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Diagnostic criteria of English, French, and German psychiatrists

Published online by Cambridge University Press:  09 July 2009

R. E. Kendell*
Affiliation:
Institute of Psychiatry, London; the Clinique des Maladies Mentales et de l'Encéphale, Paris; and the Psychiatrische Universitätsklinik, Munich
Pierre Pichot
Affiliation:
Institute of Psychiatry, London; the Clinique des Maladies Mentales et de l'Encéphale, Paris; and the Psychiatrische Universitätsklinik, Munich
M. von Cranach
Affiliation:
Institute of Psychiatry, London; the Clinique des Maladies Mentales et de l'Encéphale, Paris; and the Psychiatrische Universitätsklinik, Munich
*
1Address for correspondence: Professor R. E. Kendell, University Department of Psychiatry, Royal Edinburgh Hospital, Morningside Park, Edinburgh EH10 5HF.

Sysnopsis

Videotape recordings were made of brief diagnostic interviews with 27 patients newly admitted to a psychiatric hospital in London and then shown to groups of English-speaking psychiatrists in London, Paris, and Munich. Comparison of the diagnoses made by these three audiences suggests that English, French, and German psychiatrists have similar concepts of schizophrenia, neurotic illness, personality disorder, and alcholism, but differ markedly in their concept of affective illness, particularly manic-depressive illness. English psychiatrists have much broader concepts of both neurotic and psychotic depression and of mania than the French, with German psychiatrists in an intermediate position. Important differences in the use of other technical terms like agitation, perplexity, and thought disorder also emerged. The ratings of the English and German audiences were closer to one another than either was to the French.

Type
Research Article
Copyright
Copyright © Cambridge University Press 1974

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References

REFERENCES

Astrup, C., and Ödegård, Ö. (1970). Continued experiments in psychiatric diagnosis. Acta Psychiatrien Scandinavica, 46, 180209.Google Scholar
Cooper, J. E., Kendell, R. E., Gurland, B. J., Sharpe, L., Copeland, J. R. M., and Simon, R. (1972). Psychiatric Diagnosis in New York and London. Maudsley Monograph No. 20. Oxford University Press: London.Google Scholar
Copeland, J. R. M., Cooper, J. E., Kendell, R. E., and Gourlay, A. J. (1971). Differences in usage of diagnostic labels amongst psychiatrists in the British Isles. British Journal of Psychiatry, 118, 629640.Google Scholar
Engelsmann, F., Vinar, O., Pichot, P., Hippius, H., Giberti, F., Rossi, L., and Overall, E. (1970). International comparison of diagnostic patterns. Transcultural Psychiatric Research, 7, 130137.Google Scholar
Hordern, A., Sandifer, M. G., Green, L. M., and Timbury, G. C. (1968). Psychiatric diagnosis: British and North American concordance on stereotypes of mental illness. British Journal of Psychiatry, 114, 935944.CrossRefGoogle ScholarPubMed
Kendell, R. E. (1973). Psychiatric diagnoses: a study of how they are made. British Journal of Psychiatry, 122, 437445.Google Scholar
Kendell, R. E., Cooper, J. E., Gourlay, A. J., Copeland, J. R. M., Sharpe, L., and Gurland, B. J. (1971). Diagnostic criteria of American and British psychiatrists. Archives of General Psychiatry, 25, 123130.CrossRefGoogle ScholarPubMed
Overall, J. E., and Gorham, D. R. (1962). The Brief Psychiatric Rating Scale. Psychological Reports, 10, 799812.Google Scholar
Pichot, P., Bailly, R., and Overall, J. E. (1967). Les stéréotypes diagnostiques des psychoses chez les psychiatres français. Comparaison avec les stéréotypes américains. In Neuro-Psycho-Pharmacology. Proceedings of the Fifth International Congress of the Collegium Internationale Neuropsychopharmacologicum, Washington, 1966. International Congress Series, No. 129, 1626. Excerpta Medica: Amsterdam.Google Scholar
Rawnsley, K. (1968). An international diagnostic exercise. In Proceedings, Fourth World Congress of Psychiatry, Madrid, 1966. International Congress Series No. 150, Excerpta Medica: Amsterdam. Part 4, 26832686.Google Scholar
Sandifer, M. G. Jr, Hordern, A., and Green, L. M. (1970). The psychiatric interview: the impact of the first three minutes. American Journal of Psychiatry, 126, 968973.CrossRefGoogle ScholarPubMed
Sharpe, L., Gurland, B. J., Fleiss, J. L., Kendell, R. E., Cooper, J. E., and Copeland, J. R. M. (1974). Some comparisons of American, Canadian and British psychiatrists in their diagnostic concepts. Canadian Psychiatric Association Journal. (In press).CrossRefGoogle Scholar
Shepherd, M., Brooke, E. M., Cooper, J. E., and Lin, T. (1968). An experimental approach to psychiatric diagnosis. Acta Psychiatrien Scandinavica, Suppl. 201.Google Scholar
World Health Organization. (1973). Report of the International Pilot Study of Schizophrenia. Vol. 1. W.H.O.: Geneva.Google Scholar