{"id":2505,"date":"2025-06-11T01:34:49","date_gmt":"2025-06-11T00:34:49","guid":{"rendered":"https:\/\/prinsessepower.wtf\/blog\/?p=2505"},"modified":"2025-06-11T01:34:53","modified_gmt":"2025-06-11T00:34:53","slug":"to-artikler-samme-aar-samme-forfatter-samme-advarsel","status":"publish","type":"post","link":"https:\/\/prinsessepower.wtf\/blog\/to-artikler-samme-aar-samme-forfatter-samme-advarsel\/","title":{"rendered":"\ud83e\udde0 To artikler. Samme \u00e5r. Samme forfatter. Samme advarsel."},"content":{"rendered":"

\ud83d\udcf7 Det stille opr\u00f8r \u2013 \u201cDiagnosen i t\u00e5gen\u201d<\/p>\n

Men verden lyttede ikke.<\/em><\/h3>\n\n\n\n

I 1995 udgiver den australske psykiater Patrick McGorry og hans kolleger to bem\u00e6rkelsesv\u00e6rdige studier<\/strong>, som hver is\u00e6r peger p\u00e5 en grundl\u00e6ggende fejl i psykiatriens m\u00e5de at diagnosticere og behandle p\u00e5:<\/p>\n\n\n\n

\ud83d\udcc4 \u201cProdromal symptoms in first-episode psychosis\u201d<\/em> (Jackson, McGorry & Dudgeon, Comprehensive Psychiatry<\/em>):
Her dokumenteres det, at de s\u00e5kaldte forvarsler p\u00e5 skizofreni \u2013 fx social tilbagetr\u00e6kning og \u00e6ndret adf\u00e6rd \u2013 ikke kan forudsige psykose med nogen sikkerhed<\/strong>. Symptomerne er uspecifikke og almindelige i mange andre tilstande.<\/p>\n\n\n\n

Fra Jackson, McGorry & Dudgeon (1995):<\/strong><\/p>\n\n\n\n

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“Although DSM-III-R schizophrenia prodromal symptoms do occur more commonly in schizophrenia, they are by no means pathognomonic of that disorder.”<\/em><\/p>\n<\/blockquote>\n\n\n\n

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“The correct classification rate overall was 48%, but this was by no means uniform across the three groups.”<\/em><\/p>\n<\/blockquote>\n\n\n\n

\ud83d\udcc4 \u201cA treatment-relevant classification of psychotic disorders\u201d<\/em> (McGorry, Australian & NZ Journal of Psychiatry<\/em>):
McGorry sl\u00e5r til lyd for at afskaffe den traditionelle skizofrenidiagnose som tidlig etiket<\/strong>, og i stedet arbejde med en fleksibel, fasebaseret tilgang. Han advarer om, at prognosebaserede diagnoser kan v\u00e6re direkte skadelige.<\/p>\n\n\n\n

Fra McGorry (1995):<\/strong><\/p>\n\n\n\n

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“The iatrogenic effects of applying a diagnosis which connotes in the mind of the clinician, the relatives and the sufferer a prospect of prolonged pervasive disorder, disability and even inevitable deterioration have not been rigorously assessed, but can be appreciated by any clinician who has witnessed the impact of this unnecessarily threatening diagnostic process on patients and families.”<\/em><\/p>\n<\/blockquote>\n\n\n\n

Alligevel blev det, der fulgte \u2013 b\u00e5de i Australien og i Danmark \u2013 det stik modsatte.<\/p>\n\n\n\n

\ud83d\udccd I 1998 oprettes OPUS som dansk early intervention-model med inspiration fra McGorrys EPPIC.
\ud83d\udccd Antipsykotisk medicin bliver standardbehandling \u2013 ofte efter meget kort udredning.
\ud83d\udccd \u201cSkizofreni\u201d bliver en diagnose, man hurtigt f\u00e5r stemplet \u2013 og som er sv\u00e6r at slippe igen.<\/p>\n\n\n\n

Hvordan kunne det ske, n\u00e5r selve arkitekten bag modellen advarede os \u2013 allerede f\u00f8r systemet blev bygget?<\/p>\n\n\n\n

\n\n\n\n

\ud83d\udd1c I morgen:<\/h2>\n\n\n\n

Jeg udgiver en artikel med dokumentation, videnskabelig kontekst og personlige erfaringer:
“OPUS og medicinalindustrien: Et ubehageligt sp\u00f8rgsm\u00e5l”<\/strong><\/p>\n\n\n\n

Jeg sp\u00f8rger:<\/p>\n\n\n\n