How Psychiatric Diagnostic Reasoning Works
advanced pattern recognition and complex communication, for now humans still hold the high ground in each of these areas. Experienced doctors, for example, make diagnoses by comparing the body of medical knowledge they’ve accumulated against patients’ lab results and descriptions of symptoms, and also by employing the advanced subconscious pattern
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we examine not just our patients but ourselves in relation to our patients. In our group, Andrea can say to me, “That patient sounds like your brother. That’s why you’re responding that way.” I can help Ian manage his feelings about the patient who begins her sessions by reporting her horoscope (“I can’t stand this woo-woo shit,” he says). Group co
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powered diagnostic tool could turn any medical professional into a super-diagnostician, a doctor with experience in tens of millions of cases, an uncanny ability to spot hidden correlations, and a perfect memory to boot.
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The desire to diagnose someone makes sense because most people want to understand human behavior. If we can understand or make sense of a person
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in identifying tone, subtle shifts of mood, themes, and recurring metaphors, we become better at diagnosing and treating our patients.
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Some therapists have an overly reductive understanding of psychiatric diagnosis. They seem to think a diagnosis of mental disorder necessarily implies there is some intrinsic brain abnormality. They think if someone’s symptoms can be explained with reference to a history of abuse or trauma, then a diagnosis doesn’t apply to them. The logic is so in