On changes in psychiatric diagnosis over time.

1978 ◽  
Vol 33 (11) ◽  
pp. 1017-1031 ◽  
Author(s):  
Jeffrey D. Blum
Keyword(s):  
Psychiatric Diagnosis ◽  
Over Time

Psychiatric consultation to elderly medical inpatients in a general hospital

2003 ◽  
Vol 20 (3) ◽  
pp. 80-83 ◽  
Author(s):  
Conor O'Neill ◽  
Henry O'Connell ◽  
Brian A Lawlor
Keyword(s):  
Depressive Symptoms ◽  
Psychiatric Diagnosis ◽  
Depressive Illness ◽  
Psychiatric Consultation ◽  
Referral Rates ◽  
Medical Inpatients ◽  
Icd 10 ◽  
High Degree ◽  
Models Of Service Delivery ◽  
Over Time

AbstractObjectives: To determine the reasons for referral of elderly medical inpatients for psychiatric consultation and the appropriateness of such referrals. To determine whether the provision of a consultation service is associated with increases in referral rates over time.Method: One hundred consecutive referrals seen over an 18-week period were included in the study and data on reason for referral, ICD-10 diagnosis and recommended interventions gathered prospectively. Rates of referral were calculated and compared with a similar study performed in the same location five years previously.Results: In this location the most frequent reason for referral was for assessment of depressive symptoms (47%). Referrals were generally appropriate and there was a high degree of concordance between reason for referral and psychiatric diagnosis, particularly for depressive symptoms. There was a moderate (22%) increase in referral rates in the five years since the previous study. Concordance rates between reason for referral and psychiatric diagnosis had improved considerably during this period, particularly for depressive symptoms.Conclusions: Referral rates for psychogeriatric consultation increase over time. Referrals are generally appropriate, and recognition of depressive illness improves. Psychiatric illness may still be under-recognised and increasing workload may indicate a need for more refined models of service delivery.

Evolution of Psychiatric Diagnosis

2018 ◽  
pp. 1-14
Author(s):  
Carol S. North ◽  
Sean H. Yutzy
Keyword(s):  
United States ◽  
Psychiatric Diagnosis ◽  
Psychiatric Illness ◽  
Medical Model ◽  
The United States ◽  
Mental Illnesses ◽  
Diagnostic Process ◽  
Medical Diagnostic ◽  
Washington University ◽  
Over Time

This chapter considers the evolution of psychiatric diagnosis in the United States at length, with references to earlier European contributions. It reviews the medical model in psychiatry movement by the Washington University, St. Louis group in the United States to develop psychiatric diagnosis validity parameters and reliable criteria sets to facilitate communication, research, and clinical application for the major mental illnesses. Challenges to this model are considered and ultimate scientific solidification in DSM-III is reviewed. Over time (33 years), dissent and the continual failure to discover a neurobiological basis for any major psychiatric illness have placed a strain on the medical diagnostic process, and these controversies are reviewed at length. Outlined are the reasons that psychiatry should remain resolute in endorsing what we know scientifically instead of what expert consensus constructs.

A semi-structured clinical interview for the assessment of diagnosis and mental state in the elderly: the Geriatric Mental State Schedule: I. Development and reliability

1976 ◽  
Vol 6 (3) ◽  
pp. 439-449 ◽  
Author(s):  
J. R. M. Copeland ◽  
M. J. Kelleher ◽  
J. M. Kellett ◽  
A. J. Gourlay ◽  
B. J. Gurland ◽  
...  
Keyword(s):  
Mental State ◽  
Psychiatric Diagnosis ◽  
The Elderly ◽  
Structured Interview ◽  
Elderly Subjects ◽  
Good Reliability ◽  
Symptom Profile ◽  
Eighth Edition ◽  
Over Time

SynopsisA standardized, semi-structured interview for examining and recording the mental state in elderly subjects is described. It allows the classification of patients by symptom profile and can demonstrate changes in that profile over time. It is believed that good reliability is demonstrated between psychiatric raters both for psychiatric diagnosis made on the basis of the schedule findings and for individual items. The Geriatric Mental State Schedule (GMS) consists mainly of items from the eighth edition of the PSE (Wing et al. 1967), together with additional items from the PSS (Spitzer et al. 1964), and extra sections dealing with disorientation and other cognitive abnormalities. Modifications have been introduced to facilitate interviewing elderly subjects.

scholarly journals Voice hearing over time: A qualitative study of a woman without a psychiatric diagnosis

2012 ◽  
Vol 02 (04) ◽  
pp. 396-405
Author(s):  
Anne-Grethe Talseth ◽  
Fredricka L. Gilje ◽  
Anne Martha Kalhovde
Keyword(s):  
Qualitative Study ◽  
Psychiatric Diagnosis ◽  
Over Time

scholarly journals Folie a deux: a case report

F1000Research ◽  
2012 ◽  
Vol 1 ◽  
pp. 18
Author(s):  
Sobia Haqqi ◽  
Nisreen Ali
Keyword(s):  
Case Report ◽  
Psychiatric Diagnosis ◽  
The Other ◽  
Rare Disorder ◽  
Folie À Deux ◽  
Lost To Follow Up ◽  
Folie A Deux ◽  
Rare Diagnosis ◽  
Over Time

Folie a deux, to date, remains a rare, yet a challenging psychiatric diagnosis. We discuss two cases that were identified in our out-patient clinics. One case was lost to follow up, while the other one showed improvement over time with appropriate management. Conclusion: As with any rare disorder, recognition and correct referral for rare diagnosis like folie a deux is of paramount importance.

scholarly journals Accuracy of psychiatric diagnosis performed under indirect supervision

2005 ◽  
Vol 27 (1) ◽  
pp. 58-62 ◽  
Author(s):  
Cristina Marta Del-Ben ◽  
Jaime Eduardo Cecílio Hallak ◽  
Alcion Sponholz Jr ◽  
João Mazzoncini de Azevedo Marques ◽  
Cybelli Morelo Labate ◽  
...  
Keyword(s):  
Psychiatric Diagnosis ◽  
Emergency Service ◽  
Outpatient Service ◽  
Psychiatric Diagnoses ◽  
Inpatient Service ◽  
Training Process ◽  
Systematic Training ◽  
University Services ◽  
Indirect Supervision ◽  
Over Time

This work aimed at comparing the accuracy of the psychiatric diagnoses made under indirect supervision to the diagnoses obtained through Structured Clinical Interview for DSM-III-R (SCID). The study was conducted in 3 university services (outpatient, inpatient and emergency). Data from the emergency service were collected 3 years later, after changes in the training process of the medical staff in psychiatric diagnosis. The sensitivity for Major Depression (outpatient 10.0%; inpatients 60.0%, emergency 90.0%) and Schizophrenia (44.4%; 55.0%; 80.0%) improved over time. The reliability was poor in the outpatient service (Kw = 0.18), and at admission to the inpatient service (Kw = 0.38). The diagnosis elaborated in the discharge of the inpatient service (Kw = 0.55) and in the emergency service (Kw = 0.63) was good. Systematic training of supervisors and residents in operational diagnostic criteria increased the accuracy of psychiatric diagnoses elaborated under indirect supervision, although excellent reliability was not achieved.

Hierarchical and Nonhierarchical Approaches in Psychiatric Diagnosis: A Case Report of Change in Psychiatric Symptoms and Diagnosis Over Time

2003 ◽  
Vol 9 (4) ◽  
pp. 324-327 ◽  
Author(s):  
AHMED ABORAYA ◽  
JAMES STEVENSON ◽  
KATHERINE JACOBY ◽  
EHAB ABDALLAH ◽  
JASON BARNHART
Keyword(s):  
Case Report ◽  
Psychiatric Diagnosis ◽  
Psychiatric Symptoms ◽  
Over Time

Social transmission bias and the cultural evolution of folk-economic beliefs

2018 ◽  
Vol 41 ◽  
Author(s):  
David Hirshleifer ◽  
Siew Hong Teoh
Keyword(s):  
Cultural Evolution ◽  
Social Transmission ◽  
Cognitive Approach ◽  
Economic Problems ◽  
Economic Attitudes ◽  
The Social ◽  
Economic Beliefs ◽  
Over Time

AbstractEvolved dispositions influence, but do not determine, how people think about economic problems. The evolutionary cognitive approach offers important insights but underweights the social transmission of ideas as a level of explanation. The need for asocialexplanation for the evolution of economic attitudes is evidenced, for example, by immense variations in folk-economic beliefs over time and across individuals.

Articulatory Generalization in Two Word-Medial, Ambisyllabic Contexts

1988 ◽  
Vol 19 (3) ◽  
pp. 251-258 ◽  
Author(s):  
Virginia I. Wolfe ◽  
Suzanne D. Blocker ◽  
Norma J. Prater
Keyword(s):  
Common View ◽  
Perceptual Salience ◽  
The Common ◽  
Unitary Concept ◽  
Over Time

Articulatory generalization of velar cognates /k/, /g/ in two phonologically disordered children was studied over time as a function of sequential word-morpheme position training. Although patterns of contextual acquisition differed, correct responses to the word-medial, inflected context (e.g., "picking," "hugging") occurred earlier and exceeded those to the word-medial, noninflected context (e.g., "bacon," "wagon"). This finding indicates that the common view of the word-medial position as a unitary concept is an oversimplification. Possible explanations for superior generalization to the word-medial, inflected position are discussed in terms of coarticulation, perceptual salience, and the representational integrity of the word.

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