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Methodological Problems in Clinical Diagnosis

  • Chapter
Comprehensive Handbook of Psychopathology

Abstract

Problems in clinical diagnosis have been topics of discussion and controversy over the years for a variety of reasons. Conceptual disagreements have stemmed from differences in disciplinary orientation, from theoretical differences, and from discrepant research findings on the reliability and the validity of clinical diagnosis. Issues in clinical diagnosis are complex ones that have important implications for the whole field of psychopathology, including research as well as practical considerations. Consequently, methodological problems are not merely academic concerns but directly affect professionals of all disciplines working in the area of psychopathology and, thus, the actual treatment and disposition of those individuals whose difficulties are considered psychopathological.

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References

  • Adams, H. B. “Mental illness’ or interpersonal behavior? American Psychologist, 1964, 19, 191–197.

    Article  Google Scholar 

  • American Psychiatric Association. Diagnostic and statistical manual of mental disorders ( 3rd ed. ). Washington, D.C., Author, 1980

    Google Scholar 

  • Ash, P. The reliability of psychiatric diagnosis. Journal of Abnormal and Social Psychology, 1949, 44, 272–276.

    Article  Google Scholar 

  • Beck, A. T. Depression: Causes and treatment. Philadelphia: University of Pennsylvania Press, 1972.

    Google Scholar 

  • Beck, A. T., Ward, C. H., Mendelson, M., Mock, J. E., & Erbaugh, J. K. Reliability of psychiatric diagnoses: II. A study of consistency of clinical judgments and ratings. American Journal of Psychiatry, 1962, 119, 35 1357.

    Google Scholar 

  • Cantwell, D. P., Russel, A. T., Mattison, R., & Will, L. A comparison of DSM II and DSM III in the diagnosis of childhood psychiatric disorders: I. Agreement with expected diagnosis. Archives of General Psychiatry, 1979, 36, 1208–1213.

    Article  PubMed  Google Scholar 

  • Committee on Nomenclature and Statistics of the American Psychiatric Association. Diagnostic and statistical manual of mental disorders. ( 2nd ed. ). Washington, D.C., American Psychiatric Association, 1968.

    Google Scholar 

  • Endicott, J., & Spitzer, R. L. A diagnostic interview: The schedule of affective disorders and schizophrenia. Archives of General Psychiatry, 1978, 35, 837–844.

    Article  PubMed  Google Scholar 

  • Eysenck, H. J. Classification and the problem of diagnosis. In H. J. Eysenck (Ed.), Handbook of abnormal psychology. New York: Basic Books, 1961.

    Google Scholar 

  • Feighner, J. P., Robins, E., Guze, S. B., Woodruff, R. A., Winokur, G., & Mufioz, R. Diagnostic criteria for use in psychiatric research. Archives of General Psychiatry, 1972, 26, 57–63.

    Article  PubMed  Google Scholar 

  • Finlayson, M. A. J., Johnson, K. A., & Reitan, R. M. Relationship of level of education to neuropsychological measures in brain-damaged and non-brain-damaged adults. Journal of Consulting and Clinical Psychology, 1977, 45, 536–542.

    Article  PubMed  Google Scholar 

  • Funk & Wagnalls New College Standard Dictionary. New York, 1950.

    Google Scholar 

  • Garfield, S. L. An evaluation of Wechsler-Bellevue patterns in schizophrenia. Journal of Consulting Psychology, 1949, 13, 279–287.

    Article  PubMed  Google Scholar 

  • Garfield, S. L. Clinical psychology: The study of personality and behavior. Chicago: Aldine, 1974.

    Google Scholar 

  • Garfield, S. L. Further comments on “dropping out of treatment”: A reply to Baekeland and Lundwall. Psychological Bulletin, 1977, 84, 306–308.

    Article  PubMed  Google Scholar 

  • Garfield, S. L. Research on client variables in psychotherapy. In S. L. Garfield & A. E. Bergin (Eds.), Handbook of psychotherapy and behavior change (2nd ed.). New York: Wiley, 1978.

    Google Scholar 

  • Garfield, S. L., & Kurtz, R. Clinical psychologists in the 1970s. American Psychologist, 1976, 31, 1–9.

    Article  Google Scholar 

  • Garfield, S. L., & Sundland, D. M. Prognostic scales in schizophrenia. Journal of Consulting Psychology, 1966, 30, 18–24.

    Article  Google Scholar 

  • Garfield, S. L., & Wolpin, M. Expectations regarding psychotherapy. Journal of Nervous and Mental Disease, 1963, 137, 353–362.

    Article  PubMed  Google Scholar 

  • Gathercole, C. E. Assessment in clinical psychology. Baltimore: Penguin, 1968.

    Google Scholar 

  • Hamilton, M. A. A rating scale for depression. Journal of Neurology, Neurosurgery, and Psychiatry, 1960, 23, 56–61.

    Article  PubMed  PubMed Central  Google Scholar 

  • Hanson, D. R., Gottesman, I. I., & Heston, L. L. Some possible childhood indicators of adult schizophrenia inferred from children of schizophrenics. British Journal of Psychiatry, 1976, 129, 142–154.

    Article  PubMed  Google Scholar 

  • Hanson, D. R., Gottesman, I. I., & Meehl, P. E. Genetic theories and the validation of psychiatric diagnoses: Implications for the study of children of schizophrenics. Journal of Abnormal Psychology, 1977, 86, 575–588.

    Article  PubMed  Google Scholar 

  • Horowitz, L. M., Inouye, D., & Siegelman, E. Y. On averaging judges’ ratings to increase their correlation with an external criterion. Journal of Consulting and Clinical Psychology, 1979, 47, 453–458.

    Article  PubMed  Google Scholar 

  • Hunt, W. A., Wittson, C. L., & Hunt, E. B. A theoretical and practical analysis of the diagnostic process. In P. H. Hoch & J. Zubin (Eds.), Current problems in psychiatric diagnosis. New York: Grune & Stratton, 1953.

    Google Scholar 

  • Kramer, M. Classification of mental disorders for epidemiologic and medical care purposes: Current status, problems and needs. In M. M. Katz, J. O. Cole, & W. E. Barton (Eds.), The role and methodology of classification in psychiatry and psychopathology. Chevy Chase, Md.: National Institute of Mental Health, U.S. Department of Health, Education and Welfare, Public Health Service Publication No. 1584, 1965.

    Google Scholar 

  • Kreitman, N. The reliability of psychiatric diagnosis. Journal of Mental Science, 1961, 107, 876–886.

    PubMed  Google Scholar 

  • Lick, J. Statistical vs. clinical significance in research on the outcome of psychotherapy. International Journal of Mental Health, 1973, 22, 26–37.

    Google Scholar 

  • Lorr, M., Katz, M. M., & Rubinstein, E. A. The prediction of length of stay in psychotherapy. Journal of Consulting Psychology, 1958, 22, 321–327.

    Article  PubMed  Google Scholar 

  • Lorr, M., Klett, J., McNair, D. M., & Lasky, J. J. Inpatient Multidimensional Psychiatric Scale, 1966 Revision. Palo Alto, Calif.: Consulting Psychologists Press, 1966.

    Google Scholar 

  • Malamud, D. I. Objective measurement of clinical status in psychopathological research. Psychological Bulletin, 1946, 43, 240–258.

    Article  PubMed  Google Scholar 

  • Mattison, R., Cantwell, D. P., Russel, A. T., & Will, L. A comparison of DSM II and DSM III in the diagnosis of childhood psychiatric disorders: II. Interrater agreement. Archives of General Psychiatry, 1979, 36, 1217 1222.

    Google Scholar 

  • McNair, D. M., Lorr, M., & Callahan, D. M. Patient and therapist influences on quitting psychotherapy. Journal of Consulting Psychology, 1963, 27, 10–17.

    Article  PubMed  Google Scholar 

  • Meehl, P. E., & Rosen, A. Antecedent probability and the efficiency of psychometric signs, patterns, or cutting scores. Psychological Bulletin, 1955, 52, 194–216.

    Article  PubMed  Google Scholar 

  • Overall, J. R., & Hollister, L. E. Comparative evaluation of research diagnostic criteria for schizophrenia. Archives of General Psychiatry, 1979, 36, 1198–1205.

    Article  PubMed  Google Scholar 

  • Pasamanick, B., Dinitz, S., & Lefton, H. Psychiatric orientation and its relation to diagnosis and treatment in a mental hospital. American Journal of Psychiatry, 1959, 116, 127–132.

    PubMed  Google Scholar 

  • Schmidt, H. D., & Fonda, C. P. The reliability of psychiatric diagnosis: A new look. Journal of Abnormal and Social Psychology, 1956, 52, 262–267.

    Article  Google Scholar 

  • Smith, D. Unfinished business with informed consent pro- cedures. American Psychologist, 1981, 36, 22–26.

    Article  PubMed  Google Scholar 

  • Spitzer, R. L., & Fleiss, J. L. A reanalysis of the reliability of psychiatric diagnosis. British Journal of Psychiatry, 1974, 125, 341–347.

    Article  PubMed  Google Scholar 

  • Spitzer, R. L., Endicott, J., & Robins, E. Research diagnostic criteria (RDC). Psychopharmacology Bulletin, 1975, 11, 22–24.

    PubMed  Google Scholar 

  • Sue, S., McKinney, H., Allen, D., & Hall, J. Delivery of community mental health services to black and white clients. Journal of Consulting and Clinical Psychology, 1974, 42, 794–801.

    Article  PubMed  Google Scholar 

  • Sullivan, P. L., Miller, C., & Smelser, W. Factors in length of stay and progress in psychotherapy. Journal of Consulting Psychology, 1958, 22, 1–9.

    Article  PubMed  Google Scholar 

  • Zilboorg, G., & Henry, G. W. A history of medical psychology. New York: W. W. Norton, 1941.

    Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Psychology, Washington University, St. Louis, Missouri, 63130, USA

    Sol L. Garfield

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  1. Sol L. Garfield
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Editor information

Editors and Affiliations

  1. Department of Psychology, University of Georgia, Athens, Georgia, USA

    Henry E. Adams Ph.D.

  2. Psychology Service, Veterans Administration Medical Center, Tulane University School of Medicine, New Orleans, Louisiana, USA

    Patricia B. Sutker Ph.D.

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© 1984 Springer Science+Business Media New York

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Garfield, S.L. (1984). Methodological Problems in Clinical Diagnosis. In: Adams, H.E., Sutker, P.B. (eds) Comprehensive Handbook of Psychopathology. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-6681-6_2

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  • DOI: https://doi.org/10.1007/978-1-4615-6681-6_2

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4615-6683-0

  • Online ISBN: 978-1-4615-6681-6

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