INTRO TO SCHIZO : EVAL DIAGNOSIS AND CLASSIFICATION

Question 1

LIMITATION - ISSUE OF RELIABILITY - POINT

Answer 1

A problem with diagnosis and classification of schizo is a lack of reliability

Question 2

LIMITATION - ISSUE OF RELIABILITY - EXPLANATION

Answer 2

Reliability refers to consistency

an important measure of consistency in diagnosis is inter rater reliability ( extent of to which indepedent assessors arrive at same conclusion regarding diagnosis)

Question 3

LIMITATION - ISSUE OF RELIABILITY - EVIDENCE

Answer 3

CHNEAUX et al 2009 had two psychiatristy independently diagnose 100 patients using both ICD and DSM critieria

found inter rater reliab poor

as one psych diagnosed 26 patients with schizo accordin to DSM and 44 according to ISD

whereas other diagnosed 13 with DSM and 24 with ICD

Question 4

LIMITATION - ISSUE OF RELIABILITY - LINK /LAST POINT

Answer 4

This inconsitency is serious limitation in the classificaiton and diagnosis of schizo

Question 5

LIMITATION - ISSUE OF COMORBITY - POINT

Answer 5

CO morbidtiy - fact 2 or more conditions occur together

if conditions occur together a lot of the time this questions the validity of the diagnosis and classification as there might actually be a single condition

Question 6

LIMITATION - ISSUE OF COMORBITY - EVIDENCE

Answer 6

Schizo commonly diagnosed with other conditions such as bipolar disorder

Question 7

LIMITATION - ISSUE OF COMORBITY - EVIDENCE/EXPLANATION

Answer 7

In a review Buckley et al 2009 concluded around half of patients with schizo also had diagnosis of depression or substance abuse

Question 8

LIMITATION - ISSUE OF COMORBITY - LINK/FINAL POINT

Answer 8

this is problem for classification as schizo may not exist as a distinct condition

its a problem for diagnosis as sugegsts at least some people diagnosed with schizo may have usual cases of conditions like depression

Question 9

LIMITATION - ISSUE OF CULTURE BIAS - point

Answer 9

limitiation of diagnosis of schizophrenia is teh exstence of culture bias

Question 10

LIMITATION - ISSUE OF CULTURE BIAS - EVIDENCE + slight explain

Answer 10

Afro Caro people living in UK 10x likely to recieve diagnosis as Brtish Whites although people living in africa and the carribean are not , ruling out the chances og genetic vulnerability

therefore the most liekly reason for this is culture bias in the diagnosis of clients by psych from diffrent background

Question 11

LIMITATION - ISSUE OF CULTURE BIAS - EXPLANATION FURTHER

Answer 11

symptons of schizo prtclr hearing voices have diff meanings in diff cultlures

e,g in ACS voices can be attributed to communication form ancestors

but when presented to a practitioner from a diff culture tehse xp seen as bizzare/irrational

Question 12

LIMITATION - ISSUE OF CULTURE BIAS - LAST POINT/LINK

Answer 12

This therefore can lead to over interpretatino of symptoms in black british people (ESCOBAR 2012)

Meaning AC people are discriminated against by a culturall biased diagnostic system