Medically Unexplained Symptoms and the Siren “Psychogenic Inference”

Abstract The Paper Begins by introducing the Siren “psychogenic inference”. It then deals with the impact of this inference on the navigation of medical and psychiatric seafarers. The next two parts are more theoretical; the first deals with the entrenchment of the psychogenic inference in some central terms used in discussing medically unexplained symptoms (MUS). The second uncovers the damaging influence of the psychogenic inference on the navigational charts—on the somatoform disorder sections of the two major classifications used internationally, namely the Diagnostic and Statistical Manual, 4th edition Text revision (DSM-IV-TR; American Psychiatric Association [APA] 1994), produced by the APA and of the International ..
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