Ethical issues in the clinical use of diagnostic technologies for rare causes of psychosis

The authors investigate the ethical challenges associated with the clinical use of diagnostic technologies for identifying rare causes of psychosis, which account for approximately 5% of first-episode cases. They categorize these challenges into diagnostic justice, moral responsibility, and unintended consequences, highlighting issues such as access to diagnostic work-up, clinician knowledge, and the potential for reinforcing psychiatric exceptionalism. The paper aims to illuminate these ethical dilemmas and suggest future directions for addressing them in clinical practice.