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Influence of psychiatric training, medical qualification, and paramedical training on the rating of abnormal behaviour

Published online by Cambridge University Press:  09 July 2009

J. R. M. Copeland*
Affiliation:
US/UK Diagnostic Project, Institute of Psychiatry, De Crespigny Park, London
M. J. Kelleher
Affiliation:
US/UK Diagnostic Project, Institute of Psychiatry, De Crespigny Park, London
A. J. Gourlay
Affiliation:
US/UK Diagnostic Project, Institute of Psychiatry, De Crespigny Park, London
A. M. R. Smith
Affiliation:
US/UK Diagnostic Project, Institute of Psychiatry, De Crespigny Park, London
*
1Address for correspondence: Dr. J. R. M. Copeland, US/UK Diagnostic Project, Institute of Psychiatry, De Crespigny Park, Camberwell, London S.E.5.

Synopsis

The psychiatric ratings, using the In-Patient Multi-dimensional Psychiatric Scale, of (1) a group of over 200 psychiatrists from the British Isles, (2) third year psychology students, (3) trainee sister tutors, (4) general practitioners attending a postgraduate course in psychiatry, and (5) a group of new registrars at the Maudsley Hospital, were compared. The first hypothesis, that, whereas the non-psychiatrists would rate similar levels of symptoms, the psychiatrists would tend to rate lower than other professional groups, was upheld. The second, that the pattern or profile of symptoms as shown by the IMPS syndromes would differ little between the groups, was also upheld. The third hypothesis, that because of their special training in the recognition of symptoms, psychiatrists would tend to show greater intra-group agreement on the levels of symptoms than the other groups, was not upheld. Some possible reasons for the findings are discussed. The importance for a screening schedule, designed to be used by non-psychiatrists for the detection of psychiatric illness, of the finding that non-psychiatrists rate higher levels of symptoms than psychiatrists, is also discussed.

Type
Research Article
Copyright
Copyright © Cambridge University Press 1975

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References

REFERENCES

Copeland, J. R. M., Cooper, J. E., Kendell, R. E., and Gourlay, A. J. (1971). Differences in usage of diagnostic labels amongst psychiatrists in the British Isles. British Journal of Psychiatry, 118, 629640.Google Scholar
Copeland, J. R. M., and Gourlay, A. J. (1972). Influence of psychiatric training in the use of descriptive terms among psychiatrists in the British Isles. Psychological Medicine, 3, 101107.CrossRefGoogle Scholar
Greenhouse, S. W., and Geisser, S. (1959). On methods in the analysis of profile data. Psychometrika, 24, 95112.CrossRefGoogle Scholar
Kelleher, M. J., (1974). Prospective videotape study of the effects of teaching on the perception of mental abnormality by psychiatrists in training. British Journal of Psychiatry (In press).Google Scholar
Kelleher, M. J., Gardner, R., Harwin, B. G., and Copeland, J. R. M. (1974). Influence of teaching on observation of mental abnormalities by medical students. Results of a videotape teaching experiment. British Journal of Medical Education, 8, 2630.CrossRefGoogle ScholarPubMed
Kendell, R. E. (1973). Psychiatric diagnoses: a study of how they are made. British Journal of Psychiatry, 122, 437445.CrossRefGoogle Scholar
Kendell, R. E., Cooper, J. E., Gourlay, A. J., Copeland, J. R. M., Sharpe, L., and Gurland, B. J. (1971). Diagnostic criteria of American and British psychiatrists. Archives of General Psychiatry, 25, 123130.CrossRefGoogle ScholarPubMed
Lorr, M., and Klett, C. J. (1967). Inpatient Multidimensional Psychiatric Scale, 1966 revision. Consulting Psychologists Press: Palo Alto, Cal.Google Scholar
Sharpe, L., Gurland, B. J., Fleiss, J. L., Kendell, R. E., Cooper, J. E., and Copeland, J. R. M. (1974). Comparisons of American, Canadian and British psychiatrists in their diagnostic concepts. Canadian Psychiatric Association Journal, 19, 235245.Google Scholar