Fwd: In men, it's Parkinson's. In women, it's hysteria.

Diane O'Leary doleary8 at UWO.CA
Sat Aug 24 14:37:12 UTC 2019


Thank you Helene for this terrific article on gender in functional or psychosomatic diagnosis.  I find it baffling that the article concludes the problem is doctors’ personal biases.  The most basic form of psychosomatic diagnosis now is somatic symptom disorder, and if you look that up you’ll find the gender directive is actually explicit, suggesting a female-to-male ratio of 10:1.

The reason doctors leap to functional diagnosis in women is because diagnostic directives explicitly tell them to.  So improving diagnostic safety for women is not about the formidable challenge of improving personal biases.  It’s about the far simpler task of removing gender from diagnostic directives.

Science does not support those directives.  Studies establish only that doctors do, as a matter of fact, diagnose women's symptoms as psychosomatic far more often than men's - that is, they do what they're trained to do.  There are no studies that show this is actually a good idea.

We’d make massive strides in reducing diagnostic error if we eliminated gender in diagnostic directives for psychosomatic disorders.

All the best -
Diane


Diane O'Leary, PhD
Visiting Fellow, Rotman Institute of Philosophy
London, ON Canada
(518) 275-5843
(226) 215-4198
doleary8 at uwo.ca

https://www.dianeoleary.com<https://www.dianeoleary.com/>

Adjunct Full Professor and Course Chair in Philosophy
University of Maryland University College
Adelphi MD
diane.oleary at faculty.umuc.edu
________________________________
From: HM Epstein <hmepstein at GMAIL.COM>
Sent: August 23, 2019 12:15:41 PM
To: IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG <IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG>
Subject: [IMPROVEDX] Fwd: In men, it's Parkinson's. In women, it's hysteria.


When men and women have similar symptoms, why are men given a physiological diagnosis and women a psychological one? Neurologist Laura S. Boylan was dismissed and overlooked for years, suffering from the confusion between true medical gender differences and gender bias.

https://www.propublica.org/article/in-men-its-parkinsons-in-women-its-hysteria?

Best,

Helene

      [https://drive.google.com/uc?id=0BzqkjTYl6PKwNUhEU2NyZ2RsNW8&export=download]
Website<http://hmepstein.com/> Twitter<https://twitter.com/hmepstein>
LinkedIn<https://www.linkedin.com/in/helenekepstein/>
​
Facebook<https://www.facebook.com/HeleneEpsteinAuthor>

Begin forwarded message:

From: ProPublica’s Big Story <donotreply at lists.propublica.net<mailto:donotreply at lists.propublica.net>>
Date: August 23, 2019 at 7:13:30 AM EDT
To: hmepstein at gmail.com<mailto:hmepstein at gmail.com>
Subject: In men, it's Parkinson's. In women, it's hysteria.
Reply-To: getinvolved at propublica.org<mailto:getinvolved at propublica.org>

A problematic diagnosis.
[ProPublica]    [Donate to ProPublica]  <https://go.propublica.org/e/125411/gations-utm-content-top-button/6yqxbn/411185877?h=nq368N8UEtcc1RIoWZyikXeMNFUbeyl3qOcoGIgW0cM>
The Big Story
fri. Aug 23, 2019
[https://assets.propublica.org/images/articles/2019823-Boylan-3x2.jpeg]<https://go.propublica.org/e/125411/m-campaign-majorinvestigations/6yqxbq/411185877?h=nq368N8UEtcc1RIoWZyikXeMNFUbeyl3qOcoGIgW0cM>
In Men, It’s Parkinson’s. In Women, It’s Hysteria.<https://go.propublica.org/e/125411/m-campaign-majorinvestigations/6yqxbq/411185877?h=nq368N8UEtcc1RIoWZyikXeMNFUbeyl3qOcoGIgW0cM>

Neurologist Laura Boylan suffered from tremors and loss of balance that she attributed to a cyst in her brain. Why didn’t her doctors believe her?

by David Armstrong
View Story<https://go.propublica.org/e/125411/m-campaign-majorinvestigations/6yqxbq/411185877?h=nq368N8UEtcc1RIoWZyikXeMNFUbeyl3qOcoGIgW0cM>
Support independent nonprofit news.
        [Find us on Facebook] <https://go.propublica.org/e/125411/propublica/6yqxbs/411185877?h=nq368N8UEtcc1RIoWZyikXeMNFUbeyl3qOcoGIgW0cM>    [Follow us on Twitter] <https://go.propublica.org/e/125411/propublica/6yqxbv/411185877?h=nq368N8UEtcc1RIoWZyikXeMNFUbeyl3qOcoGIgW0cM>   [Follow us on Instagram] <https://go.propublica.org/e/125411/propublica-/6yqxbx/411185877?h=nq368N8UEtcc1RIoWZyikXeMNFUbeyl3qOcoGIgW0cM>        [Watch us on Youtube] <https://go.propublica.org/e/125411/propublica/6yqxbz/411185877?h=nq368N8UEtcc1RIoWZyikXeMNFUbeyl3qOcoGIgW0cM>    [Donate to ProPublica]  <https://go.propublica.org/e/125411/ions-utm-content-footer-button/6yqxc2/411185877?h=nq368N8UEtcc1RIoWZyikXeMNFUbeyl3qOcoGIgW0cM>

Was this email forwarded to you from a friend? Subscribe<https://go.propublica.org/e/125411/big-story-footer/6yqxc4/411185877?h=nq368N8UEtcc1RIoWZyikXeMNFUbeyl3qOcoGIgW0cM>.

This email was sent to hmepstein at gmail.com<mailto:hmepstein at gmail.com>. Update your email preferences<https://go.propublica.org/preferences?ehash=2e394cb5bc605aef73e05ee7eb947bc77b6cef5d11136a6ec0cbb9481ce0cc23&email_id=411185877&epc_hash=LnKrtbecT89CecfzJh40IcSYPFedBCkMHLIjloJjS1A> or unsubscribe<https://go.propublica.org/e/125411/l-125411-2017-10-25-4hfkjs/6yqxc6/411185877?h=nq368N8UEtcc1RIoWZyikXeMNFUbeyl3qOcoGIgW0cM> to stop receiving this newsletter. Email not displaying correctly? View it in your browser<https://go.propublica.org/webmail/125411/411185877/2e394cb5bc605aef73e05ee7eb947bc77b6cef5d11136a6ec0cbb9481ce0cc23>.

ProPublica • 155 Ave of the Americas, 13th Floor • New York, NY 10013

[https://go.propublica.org/r/125411/1/411185877/open/1]


________________________________

Address messages to: IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG

To unsubscribe from IMPROVEDX: click the following link:
http://list.improvediagnosis.org/scripts/wa-IMPDIAG.exe?SUBED1=IMPROVEDX&A=1

or send email to: IMPROVEDX-SIGNOFF-REQUEST at LIST.IMPROVEDIAGNOSIS.ORG

Visit the searchable archives or adjust your subscription at: http://list.improvediagnosis.org/scripts/wa-IMPDIAG.exe?INDEX

Moderator:David Meyers, Board Member, Society for Improving Diagnosis in Medicine

To learn more about SIDM visit:
http://www.improvediagnosis.org/

To unsubscribe from the IMPROVEDX:
mail to:IMPROVEDX-SIGNOFF-REQUEST at LIST.IMPROVEDIAGNOSIS.ORG
or click the following link: IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG

Address messages to: IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG

For additional information and subscription commands, visit:
http://www.lsoft.com/resources/faq.asp#4A

http://LIST.IMPROVEDIAGNOSIS.ORG/ (with your password)

Visit the searchable archives or adjust your subscription at:
http://list.improvediagnosis.org/scripts/wa-IMPDIAG.exe?INDEX

Moderator: David Meyers, Board Member, Society to Improve Diagnosis in Medicine

To unsubscribe from the IMPROVEDX list, click the following link:<br>
<a href="http://list.improvediagnosis.org/scripts/wa-IMPDIAG.exe?SUBED1=IMPROVEDX&A=1" target="_blank">http://list.improvediagnosis.org/scripts/wa-IMPDIAG.exe?SUBED1=IMPROVEDX&A=1</a>
</p>

HTML Version:
URL: <../attachments/20190824/81343c13/attachment.html>


More information about the Test mailing list