scholarly journals “People Might Understand Me Better”: Diagnostic Disclosure Experiences of Autistic Individuals in the Workplace

2021 ◽  
Author(s):  
Anna Melissa Romualdez ◽  
Brett Heasman ◽  
Zachary Walker ◽  
Jade Davies ◽  
Anna Remington
Keyword(s):  
Diagnostic Disclosure

Borderline personality disorder, therapeutic privilege, integrated care: is it ethical to withhold a psychiatric diagnosis?

2021 ◽  
pp. medethics-2021-107216
Author(s):  
Erika Sims ◽  
Katherine J Nelson ◽  
Dominic Sisti
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Integrated Care ◽  
Clinical Psychiatry ◽  
Psychiatric Diagnosis ◽  
Patient Population ◽  
Borderline Personality ◽  
Prognostic Information ◽  
Diagnostic Disclosure ◽  
Therapeutic Privilege

Once common, therapeutic privilege—the practice whereby a physician withholds diagnostic or prognostic information from a patient intending to protect the patient—is now generally seen as unethical. However, instances of therapeutic privilege are common in some areas of clinical psychiatry. We describe therapeutic privilege in the context of borderline personality disorder, discuss the implications of diagnostic non-disclosure on integrated care and offer recommendations to promote diagnostic disclosure for this patient population.

scholarly journals The earlier, the better? Diagnostic experiences of parents in a community-based early intervention system for preschool children with autism

2019 ◽  
Vol 4 ◽  
pp. 239694151984520
Author(s):  
Mitsuaki Iwasa ◽  
Yasuo Shimizu ◽  
Ikuko Hara ◽  
Miho Imai ◽  
Hideo Honda
Keyword(s):  
Autism Spectrum Disorder ◽  
Preschool Children ◽  
Early Intervention ◽  
Individual Case ◽  
Autism Spectrum ◽  
Parental Satisfaction ◽  
Spectrum Disorder ◽  
Diagnostic Process ◽  
Diagnostic Disclosure ◽  
The Individual

Background and aims In many countries, early detection and diagnosis of autism spectrum disorder is largely dependent on parents’ initial concern with early symptoms of autism spectrum disorder. Previous research on parental perceptions of the autism spectrum disorder diagnostic process indicates that parental satisfaction may be due to either the timing of the diagnostic notification or the provision of post-diagnostic support. The objective of this research is to study the diagnostic notification process and its impact on parents who are informed of their young child’s diagnosis before they notice a problem and whose child undergoes early intervention therapy. Methods Eighty parents of preschool children diagnosed and undergoing early intervention for autism were surveyed to examine their experience of the diagnostic disclosure process. Results Of 68 respondents, 39 (58.2%) approved of the timing of diagnostic notification, while 10 of 13 dissatisfied respondents indicated that the diagnosis was communicated too late. However, there was no correlation between a higher degree of parental satisfaction with the diagnostic notification process and earlier timing of notification. Conclusions Although it is preferable to communicate a diagnosis of childhood autism as soon as possible, findings suggest that a highly individualized approach, allowing a degree of latitude in the timing of notification, may be permissible, depending on the individual case and parental readiness to receive the diagnosis. Implications Findings have clinical implications related to the concept of optimality of diagnostic disclosure as related to the diagnostic notification process, though later notification tends to lead to more dissatisfaction.

scholarly journals Neuropsychological assessment and diagnostic disclosure at a memory clinic: A qualitative study of the experiences of patients and their family members

2020 ◽  
pp. 1-17 ◽  
Author(s):  
Angélique A. A Gruters ◽  
Hannah L. Christie ◽  
Inez H. G. B. Ramakers ◽  
Frans R. J. Verhey ◽  
Roy P. C. Kessels ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Neuropsychological Assessment ◽  
Family Members ◽  
Memory Clinic ◽  
Diagnostic Disclosure

Development of an Intervention Program for Alzheimer's Family Caregivers Following Diagnostic Disclosure

2009 ◽  
Vol 18 (1) ◽  
pp. 44-67 ◽  
Author(s):  
Francine Ducharme ◽  
Line Beaudet ◽  
Alain Legault ◽  
Marie-Jeanne Kergoat ◽  
Louise Lévesque ◽  
...  
Keyword(s):  
Family Caregivers ◽  
Intervention Program ◽  
Diagnostic Disclosure
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