Essay from Tursunbayeva Shohida Baxtiyor

Young Central Asian woman with a light flowered headscarf, light pink top and gray and white striped coat. She's outside a building on a sunny day with trees and a few clouds in the sky.

Clinical Psychiatry and Modern Diagnostic Methods

Abstract

Clinical psychiatry is a branch of medicine focused on diagnosing, treating, and preventing mental disorders. Over the past decades, the field has undergone significant transformation due to advancements in neuroscience, imaging technologies, and psychometric tools. Modern diagnostic methods have improved accuracy, reduced misdiagnosis, and enabled early intervention, which is critical for effective treatment outcomes. This paper explores the evolution of psychiatric diagnostics, emphasizing current evidence-based approaches, including structured interviews, neuroimaging, genetic testing, and digital assessment tools. The discussion also highlights the integration of biological, psychological, and social models in psychiatric evaluation and the ethical considerations surrounding emerging technologies.

Keywords: Clinical psychiatry, modern diagnostics, mental disorders, neuroimaging, psychometrics, genetic testing, early intervention


 Introduction

Clinical psychiatry plays a central role in the healthcare system by addressing mental health issues ranging from depression and anxiety to severe psychotic disorders. Historically, psychiatric diagnosis relied heavily on clinical observation and patient-reported symptoms. However, this approach, while valuable, often lacked objective biological markers. Advances in neuroscience, imaging, and computational tools have transformed psychiatry into a more precise and multidisciplinary field. Today, psychiatrists combine traditional clinical expertise with advanced diagnostic technologies to improve diagnostic accuracy, personalize treatment, and reduce stigma.


Evolution of Psychiatric Diagnostics

The 20th century witnessed the introduction of structured diagnostic systems such as the DSM (Diagnostic and Statistical Manual of Mental Disorders) and the ICD (International Classification of Diseases). These systems standardized diagnostic criteria, facilitating consistency across clinical and research settings. However, psychiatric disorders often exhibit overlapping symptoms, making differentiation challenging. To address this, researchers have developed objective tools, including neuroimaging, genetic profiling, and standardized psychometric assessments.


Modern Diagnostic Methods

 Structured Clinical Interviews

Tools such as the Structured Clinical Interview for DSM Disorders (SCID) and the Mini International Neuropsychiatric Interview (MINI) ensure standardized questioning, reducing diagnostic variability between clinicians.

Neuroimaging Techniques

  • MRI (Magnetic Resonance Imaging): Detects structural brain changes linked to disorders such as schizophrenia and major depressive disorder.
  • fMRI (Functional MRI): Measures brain activity by detecting blood flow changes, useful for studying cognitive and emotional processing.
  • PET (Positron Emission Tomography): Evaluates metabolic activity, aiding in the study of neurodegenerative conditions and mood disorders.

Genetic and Biomarker Testing

Genomic studies have identified specific gene variants associated with psychiatric conditions. For example, variations in the COMT and SERT genes are linked to mood regulation. Biomarkers such as cortisol levels can provide insight into stress-related disorders.

 Psychometric Assessments

Standardized questionnaires like the Beck Depression Inventory (BDI) and the Hamilton Anxiety Rating Scale (HAM-A) quantify symptom severity and track treatment progress.

 Digital and AI-Based Tools

Mobile applications, wearable devices, and artificial intelligence algorithms are increasingly used for continuous mood monitoring, speech pattern analysis, and early detection of relapse.


 Integration of Diagnostic Approaches

A modern psychiatric evaluation often involves a biopsychosocial approach, combining biological (e.g., neuroimaging, genetic testing), psychological (e.g., cognitive assessments), and social (e.g., environmental stressors) factors. This integrated model enables a holistic understanding of the patient, enhancing treatment planning and outcomes.


 Ethical Considerations

While modern diagnostic tools offer greater accuracy, they raise ethical questions about privacy, data protection, and informed consent. Genetic testing, for example, can reveal information with implications beyond psychiatry, affecting family members and insurance eligibility. Balancing technological innovation with ethical responsibility is essential for maintaining trust in mental healthcare.


 Conclusion

Clinical psychiatry is undergoing a paradigm shift from purely symptom-based diagnosis to integrated, technology-driven approaches. Modern diagnostic methods—ranging from structured interviews to neuroimaging and AI—allow earlier, more accurate detection of mental disorders. As these tools become more accessible, psychiatrists must ensure that their use aligns with ethical principles, patient-centered care, and the broader goal of reducing the global burden of mental illness.


References

  1. American Psychiatric Association. (2022). Diagnostic and Statistical Manual of Mental Disorders (5th ed., Text Revision). APA Publishing.
  2. Insel, T. R., & Cuthbert, B. N. (2015). Brain disorders? Precisely. Science, 348(6234), 499–500.
  3. Keshavan, M. S., Nasrallah, H. A., & Tandon, R. (2011). Schizophrenia, “Just the Facts” 6. Moving ahead with the schizophrenia concept: From the elephant to the mouse. Schizophrenia Research, 127(1–3), 3–13.

Tursunbayeva Shohida Baxtiyor qizi
5th-year student, Faculty of Medicine, General Medicine program, Al-Faraganus University

Scientific Supervisor: Asadova Gulnara Akmalovna, Associate Professor, Department of Clinical Sciences, Obstetrics and Gynecology specialty

Poetry from Mary Bone

Empty Nest

One by one

baby birds began to fly

from underneath the fluffy down

of mama bird’s feathers.

They were snug and secure

from the elements.

The feeling was fleeting,

as a new world was daunting.

The birds grew and flew.

Snakeskin

The snake shed his skin

crawling through the grass.

He was traveling to see his next of kin,

with a little sass.

There was a rattle in the rocks.

His relatives were around the bend,

that’s how he knocks-

slithering into their den.

Art From a Hot Kiln

A fire-glazed smile

with alien eyes

pointing upward,

hoping to go home.

He was fired up to shine.

Art captured a moment

with a slanted view.

Mary Bone’s recent poetry can be found at Synchronized Chaos, 100 Sub Texts Magazine, Poetry Catalog, Literary Revelations, Ultramarine Literary Review and upcoming at Feed the Holy and eMerge Magazine.

Poetry from Mark Young

The evil eye

One of the joys of what I shall euphemistically describe as reaching a certain age is having a doctor tell you that what’s occurred is because you’re old.

I have what he told me is a conjunctival haemorrhage. In other words, I’m safe if, in the next few days, I get into a situation where my opponents have been told not to fire until you see the whites of my eyes. My left eye has next to no white in it, is red, from a burst blood vessel.

& the reason for it? No specific reason, just age, old age — amended to as you grow older after I cast a one-eyed sideswiping glance at the doctor. Just happens, nothing you can take for it, do to it, doesn’t affect your vision. Only wait till it goes away, a series of color transformations, red through to yellow, just like a bruise.

Changeling

The small yellow

flowers brought

down by the rain

have changed the

path into / not a

path. That arti-

ficial transverse

now part of the

tree from which

the flowers fell.

On or off the highway

Able to think in

short phrases only

while long lines of

thought fly by in

the outer lane.


O sole mio

Diva. The word

is so debased

that the young

girl standing out-

side the house

where Maria Callas

used to live, sing-

ing off-key Mariah

Carey songs, has

a better than even

chance of

being called one.

Citric update

Not quite Spring by the calendar, but the temperature is in the high twenties C. — just under 80° F. — & the flowers in the pots under the awning are flush with large scarlet & white blooms. It’s warm enough for the cat to decide to stay out at night.

The citrus trees are threatening to deliver fruit. We’ve had them for about 18 months, & so far their crops have been one lemon, which was on the tree when we bought it, & one grapefruit which we can honestly claim to be our own. But the lime tree currently has lots of small fruit on it, the lemon is in flower & spreads that wonderful perfume, & the grapefruit has pushed out new leaves & has a couple of buds on it.

Mind you, this happened last year as well. Then the ants got active & managed to knock off all the young limes, & then the locusts — huge, some the size of elephants — descended upon the lemon & the grapefruit & turned them into almost skeletons. I think what was left of the lemon’s energy was taken up bringing that single fruit to – I guess I have to use the word – fruition, & that single grapefruit only survived because it grew sufficiently whilst the various armies were busy with the other offerings.

Still, although somebody knocked off the single custard apple from the tree at the bottom of the driveway — a bad growing season for them, not enough humidity in the air — we have got a few mandarins & oranges this year from the other trees in the same area. The fruit reminds me of someone, possibly myself, rough-looking on the outside, but inside, oh so sweet. & juicy.

Poetry from Mirta Liliana Ramírez

Older middle aged Latina woman with short reddish brown hair, light brown eyes, and a grey blouse.
Mirta Liliana Ramirez

The Dancer of Life

The dancer

Concentrates

and begins to practice

movements with rehearsals

successes and errors…

She dances in life

Not to live

But as her breath of life

It’s her choice

It’s her way of expressing

love for herself and

for others…

Dancing changes her energy

And spreads it to others

To change their day…

Mirta Liliana Ramírez has been a poet and writer since she was 12 years old. She has been a Cultural Manager for more than 35 years. Creator and Director of the Groups of Writers and Artists: Together for the Letters, Artescritores, MultiArt, JPL world youth, Together for the letters Uzbekistan 1 and 2. She firmly defends that culture is the key to unite all the countries of the world. She works only with his own, free and integrating projects at a world cultural level. She has created the Cultural Movement with Rastrillaje Cultural and Forming the New Cultural Belts at the local level and also from Argentina to the world.

Essay from Eshmurodova Sevinch

Young Central Asian woman with long dark hair, brown eyes, and a white blouse, seated on a tan patterned couch.

Financial Technologies (FinTech) as an Innovative Solution in the Banking System

      Abstract: This article discusses the concept of financial technologies (FinTech), their application in the banking system, advantages, and existing challenges. Furthermore, it analyzes the role of FinTech in modernizing banking services, improving customer satisfaction, and ensuring competitiveness.

      Keywords: FinTech, banking system, digital economy, financial services, innovation.

      Introduction

      In recent years, the financial services sector has been developing rapidly worldwide. At the center of this transformation lies financial technologies, commonly known as FinTech. FinTech refers to the wide application of modern information technologies in providing financial services. Internet banking, mobile applications, electronic payment systems, cryptocurrencies, and blockchain technologies have taken financial systems to a new level. The banking sector of Uzbekistan is also part of this global trend. In recent years, electronic payment systems have developed significantly, and mobile banking has been actively introduced. This process, on one hand, creates convenience for customers, and on the other hand, enhances the competitiveness of banks.

      Main Part

      The integration of financial technologies into the banking system provides several key advantages:

1. Speed and convenience. Customers can use banking services without leaving their homes. Mobile banking allows them to make payments, monitor accounts, and apply for loans quickly and easily.

2. Cost reduction. Instead of expanding physical branches, banks can enlarge their customer base through digital services. This ensures efficiency for both banks and clients.

3. Security. Payment systems based on blockchain technology reduce the risks of fraud and data manipulation.

4. New products and services. FinTech enables banks to introduce innovative services, such as instant microloans, online investment platforms, and working with crypto-assets.

5. Expansion of customer base. Digital services attract younger and more tech-oriented customers, thereby enhancing financial inclusion. Despite these advantages, FinTech development faces certain challenges. Cybersecurity threats, legal gaps, and insufficient digital literacy among certain groups of the population may hinder its progress. Therefore, banks should not only implement technological innovations but also pay attention to raising customers’ digital awareness.

      Conclusion 

      In conclusion, financial technologies (FinTech) are among the key factors shaping the future of the banking sector. They simplify and accelerate financial services while creating opportunities for innovative development. In Uzbekistan, the active implementation of FinTech will allow banks to provide high-quality services, increase accessibility of financial services, and strengthen the competitiveness of the national economy.

      References

1. Arner, D. W., Barberis, J., & Buckley, R. P. (2016). The Evolution of Fintech: A New Post-Crisis Paradigm? Georgetown Journal of International Law, 47(4), 1271–1319.

2. Philippon, T. (2016). The FinTech Opportunity. NBER Working Paper No. 22476, National Bureau of Economic Research.

3. Gomber, P., Kauffman, R. J., Parker, C., & Weber, B. W. (2018). On the Fintech Revolution: Interpreting the Forces of Innovation, Disruption, and Transformation in Financial Services. Journal of Management Information Systems, 35(1), 220–265.

4. Zavolokina, L., Dolata, M., & Schwabe, G. (2016). FinTech – What’s in a Name? Proceedings of the 37th International Conference on Information Systems (ICIS 2016), Dublin.

I am Eshmurodova Sevinch Bahrom qizi, born in 2006 in the Kamashi district of the Kashkadarya region. Between 2022 and 2024, I studied at the Academic Lyceum of Karshi State University in the “exact sciences” department and successfully graduated. In 2024, I was admitted to Karshi State Technical University and am currently a 1st-year student at the Faculty of Economics and Management, Banking Department. In my free time, I play sports. I am a 3-time champion of Uzbekistan. I have also taken the honorable 1st place in Tashkent several times. In addition, I have won the Rector’s Cup several times. Currently, I am running an online business at home. I make tiaras for girls. I take an online course in Turkish. My goal is to open a training center in the area where I live, in agreement with the governor.  I would like to pay special attention to Turkish, Russian, mathematics, and robotics.

Poetry from Mykyta Ryzhykh

the silence of the unspoken word in the minefield of freedom

we fight for love and die for a dignified death

shot up house feels homeless

you fuck in the basement to the sounds of sirens and explosions

***

You are snow therefore you are water

You are slipping through my fingers

You are the air I breathe

You are the poison that takes my breath away

You are the numb rain that washes my tears

You are everything to me and you are nobody to me

You live a thousand miles away inside my head

Your name is night and I am drowning in the darkness of your lighthouse

***

bird drinks blood from a wound

і fall asleep in the glass grass

summer takes me into its cradle

***

resolve only the war in the body of nature

birth and death are bloodier than ever before

due to a broken leg (who?) manages to urinate only on leg

because of a broken soul (who?) manages to cry involuntarily

the kitten inside the mother’s belly swims like a fish

the kitten does not know that he will be born a predator