Subject(s)
MMPI , Mental Disorders/diagnosis , Adult , Diagnosis, Differential , Humans , Male , Mental Disorders/classificationABSTRACT
Described a computer-assisted system for intake assessment. Previous evaluation studies are reviewed. Two experiments (N = 30; N = 35) are reported that compared the reliability of a diagnostic procedure that involves technicians, a structured interview schedule, and a computerized diagnostic program with diagnoses made by clinicians. Results show that the computer-assisted technician approach is as reliable as the conventional method.
Subject(s)
Diagnosis, Computer-Assisted , Mental Disorders/diagnosis , Diagnosis, Differential , Humans , MaleABSTRACT
Reviewed previous studies of the determinants of disposition decision-making. Experimental flaws in these studies are indicated. A study of the intake decision process and its relationship to mental status and anamnestic variables obtained during the intake examination is presented (N = 523). Results suggest that diagnoses of psychosis and personality disorder are rleated to inpatient care, while the diagnosis of neurosis is related to outpatient care. In addition, depressed/suicidal symptomatology is found to be related to inpatient treatment, while a previous history of either sexual maladjustment or stubbornness/retardation is found to be related to outpatient care. Results are discussed in terms of universal and local criteria that are involved in intake decision-making.
Subject(s)
Ambulatory Care , Mental Disorders/therapy , Mental Status Schedule , Psychiatric Department, Hospital , Psychiatric Status Rating Scales , Adult , Age Factors , Follow-Up Studies , Humans , Intelligence , Male , Mental Disorders/psychologySubject(s)
MMPI , Mental Disorders/diagnosis , Adult , Humans , Male , Mental Disorders/classification , Personality Assessment , PsychometricsABSTRACT
In a previous study, Jones, Kahn, and Langsley (1965) investigated the hypothesis that the MMPI would prove clinically useful in the prediction of admission to a psychiatric hospital. They found that the MMPI had negligible predictive validity for such an application. However, several methodological flaws left the conclusion of that study in doubt. This paper retested the hypothesis that the MMPI can be predictive of the admission decision when a sophisticated multivariate classification technique and adequate sample size are used. Given our results, the hypothesis again must be rejected. Possible problems associated with testing an hypothesis such as this are discussed.
Subject(s)
Decision Making , Hospitalization , Hospitals, Psychiatric , MMPI , Adult , Humans , Male , Probability , Regression AnalysisABSTRACT
Recognition memory is one of the few areas of cognition in schizophrenia in which deficit has not been found. Such a finding has important theoretical implications for the understanding of schizophrenia. However, past studies in this area have been experimentally deficient. This paper presents a study of recognition in long-term episodic memory in schizophrenia in which previous findings of no deficit were replicated. The nature of the cognitive deficit in schizophrenia is discussed.
Subject(s)
Memory , Schizophrenic Psychology , Adult , Humans , Male , Memory Disorders/etiology , Middle Aged , Neurotic Disorders/complications , Personality Disorders/complications , Schizophrenia/complications , Semantics , Time FactorsABSTRACT
The objective assessment of thought disorder in schizophrenia is problemmatic in clinical psychology. Recently an individually administered instrument (WIST) was introduced as a brief, objective, and quantitative measure of schizophrenic thought processes. Possible shortcomings of the WIST are noted; experimental findings that concern extension to group testing conditions, convergent validity with another self-report measure of schizophrenia, and discriminant validity from intellectual level are presented.