Psychiatric Diagnosis - Challenges and Prospects (World Psychiatric Association)

I've read this book and will read several times because Psychiatry, in despite of all criticism, is Medicine. However, a single medical specialty related to the absence of patognomonic findings till nowadays. Psychiatric diagnosis is a medical process diagnosis.The challenge for Psychiatry remembering the DSM V revision and ICD 11 revision is conservate the basic framework of phenomenological observation and first classification based on course of disorder and symptomatology, I mean, the presence of symptomatology and course of disorder (categorical and dimensional diagnostic shuffle) grounded in the pioneer work of Emmil Kraepelin in XIX century. Contemporary Psychiatry is affected by new technologies and neurosciece studies. However, the diagnosis remains on clinical expertise. After medical diagnosis (and co morbidities and transdiagnosis place new tools of clinical thinking - I mention genomic, proteomic and epigenetic psychiatry )the psychiatric diagnosis is done: disorders, disease, illness, syndromes. Psychiatry is a medical specialty that integrates clinical practice. Depression and anxiety disorders are common diagnosis in all ages and psychiatric disorders are serious and incapacitating disorders when no diagnoses or misdiagnosed. The clinical management of co morbidities (e.g. depressive disorder in cancer patient, depression and other chronic non communicable disorders, stress related disorder, disorders in children and adolescent people, stress related disorders after trauma and urban violence, the impact of contemporary technologies as digital devices use and misuse, migration, post traumatic stress disorders, child health, to mention some) place Medicine based evidences regarding human needness of food, house, health, health assistance and respect and dignity. In daily clinical practice Psychiatry integrates medical practice and support human existence and human condition issues as well as ethics as a vital role in any human endeavor. This is a hard book even for an experienced psychiatrist. A great book also because is a work of many contributors and the Worl Psychiatric Association that works close with World Health Organization. A hard but sweet reading with less Phylosophy, right dosis of Science and much art. Medicine is a science based practice and an art. The art is an open window. Always. And Psychiatry too. This is my will and my wish for future generations of physicians and for a better treatment for all people. This book is about this main theme as in my interpretation.Walter Doege MD