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A psychiatric diagnosis (= diagnosis of a mental disorder) is relative knowledge.

Because a psychiatric diagnosis depends on the ideas the doctor applies.

It depends on the view of the doctor. The way he thinks, the ideas he applies, which classification he uses, which theory he favors - in short it depends on the ideas one applies.

If one looks with a different theory at the same case an other result will be obtained.

Therefore in psychiatry knowledge is relative knowledge in any way it is not certain or absolute knowledge.

In contrast in medicine certain knowledge is absolute knowledge - or true knowledge to everybody since it is recognized independently of an idea therefore everybody arrives on the basis of certain objective data at the same result. Such knowledge is called objective knowledge. For example a broken bone can be diagnosed objectively by an X-ray and everybody will agree that the bone is broken.

In psychiatry different persons in general agree if the clinical picture (the complex of psychological symptoms) is typical. If the clinical picture is not typical it happens often that psychiatrists arrive at different diagnoses.

Therefore the subjective basis of psychiatric knowledge often leads to diagnostic problems; or to say it in other words: psychiatric knowledge is limited knowledge because of the ideal basis of the knowledge.

More about this subject on my website - the basic principles of medical and psychiatric knowledge are examined through reference to philosopher Immanuel Kant`s treatise Critique of Pure Reason.

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Is it possible to verify a psychiatric diagnosis?

No, a psychiatric diagnosis cannot be verified on an objective level. Only in mind it can be proven and decided weather a psychiatric diagnosis applies or not.A psychiatric diagnosis is based on psychological symptoms also called psycho-pathological phenomena (gr. phainomenon -- that which appears). Psychological symptoms and psycho-pathological phenomena appear in a persons mind.Because psychiatric phenomena are ideal objects an objective prove on a physical level is not possible but only subjectively one can ponder in mind if a psychiatric phenomenon (psycho-pathological phenomenon) is present or not.When specific psychiatric phenomena are recognized a psychiatric diagnosis (diagnosis of a mental disorder) is attained.Since psychiatric diagnoses are based on ideal objectsthe categories of a psychiatric classification (e.g. DSM-IV or ICD-10 classification) have been defined and determined by agreement on an ideal level.Therefore psychiatric diagnoses are subjective knowledge and at the same time relative knowledge referring to concepts determined by agreement.In contrast certain medical diagnoses are objective knowledge.In case of certain medical conditions it can be proven if specific parameters are present or not (e.g. a bone fracture is determined by an X-ray, a myocardial infarction is proven by elevated blood enzymes, typical electrocardiographic findings and so on) and in this way a diagnosis which is objective knowledge can be reached because every body agrees if the specific signs are present. Therefore such knowledge is not dependent on an agreement.With the philosophy of Immanuel Kant out of the "Critique of Pure Reason" the difference of medical diagnoses to psychiatric diagnoses can be explained in detail and although the consequences following thereof.


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