Abstract

The authors identify the differences in formal inclusion and exclusion criteria used to classify patient data into diagnoses as the largest source of diagnostic unreliability in psychiatry. They describe the efforts that have been made to reduce these differences, particularly the specified criteria approach to defining diagnostic categories, which was developed for research purposes. On the basis of studies showing that the use of specified criteria increases the reliability of diagnostic judgments, they suggest that including such criteria in the next edition of APA's Diagnostic and Statistical Manual of Mental Disorders (DSM-III) would improve the reliability and validity of routine psychiatric diagnosis.

Keywords

PsychiatryDSM-5PsychologyPsychiatric diagnosisMedicineSchizophrenia (object-oriented programming)

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Publication Info

Year
1975
Type
article
Volume
132
Issue
11
Pages
1187-1192
Citations
392
Access
Closed

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Robert Spitzer, Jean Endicott, Eli Robins (1975). Clinical criteria for psychiatric diagnosis and DSM-III. American Journal of Psychiatry , 132 (11) , 1187-1192. https://doi.org/10.1176/ajp.132.11.1187

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DOI
10.1176/ajp.132.11.1187