bauer, Words matter. A hermeneutical-phenomenological account to mental health.Francesca Bauer Brencio - 2020 - Phenomenology and Mind 18:68-77.
    The problem of names of illnesses is both a problem of words and values that should address not only the classification of disorders, but also a fundamental question both for medical sciences and humanities: can psychiatric nosology and classifications fit with the ontological constitution of human beings? This paper aims to discuss the so-called “psychiatric object” and its language and it intends to provide a hermeneutical-phenomenological account to mental health. In doing so, the paper will firstly examine the “psychiatric object” (...)
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  38. (1 other version)Words matter. A hermeneutical-phenomenological account to mental health.Francesca Brencio & Prisca Bauer - 2020 - Phenomenology and Mind 18:68-77.
    The problem of names of illnesses is both a problem of words and values that should address not only the classification of disorders, but also a fundamental question both for medical sciences and humanities: can psychiatric nosology and classifications fit with the ontological constitution of human beings? This paper aims to discuss the so-called “psychiatric object” and its language and it intends to provide a hermeneutical-phenomenological account to mental health. In doing so, the paper will firstly examine the “psychiatric object” (...)
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  39. Rendering Inuit cancer “visible”: Geography, pathology, and nosology in Arctic cancer research.Jennifer Fraser - 2020 - Science in Context 33 (3):195-225.
    ArgumentIn August of 1977, Australian pathologist David W. Buntine delivered a presentation at the Annual Meeting of the Royal College of Pathologists of Australia in Melbourne, Victoria. In this presentation, he used the diagnostic category of “Eskimoma,” to describe a unique set of salivary gland tumors he had observed over the past five years within Winnipeg’s Health Sciences Center. Only found amongst Inuit patients, these tumors were said to have unique histological, clinical, and epidemiological features and were unlike any other (...)
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  40. The Ontological Background of The Relationalist Turn in Understanding Mental Disorders.Annemarie C. J. Köhne - 2020 - Philosophy, Psychiatry, and Psychology 27 (2):145-147.
    Zachar's commentary can be read as a sophisticated theoretical extension of the target article, and I am very pleased to see support for a relationalist turn in understanding mental disorders. Indeed, underlying causal properties are only an ingredient of essentialism and a more elaborate discussion of this issue brings us readily to the discourse on kinds and ontology. Zachar is an advocate for thinking of psychiatric constructs as practical kinds. This logically leads him to think that the problem with categorical (...)
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  41. “The Gene Didn’t Get the Memo”: Realigning Disciplines and Remaking Illness in Genomic Medicine.Daniel Navon - 2020 - Critical Inquiry 46 (4):867-890.
    Human genetics has uncovered a vast trove of medically relevant changes in our genomes—variants and mutations that are both far more common and difficult to interpret than experts anticipated. What will this mean as we move into an era of genomic or “precision” medicine? For over a century the overriding goal of human genetics was to explain the inheritance of traits and conditions that hailed from disciplines like medicine, psychology, and criminology. Yet today, genomics research is calling prevailing categories of (...)
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  42. Rethinking Categories and Dimensions in the DSM.James Phillips - 2020 - Journal of Medicine and Philosophy 45 (6):663-682.
    This paper addresses the role of categories and dimensions in the classification of psychopathology. While psychopathology does not sort itself out neatly into natural categories, we do find rough, symptom-based groupings that, through refinement, become diagnostic categories. Given that these categories suffer from comorbidity, uncertain boundaries, and excessive “unspecified disorder” diagnoses, there has been a move toward refining the diagnoses with dimensional measures. The paper traces efforts both to improve the diagnostic categories with validators that allow at least partial validity (...)
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  43. Causal classification of diseases.Andrej Poleev - 2020 - Enzymes.
    „Errors are the greatest obstacles to the progress of science; to correct such errors is of more practical value than to achieve new knowledge,“ asserted Eugen Bleuler. Basic error of several prevailing classification schemes of pathological conditions, as for example ICD-10, lies in confusing and mixing symptoms with diseases, what makes them unscientific. Considering the need to bring order into the chaos and light into terminological obscureness, I introduce the Causal classification of diseases originating from the notion of bodily wholeness (...)
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  44. Phenomenology and Dimensional Approaches to Psychiatric Research and Classification.Anthony Vincent Fernandez - 2019 - Philosophy, Psychiatry, and Psychology 26 (1):65-75.
    Contemporary psychiatry finds itself in the midst of a crisis of classification. The developments begun in the 1980s—with the third edition of the Diagnostic and Statistical Manual of Mental Disorders —successfully increased inter-rater reliability. However, these developments have done little to increase the predictive validity of our categories of disorder. A diagnosis based on DSM categories and criteria often fails to accurately anticipate course of illness or treatment response. In addition, there is little evidence that the DSM categories link up (...)
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  45. Disorders of Consciousness, Past, Present, and Future.Joseph J. Fins - 2019 - Cambridge Quarterly of Healthcare Ethics 28 (4):603-615.
    Abstract:This paper, presented as the 2019 Cambridge Quarterly Neuroethics NetworkCharcot Lecture, traces the nosology of disorders of consciousness in light of 2018 practice guidelines promulgated by the American Academy of Neurology, the American College of Rehabilitation Medicine and the National Institute on Disability, Independent Living and Rehabilitation Research. By exploring the ancient origins of Jennett and Plum’s persistent vegetative state and subsequent refinements in the classification of disorders of consciousness—epitomized by the minimally conscious state, cognitive motor dissociation, and the recently (...)
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  46. Psychiatry’s Dysphoric Turn: Psychophysical Dysmorphia, Transgender Euphoria, and the Rise of Pedophilia.Avak Albert Howsepian - 2019 - Christian Bioethics 25 (1):41-68.
    Recent conceptual developments in psychiatric diagnosis have the potential for catastrophic results, particularly for Christians in the mental health field, but also for all persons who have a vested interest in the identification and treatment of mental disorder. I explore these theoretical developments by focusing on the manner in which dysphoria has been situated in the dominant contemporary system of psychiatric nosology, the Diagnostic and Statistical Manual of Mental Disorders, fifth edition. I target for discussion, primarily, two specific consequences of (...)
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  47. Understanding Mental Disorders: A Philosophical Approach to the Medicine of the Mind.Daniel Lafleur, Christopher Mole & Holly Onclin - 2019 - Routledge.
    Understanding Mental Disorders aims to help current and future psychiatrists, and those who work with them, to think critically about the ethical, conceptual, and methodological questions that are raised by the theory and practice of psychiatry. It considers questions that concern the mind’s relationship to the brain, the origins of our norms for thinking and behavior, and the place of psychiatry in medicine, and in society more generally. With a focus on the current debates around psychiatry’s diagnostic categories, the authors (...)
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  48. Cancer.Anya Plutynski - 2019 - Stanford Encyclopedia of Philosophy.
    Cancer—and scientific research on cancer—raises a variety of compelling philosophical questions. This entry will focus on four topics, which philosophers of science have begun to explore and debate. First, scientific classifications of cancer have as yet failed to yield a unified taxonomy. There is a diversity of classificatory schemes for cancer, and while some are hierarchical, others appear to be “cross-cutting,” or non-nested. This literature thus raises a variety of questions about the nature of the disease and disease classification. Second, (...)
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  49. Galen's Wounds: Dissolutions and the Theoretical Structure of Galen's Disease Taxonomy.Luis Alejandro Salas - 2019 - Classical Antiquity 38 (2):275-297.
    Galen conceives of wounds, fractures, and similar conditions as belonging to one of the highest genera in his taxonomy of disease. This classification is puzzling, as much from an ancient Greco-Roman perspective as from a contemporary one. In what sense are wounds and other injuries diseases? The classification appears more perplexing in light of Galen's method of conceptual analysis, which takes ordinary language use as a starting point. What, then, motivated Galen's departure from common Greek conceptions of disease? This article (...)
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  50. The absent body in psychiatric diagnosis, treatment, and research.Catherine Stinson - 2019 - Synthese 196 (6).
    Discussions of psychiatric nosology focus on a few popular examples of disorders, and on the validity of diagnostic criteria. Looking at Anorexia Nervosa, an example rarely mentioned in this literature, reveals a new problem: the DSM has a strict taxonomic structure, which assumes that disorders can only be located on one branch. This taxonomic assumption fails to fit the domain of psychopathology, resulting in obfuscation of cross-category connections. Poor outcomes for treatment of Anorexia may be due to it being pigeonholed (...)
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