Evaluation Definition of Mental Disorders by Symptom: Flashcards
Cheniaux
cheniaux had two psychiatrists independently diagnose 100 patients using DSM and ICD criteria, and inter-rater reliability was poor as one diagnosed 26 with DSM criteria and 44 with ICD (other one was 13 DSM and 24 ICD). This poor reliability is a weakness of diagnosis of schizophrenia
how does cheniaux affect validity
This affects the validity in a way that the diagnosis of schizophrenia is not legitimate and there is a greater likelihood of misdiagnosis.
3. Criterion validity is when different assessment systems arrive at the same diagnosis for the same patient. It would apply her because a concurrent diagnosis will lead to a greater legitimacy, and it is more likely that the patient has the disorder and can work towards curing it.
eval Co-morbidity
- The simultaneous presence of two or more diseases or medical conditions in a patient.
- Is an issue because those who have schizophrenia often have other syndromes, which means that knowing the cause of a disorder is difficult because a particular behaviour may be the result of another syndrome.
- Buckley et al. (2009) concluded that around half of patients with a diagnosis of schizophrenia also have a diagnosis of depression (50%) or substance abuse (47%).
- PTSD also occurred in 29% of cases and OCD in 23%.
- This poses a challenge for the classification and diagnosis of schizophrenia. In terms of diagnosis, there may be a problem in telling the difference between conditions. Classification issues include just classifying one as the other because they occur so commonly together.
- This confusing picture is a weakness of diagnosis and classification.
eval case study
- Catatonic schizophrenia: the main feature is almost total immobility for hours at a time, with the patient simply staring blankly into space.
- Paranoid schizophrenia: this type involves delusions of persecution.
- Hebephrenic schizophrenia: this type involves great disorganisation of behaviour including delusions, hallucinations, incoherent speech and large mood swings.
Catatonic schizophrenia
the main feature is almost total immobility for hours at a time, with the patient simply staring blankly into space.
Paranoid schizophrenia
this type involves delusions of persecution.
Hebephrenic schizophrenia:
this type involves great disorganisation of behaviour including delusions, hallucinations, incoherent speech and large mood swings.