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Setting the Stage

This chapter demonstrates how the process of clinical diagnosis requires first establishing a therapeutic alliance between the patient and the physician and then drawing on, and evaluating, both qualitative and quantitative forms of evidence. Although clinical diagnosis is a technical process that requires an understanding of scientific study design, probability theory, and statistical analysis, it is also relational because it starts with the relationship between the patient and the physician. In fact, very often, getting to a correct diagnosis directly depends on the way in which the physician navigates this relationship: If a physician is dismissive of the patient’s concerns, the physician risks cutting the patient off too quickly and possibly missing important pieces of evidence that could lead to a timely and accurate diagnosis.