Diagnostic Error Lab

Diagnostic error
begins in language.
Independent research on the linguistic biomarkers of psychiatric misdiagnosis.

This lab quantifies the linguistic signature of somatic illness (fragmentation, compulsion, metaphor) before the first prescription. The PPL-DUSI framework, Premature Psychiatric Labelling and Duration of Untreated Somatic Illness, and its clinical engines operationalise this thesis as a testable patient-safety protocol, currently pending peer review.

Published book · 4 clinical engines · 3 papers in revision
Corpus sample · Lure of Shadows, "Swallowed Voices"

My words freeze, jagged ice behind my teeth, too sharp to escape. Hand at my throat. Gulp.

Corpus sample · Lure of Shadows, "Inkless Shadows"

I write. I write. I write.

Fragmentation Metaphor Compulsion
I'M A RESEARCHER
Papers, methodology, limitations
→
I'M A CLINICIAN
Protocol, case files, evidence status
→
I'M CURIOUS
Try the free engine, read the book
→
Hypothesis-stage. Not yet peer-reviewed. Single-corpus. Tested against one literary text, not clinical populations. No ROC data yet. A screening aid, not a diagnostic instrument. Full disclosure →
THE RESEARCH PROGRAMME

One research programme, three components

Core research question: can language reveal clinically relevant patterns before psychiatric labelling obscures the underlying condition?

01 · Psychopoetics

The linguistic & interpretive research

Fragmentation, compulsion, and metaphor as candidate biomarkers of trauma and somatic distress.

02 · PPL-DUSI

The diagnostic-safety framework

A proposed protocol addressing Premature Psychiatric Labelling and Duration of Untreated Somatic Illness.

03 · Clinical Engines

Experimental computational tools

Research prototypes that operationalise the above for testing — cited, and free to try.

Primary corpus: Lure of Shadows — see below ↓

PRIMARY CORPUS

Lure of Shadows: Poetry of Madness

Lure of Shadows: Poetry of Madness — 3D book cover by Eeta Noire

"This is not a collection of pretty poems. It is an autopsy performed in real time, where the one who suffers becomes the protocol."

399 pages. Transmedia: poetry, clinical annotations, hand-drawn art, original soundtrack.
The book is a literary corpus, not a clinical dataset — the source used to derive and illustrate the linguistic-marker methodology below, not to validate it against a clinical population.

Buy on Amazon → Digital archive → Read excerpt →
Mature audiences only (18+)
Lure of Shadows: Poetry of Madness — front cover by Eeta Noire
THE SAFEGUARD

PPL-DUSI 6-Step Research Protocol

Premature Psychiatric Labelling (PPL) and Duration of Untreated Somatic Illness (DUSI) are measurable, preventable harms. This protocol enforces a diagnostic pause.

01
Patient Context
Full history, onset, prior diagnoses, and psychosocial baseline.
02
Symptom Mapping
Chronological mapping of all symptoms against time.
03
Medication / Exposure
All prescribed, OTC, and recreational substances reviewed.
04
FESS Labs
Full Etiological Screening Sequence: protocolised somatic screening.
05
Diagnostic Pause
Proposes delaying non-urgent psychotropic initiation until somatic causes are screened — a research hypothesis, not a clinical directive. Pending expert review.
06
Results & Report
Findings documented, protocol adherence tracked, outcome logged.
ILLUSTRATIVE CASES — NOT CLINICAL VALIDATION

Clinical Case Files

Two independent presentations, same safeguard: a psychiatric diagnosis withheld until the somatic screen returns. Two illustrative walkthroughs, shown to demonstrate the framework's logic — not a validated case series.

CASE 01 · B12 DEFICIENCY
"The shadows... they watch. Always watching."
Patient statement, admission
First-episode psychosis
Six-week progressive decline
Coding withheld
FESS labs ordered, B12 differential flagged
Labs pending
Re-evaluate before diagnosis is finalised

An eight-year unsupplemented vegetarian diet, a gradual six-week onset, and a differential that includes a reversible nutrient deficiency. Illustrative walkthrough, not a validated outcome study.

Read Case 01 →
CASE 02 · VITAMIN D, RELIGIOUS OVERLAY
"The shadows drink my light."
Patient statement, admission
Acute psychosis
Religious delusional overlay
Coding withheld
FESS labs ordered, protocol active
Labs pending
Re-evaluate before diagnosis is finalised

A de-identified admission note, in real time. The same four-pathway framework built into the PPL-DUSI Clinical Engine below, deciding whether to finalise a psychiatric diagnosis before the somatic screen comes back. Illustrative walkthrough, not a validated outcome study.

Read Case 02 →
OPERATIONAL TOOLS

Clinical Research Engines

Two engines are withheld pending peer-reviewed validation of the underlying papers, not because they're incomplete. Release follows publication; full walkthroughs are available on request in the meantime. Vitamin D and Psychopoetics are open access. If a request link doesn't open your mail app, write to eeta@psychopoetics.io.

Pending peer review

Iatrogenic Masquerade

Medications that mimic psychosis, autoimmune encephalitis, and B12-deficiency delirium, mapped to symptoms with cited risk rates.

Request walkthrough →
Open access

Vitamin D Neuro-Baseline

Real-time simulation of cognitive and mood collapse as 25(OH)D drops below 20 ng/mL. Deficiency carries OR 4.96 for depression; maps VDR activity across four brain regions, with real citations and a documented repletion case.

Launch free tool →
Pending peer review

PPL-DUSI Safeguard

Six-step diagnostic pause protocol. Flags overshadowing, enforces somatic screens (FESS), and tracks quality metrics.

Request walkthrough →
Open access

Psychopoetics Engine

200+ linguistic markers across 13 clinical categories, from raw text to a full forensic report, entirely in-browser. Nothing is stored or transmitted.

Launch free tool →
TRY IT YOURSELF

Psychopoetics Engine: free, private, no sign-up

Paste any text. Receive a quantitative linguistic report. No data leaves your browser.

Launch the engine →
Sample Clinical Synthesis report generated by the Psychopoetics Engine

Real output, run on an excerpt from Lure of Shadows ("Swallowed Voices"). Not a diagnostic instrument — see Where This Stands.

Want a full walkthrough, the gated engines, or to discuss a research collaboration? Get in touch →

RESEARCH

Research: Published & In Progress

Published · 2025

Lure of Shadows: Poetry of Madness

Eeta Noire · ISBN 9780635446206 · 399 pages

Primary multimodal corpus for the psychopoetic strand. Transmedia: poetry, clinical notes, art, and soundtrack.

Read excerpt → Buy →

How to cite: Noire, E. (2025). Lure of Shadows: Poetry of Madness. ISBN 9780635446206.  ·  This site: Noire, E. (2026). PsychoPoetics.io: Diagnostic Error Lab. https://www.psychopoetics.io/

In revision · Preprints available on request
The Linguistic Biomarkers of Trauma
Fragmentation, compulsion, and metaphor as quantifiable signatures of cognitive rupture and trauma processing.
Premature Psychiatric Labelling & DUSI Framework
A patient-safety framework for diagnostic oversight and the duration of untreated somatic illness.
Where Does a Soul Go? Epistemic Injustice
What happens when a patient isn't believed: testimonial violence, hermeneutical gaps, and the lethal consequences.
Request preprints → or write to eeta@psychopoetics.io
READ BEFORE YOU CITE

Where This Research Stands

Not yet peer-reviewed. "In revision" and "working paper" mean exactly that: treat the claims above as hypotheses pending publication, not established findings.

Single-corpus so far. The linguistic-biomarker methodology (fragmentation, compulsion, metaphor) has been validated against one corpus, Lure of Shadows. Generalizability to other populations and writers is untested.

No sensitivity or specificity data yet. The Psychopoetics Engine's thresholds are drawn from published forensic-linguistics research, but the engine itself has no published ROC curve of its own. Treat its output as a screening aid, not a diagnostic instrument.

Why two engines are gated: withheld pending peer-reviewed validation of the underlying papers, not because they're incomplete. Release follows publication. See Clinical Engines above.

PsychoPoetics Lab: Independent Research

Psychopoetics: linguistic biomarkers of somatic illness
PPL-DUSI: diagnostic safety framework
Clinical Engines: research prototypes that operationalise the framework for testing

Independent. No institutional affiliation. Self-funded.

Diagnostic error begins in language. Before any lab or imaging, the patient utters the first word. That utterance, its syntax, repetition, and figuration, may carry the signature of somatic illness. The lab investigates whether that signature can be quantified.

Principal Investigator: Eeta Noire · ORCID

For Journalists

Press contact for interviews, review copies, and embargoed access to forthcoming papers.

eeta@eetanoire.com

alt: eeta@psychopoetics.io

Interview availability: yes. Book for review: yes. Preprint access: upon request.

Key Statistics

  • 399-page published book (Oct 2025)
  • 4 clinical engines (2 open access, 2 pending peer review)
  • 3 papers in revision (preprints available on request)
  • De-identified case file available