Abstract
Looking back at the proceedings of our last conference, I saw that I had discussed unreliability in psychiatric diagnoses. However, the primary problem in psychiatric diagnosis no longer can be said to be unreliability. Fortunately, substantial and impressive progress has been made during the past two decades. We now face a more complex and perhaps less tractable issue — the validity of diagnosis. One reason to be less sanguine about progress in improving validity compared to reliability is that, while we can reliably measure reliability, identifying a clear-cut criterion for validity is problematic. If one wants to improve something, it is helpful, if not necessary, to be able to measure it.
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Tsuang, M.T., Lyons, M.J., Faraone, S.V. (1992). Clinical Phenotypes: Problems in Diagnosis. In: Mendlewicz, J., Hippius, H., Bondy, B., Ackenheil, M., Sandler, M. (eds) Genetic Research in Psychiatry. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-46762-2_15
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