RESUMO
El suicidio o las autolesiones como su antecesor mortífero no suelen ser más que una pantalla a un dolor imposible de ser procesado por el sujeto que padece. Las coordenadas que lo atraviesan se amplían, convergen y torsionan en una espiral sin fin cuando ya no quedan recursos para encontrar una salida vital. El proyecto de vida pareciera impensable, en especial, cuando las múltiples versiones de lo ominoso se hacen presentes. Si además el tiempo etario donde aparecen coincide con un tiempo crucial adolescencia, jóvenes, adultos mayores suele requerirse algún modo de apuntalamiento al Yo en crisis. En este episodio de New Amsterdam vemos como el desinvestimiento subjetivo que produce la invisibilidad del sujeto para los objetos externos diferenciados madre familia (Aulagnier,2004) hacen a una joven intentar construir su identidad bajo un tiempo extremo de angustia
Suicide or self-harm like its deadly predecessor are usually nothing more than a screen for a pain impossible to be processed by the subject who suffers. The coordinates that pass through it expand, converge and twist in an endless spiral when there are no more resources left to find a vital exit. The life project seems unthinkable, especially when the multiple versions of the ominous are present. If, in addition, the age period in which they appear coincides with a crucial time adolescence, youth, older adults some form of propping up the Self in crisis is usually required. In this episode of New Amsterdam we see how the subjective disinvestment that produces the invisibility of the subject for the differentiated external objects mother-family (Aulagnier, 2004) makes a young woman try to build her identity under an extreme time of anguish
Assuntos
Humanos , Masculino , Feminino , Adolescente , Adulto Jovem , Suicídio , Adolescente , Automutilação , Erros de Diagnóstico/psicologia , Estigma Social , Comportamento de Busca de Ajuda , Antropologia CulturalRESUMO
BACKGROUND: One of the central challenges of third millennium medicine is the abatement of medical errors. Among the most frequent and hardiest causes of misdiagnosis are cognitive errors produced by faulty medical reasoning. These errors have been analyzed from the perspectives of cognitive psychology and empirical medical studies. We introduce a neurocognitive model of medical diagnosis to address this issue. METHODS: We construct a connectionist model based on the associative nature of human memory to explore the non-analytical, pattern-recognition mode of diagnosis. A context-dependent matrix memory associates signs and symptoms with their corresponding diseases. The weights of these associations depend on the frequencies of occurrence of each disease and on the different combinations of signs and symptoms of each presentation of that disease. The system receives signs and symptoms and by a second input, the degree of diagnostic uncertainty. Its output is a probabilistic map on the set of possible diseases. RESULTS: The model reproduces different kinds of well-known cognitive errors in diagnosis. Errors in the model come from two sources. One, dependent on the knowledge stored in memory, varies with the accumulated experience of the physician and explains age-dependent errors and effects such as epidemiological masking. The other is independent of experience and explains contextual effects such as anchoring. CONCLUSIONS: Our results strongly suggest that cognitive biases are inevitable consequences of associative storage and recall. We found that this model provides valuable insight into the mechanisms of cognitive error and we hope it will prove useful in medical education.