Scientific and Clinical Models
SCIENTIFIC MODELS
This page is designed to enumerate and summarize major theoretical and clinical models related to clinical findings and disorders characterized by somatic symptoms in the context of no medical explanation. The purpose of this page is to:
Distinguish between what is known to be true about a concept based on current best scientific evidence and what remains an empirical question
Distinguish between how a concept is conceived in the scientific domain and how it is conceived in the clinical domain (e.g., in the scientific domain there is lack of consensus about whether "quality" of emotion (i.e., sad, happy, angry, shocked, surprised, disgusted, etc.) and how it relates to other attributes. However, in the clinical domain the quality of emotion is one of the most frequently recorded finding related to emotion.
Because SNOMED is a clinical terminology, the clinical perspective trumps the scientific
CONSTRUCT SUMMARY
Use this section to summarize major differences in the way the concept (construct) is defined across healthcare disciplines, theoretical groups, and regions. Focus on implications of these differences for modeling the concept in SNOMED.
Concepts relevant to the target concept to be used in claims matrix)
core concept:
sign or symptom of an illness
no known medical etiology
concept | description | example |
|---|---|---|
specific symptom, illness | specific sign, symptom, or illness | seizure, limp, headache, stomach pain, high blood pressure, fever |
phenomenological sensory experiences | phenomenological sensory experiences | specific phenomenological sensory experiences (tinging, burning, pain, anesthesia, etc.) no claim about phenomenological sensory experience (e.g., in belief that one is suffering from a terminal disease in absence of any symptoms) no associated phenomenological sensory experience(e.g., in factitious disorder) |
thought content | thoughts, attitudes, beliefs related to any phenomenological sensory experience | thought that one has cancer (agnostic), belief that one has cancer, thought that the pain one is phenomenologically experiencing and believes is a sign of cancer is imaginary belief that one cannot move one's arm, desire to not be able to move one's arm |
thought process | thought process related to the sign, symptom, or illness | preoccupied thought, ruminative thought, normal thought process, though suppression |
emotion associated with the symptom, illness | emotional states related to the sign, symptom, or illness | fear that one has cancer, apathy about pain in leg |
co-occurring medical condition | known medical conditions | e.g., belief that one cannot walk in context of a known injury to leg |
etiology of symptom, illness | the claim the concept makes about the etiology of the sign, symptom, disorder | unknown (no claim), stress, traumatic re-enactment, anxiety, seeking attention, avoiding responsibility |
person in whom symptom or illness resides | the person phenomenologically experiencing the specific sign, symptom or illness or in whom the specific sign, symptom or illness is being claimed to exist | self or other (factitious disorder imposed on another) |
SCIENTIFIC MODELS
Short Description | References | Constructs and Relationships | |
|---|---|---|---|
| 1 | |||
| 2 | |||
| 3 |
CLINICAL MODELS
Short Description | References | Constructs and Relationships | |
|---|---|---|---|
1 | Disorders of bodily distress or bodily experience | ICD11 | |
2 | Factitious disorder (ICD11 model) | ICD11 | |
3 | Hypochondriasis | ICD11 | |
4 | Somatic symptom disorder | DSM5 | |
5 | Factitious disorder (DSM5 model) | DSM5 |
PHENOMENOLOGY
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