Reliability and validity Flashcards
Inter rater reliability
DSM kappa score- 0.46
Chenieux 100 cases
Rater 1- DSM- 26 ICD-44
Rater 2- DSM- 13 ICD-24
Symptom overlap
Sz shares symptoms with other disorders
Ellason and Ross- people with DID had more Sz symptoms that people with Sz.
Questions accuracy of diagnostic tools.
Co-morbidity
the presence of 2 or more disorders in the same person at the same time
Buckley- co-morbidity with depression- 50%- disorder may be the same.
Culture bias
Chance of diagnosis depends on culture of clinician and patient
Copeland UK & US doctors- 69%- US, 2%-Uk
Western symptoms like hallucinations aren’t maladaptive in other cultures- African American.
Imposed etic
Gender bias
Men are more likely to receive a diagnosis
Loring and powell
fictional case studies
56%- men, 20%- female
with male clinicians