title: Fibromyalgia, chronic fatigue, and other iatrogenic diagnostic algorithms. Do some labels escalate illness in vulnerable patients?
abstract: Contemporary medicine has the sophistication to identify the clinical settings in which the hunt for a diagnosis can be harmful to a patient's health. Which patients are best served by a prolonged search for a cause? Why has the disease-illness paradigm backfired for so many patients? Dr Hadler challenges readers to look at the difficult questions linked with diagnostic labels that might teach patients to stay sick.
authors.affiliation: University of North Carolina, Chapel Hill School of Medicine, USA. nmh@med.unc.edu
authors.forename: N M
authors.initials: NM
authors.lastname: Hadler
mesh_terms: D003109:Colonic Diseases, Functional / Q000175:diagnosis; D015673:Fatigue Syndrome, Chronic / Q000175:diagnosis; D005356:Fibromyalgia / Q000175:diagnosis / Q000523:psychology; D006801:Humans; D007049:Iatrogenic Disease; D010686:Philosophy, Medical; D012803:Sick Role; D013001:Somatoform Disorders / Q000175:diagnosis