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The Biases of Psychiatric Diagnosis

Published online by Cambridge University Press:  06 August 2018

José Guimón*
Affiliation:
University of Bilbao, Bilbao, Spain

Extract

Psychiatric diagnosis tests the hypothesis that particular signs and symptoms, when regularly found together, belong to a particular class. The class concerned, in turn, is usually part of a taxonomic system, and which system one chooses will depend on the aim and function of diagnosis (treatment, research, administration, etc.). Diagnosis and classification involve a loss of information, the magnitude of which is determined by both the use to which the diagnosis has been put and the assumptions and theoretical orientation of the clinicians involved in the exercise.

Type
I. Nosological Aspects
Copyright
Copyright © The Royal College of Psychiatrists 

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References

Abroms, E. M. (1983) Beyond eclecticism. American Journal of Psychiatry, 140, 740746.Google Scholar
Blashfield, R. K. (1984) The Classification of Psychopathology. New York: Plenum Press.Google Scholar
Bourguignon, A. (1984) Biologie et classification en psychiatrie. Confrontations Psychiatriques, 24, 157181.Google Scholar
Carey, G. & Gottesman, I. I. (1978) Reliability and validity in binary ratings. Archives of General Psychiatry, 35, 14541459.Google Scholar
Castilla del Pino, C. (1986) El biologismo en psicopatología y en psiquiatría. Informaciones psiquiátricas, 104, 148159.Google Scholar
Engel, G. L. (1977) The need for a medical model: a challenge for biomedicine. Science, 196, 129136.CrossRefGoogle Scholar
Freud, S. (1929) Introductory Lessons on Psychoanalysis. S. E. XVI (1916-1917) London: Hogarth Press.Google Scholar
Herman, P. (1984) Classification et epidemiologie, Vol. 24, pp. 193220. Cambridge: Cambridge University Press.Google Scholar
Janes, C. L. (1979) Agreement measurement and the judgements process. Journal of Nervous and Mental Disease, 167, 343347.CrossRefGoogle ScholarPubMed
Kendell, R. E. (1975) The Role of Diagnosis in Psychiatry. Oxford: Blackwell.Google Scholar
Kendell, R. E. (1975) The concept of disease and its implication for psychiatry. British Journal of Psychiatry, 127, 305315.Google Scholar
Kernberg, O. F. (1980) Neurosis, psychosis and the borderline states. In Comprehensive Textbook of Psychiatry, Vol. I (eds H. I. Kaplan, A. M. Freedman & B. J. Sadock). Baltimore: Williams & Wilkins.Google Scholar
Klein, D. F. (1978) A proposed definition of mental illness in critical issues. In Critical Issues in Psychiatric Diagnosis (eds Spitzer, R. L. & Klein, D. F.). New York: Raven Press.Google Scholar
Klerman, G. L. (1977) Mental illness, the medical model and psychiatry. Journal of Medicine and Philosophy, 2, 220243.Google Scholar
Koran, L. M. (1975a) The reliability of clinical methods, data and judgements, Part I. New England Journal of Medicine, 293, 642646.Google Scholar
Koran, L. M. (1975b) The reliability of clinical methods, data and judgements, Part II New England Journal of Medicine, 293, 695701.Google Scholar
Kraeplin, E. (1920) Psychiatrie, ein Lehrbuch für Studierenda und Aertze, 5 Auflage. Leipzig: A. Label.Google Scholar
Kreitman, N. (1961) The reliability of psychiatric diagnosis. Journal of Mental Science, 107, 876886.Google Scholar
Malt, U. Fr. (1986) Philosophy of science and DSM-III. Philosophical, historical and sociological perspective on diagnosis. Acta Psychiatrica Scandinavica, 328, Supplement 73: 612.Google Scholar
Maxwell, A. E. (1977) Co-efficients of agreement between observers and their interpretation. British Journal of Psychiatry, 130, 7983.Google Scholar
Meyer, A. (1957) Psychobiology: A Science of Man. Springfield, Illinois: C. C. Thomas.Google Scholar
Michels, R. (1981) The psychoanalytic paradigm. In Models for Clinical Psychopathology (eds Eisdorfer, C., Cohen, D. & Kleinman, A.). New York: Spectrum.Google Scholar
Simon, R. J., Fleiss, J. L., Gurland, B. J., et al (1913) Depression and schizophrenia in hospitalized Black and White mental patients. Archives of General Psychiatry, 28, 509512.Google Scholar
Spitzer, R. L. & Klein, D. F. (1978) Critical Issues in Psychiatric Diagnosis. New York: Raven Press.Google Scholar
Spitzer, R. L. & Endicott, J. (1978) Medical and mental disorder: proposed definition and criteria. In Critical Issues in Psychiatric Diagnosis (eds Spitzer, R. L. & Klein, D. F.). New York: Raven Press.Google Scholar
Sulloway, F. J. (1979) Freud, Biologist of the Mind. London: Burnet Books.Google Scholar
Tizon, J. L., Salamero, E. & Diaz Munguira, J. M. (1986) El biologismo; implicaciones teóricas; repercusiones en la asistencia sanitaria. Informaciones psiquiátricas, I, 1118.Google Scholar
Widlocher, D. (1984) Le psychanaliste devant les problèmes de classification. Confrontations Psychiatriques, 24, 141157.Google Scholar
Wing, J. K. (1978) Reasoning about Madness. London: Oxford University Press.Google Scholar
World Health Organization (1973) Report of the International Pilot Study of Schizophrenia, Vol. I, Geneva: WHO.Google Scholar
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