A twitter reply re. diagnosis - mental illness

A Diagnosis alone cannot explain a person's 'life experience'.
Ppl untilise 'a' Dx for info compression, contracting+ *yes* to formulate treatment, explain behaviour *meaning*, give a 'why' (off-sick) socio-politically.
Medical sociology is a gift. Illich, Canguilhem et al. 1/7

— Peter Jones (@h2cm) October 7, 2022

 

My source: With thanks to Justin Garson and other respondents.

https://twitter.com/justin_garson/status/1577988186600611840?s=20&t=tcSVMBQbxNPSAlvudfVsSQ

Preventing Overdiagnosis 2022

 

Dear Colleague,

We are extremely pleased and excited to confirm that Preventing Overdiagnosis Evidence, Equity and Post Pandemic Health Care will be hosted by the University of Calgary, Alberta, Canada 9-12 June 2022.
 
We are accepting abstracts against the following themes, however this list is by no means exhaustive and we welcome submissions on all aspects of preventing Overdiagnosis:
 

• Equity & Equality: disparities in healthcare provision, marginalized populations, conflicts of interest driving inequity
• Sustainability and lessons learned from COVID-19: repurposing healthcare after a pandemic
• Medicalizing citizens: the harms of screening, disease thresholds, industry influences, the role of media
• The role of specialists in generating Overdiagnosis and their efforts to mitigate it
• Clinical Practice: Other dimensions of ODx, overtesting and the harms of too much medicine

Oral abstracts can also be submitted for virtual presentation in September 2021, November 2021, January 2022 and March 2022.  
 
Submissions will be graded approximately six weeks prior to the session date.  Offering four deadlines e.g. the deadline for September 2021 virtual presentation will be sometime in July 2021.
Please choose Virtual Presentation prior to Calgary 2022 as your preferred means of presentation.
 
NB: Abstracts already submitted can change preferred means of presentation by logging back into the submission portal.
 
Virtual and face to face events will bring you a number of lively plenary debates about controversial and timely issues involving high-profile players from across the healthcare landscape.  
Registration is open

We are also bringing you the Lisa M Schwartz Scholarship an opportunity that provides awardees with PODC registration, funding toward travel and accommodation and the opportunity to present at the conference.

Submissions (made through the abstracts postal) should address an issue of relevance to Dr Schwartz work and interests, and be consistent with the vision and values Dr Schwartz championed in the communication of risk. 
 
Thank you for your patience, keep well.

Conference Scientific Committee 
www.preventingoverdiagnosis.net 
Tw: @PreventingODx

Books: [ Gold Fever ]

individual

|

INTERPERSONAL : SCIENCES

humanistic ----------------------------------------------- mechanistic

SOCIOLOGY : POLITICAL

|

group

The Drugs That Changed Our Minds	Natural Causes
Too Many Pills	GOLD FEVER

...
Cured of what we suffered from

And sufferin' from the cure ...

Gold Fever, lyric

My sources:

The Drugs that Changed Our Minds and Natural Causes, Sunday Times, 25 March & 1 April 2018
Too Many Pills, FT Weekend, 26-27 May 2018

"Mapping the drivers of overdiagnosis to potential solutions" (re-)mapped to Hodges' model

individual

|

INTERPERSONAL : SCIENCES

humanistic --------------------------------------- mechanistic

SOCIOLOGY : POLITICAL

|

group

the patient  Beliefs: “More is better,” “new is better,” “early is better,” “wants to know/screen”—even if currently healthy, imperative of possibility (we have to test because we can) overtreatment - emotional cost Ethics: medical awareness of benefits vs harms risk of overtreatment - as psycho-(somaticpathology)	the patient  the health system industry, professionals Rigorous assessment of impact of ever more precise tests and investigations Medicalisation of life;  fear of ageing, sickness, or death QUANTITY (less is more) Update medical curricula and -
culture - Beliefs: “More is better,” “new is better,” “early is better,” “wants to know - screen”—even if currently healthy, imperative of possibility (we have to test because we can) patients and the public awareness (social evolution of 'illness behaviour'?) QUALITY - outcomes overtreatment - social cost Role of social media	- continuing education   Ecological economics to frame overdiagnosis as overconsumption Application of the 'precautionary principle' (as adopted as a universal policy foundation?) industry, professionals medicolegal concerns regards  missing or delayed diagnosis overtreatment - economic cost

KEY:
drivers of overdiagnosis
solutions of overdiagnosis
 (I have overlapped these.)

The medicalisation of life also fits with Hodges' model and the concept of the 'health career'.

http://www.bmj.com/content/bmj/358/bmj.j3879.full.pdf

See also: BBC Radio 4 22 August 2017
Too Much Medicine? The Problem of Overtreatment

My source:

Dear List
Ray Moynihan, a member of our list, sent me the following email about his very important work on Overdiagnosis:
---------- Forwarded message ----------
From: Ray Moynihan
...
Hi Mohammad,
Just wondering if you wanted to send this to the email list/s you run - we've put a bit of work into it- and it may be of interested to many of the people on the list.

Dear colleagues,
This piece of BMJ Analysis, based on explicit search of literature, just out in BMJ this morning, may be of interest:
Mapping the drivers of overdiagnosis to potential solutions

http://www.bmj.com/content/358/bmj.j3879

Cheers, Ray

Mohammad Zakaria Pezeshki, M.D.
Associate Professor
Department of Community Medicine,
Tabriz Medical School, Golgasht Avenue, Tabriz, Iran,