ArticleSociology of health & illness2020
Expanding boundaries in psychiatry: uncertainty in the context of diagnosis-seeking and negotiation.
Article in Sociology of health & illness, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed, 46 citations in OpenAlex.
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- A controlled trial examining large Language model conformity in psychiatric assessment using the Asch paradigm.BMC psychiatry · 2025Article
- Healthcare Cybersecurity Ethical Concerns during the COVID-19 Global Pandemic: A Rapid Review.Healthcare (Basel, Switzerland) · 2023Review
- 'Is it in your basic personality?' Negotiations about traits and context in diagnostic interviews for personality disorders.Health (London, England : 1997) · 2023Article
- Evidence, ethics and the promise of artificial intelligence in psychiatry.Journal of medical ethics · 2023Article
- Unpacking the Lay Epidemiology of Cervical Cancer: A Focus Group Study on the Perceptions of Cervical Cancer and Its Prevention among Women Late for Screening in Norway.Healthcare (Basel, Switzerland) · 2023Article
- Stigma as a barrier to early intervention among youth seeking mental health services in Ontario, Canada: a qualitative study.BMC health services research · 2023Article
- Classification of Autism Spectrum Disorder Using rs-fMRI data and Graph Convolutional Networks.Proceedings : ... IEEE International Conference on Big Data. IEEE International Conference on Big Data · 2022Article
- Anatomy of diagnosis in a clinical encounter: how clinicians discuss uncertainty with patients.BMC primary care · 2022Article
- Over-Reporting of Somatic and Psychiatric PTSD Symptoms Among People Who Experienced Motor Vehicle Accidents and Did Not Seek Psychiatric Help in a Primary Care Setting.Psychology research and behavior management · 2022Article
- ADHD and reification: Four ways a psychiatric construct is portrayed as a disease.Frontiers in psychiatry · 2022Article
- Too Much, Too Mild, Too Early: Diagnosing the Excessive Expansion of Diagnoses.International journal of general medicine · 2022Article
- Case Study of Recognition Patterns in Haunted People Syndrome.Frontiers in psychology · 2022Article
- Psychiatrization in mental health care: The emergency department.Frontiers in sociology · 2022Article
Corrections and comments
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Authors and funding
1 author at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Psychiatric diagnosis has become pervasive in modern culture, exerting an increasing influence on notions of personhood, identity practices and forms of self-governing. The broadening of diagnostic categories and increasing awareness regarding popular diagnostic categories has led to an increased demand for formal diagnosis within clinical encounters. However, there is continuing 'epistemological uncertainty' (Fox 2000) surrounding these entities, in part due to their lack of associated clinical biomarkers and their 'fuzzy boundaries'. Meanwhile, this diagnostic expansion has encountered resistance from those concerned with the alleged 'over-pathologisation' of emotional distress. Drawing upon the concepts of 'diagnostic cultures' (Brinkmann 2016) and the 'looping effects of human kinds' (Hacking 1995), this article considers some of the competing forces acting upon the contested boundaries of diagnostic categories as they play out within diagnostic interactions. The study involved ethnographic observations of diagnostic encounters within several UK-based mental health clinics. By focusing on interactions where diagnosis is negotiated, findings illustrate the role played by different kinds of diagnostic uncertainty in shaping these negotiations. It is argued that diagnostic reification plays a key role in the moral categorisation of patients, particularly where there is uncertainty regarding individual diagnostic status.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.