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A Checklist for the Diagnosis of Schizophrenia

Published online by Cambridge University Press:  29 January 2018

B. M. Astrachan ,
M. Harrow ,
D. Adler ,
L. Brauer ,
A. Schwartz ,
C. Schwartz  and
G. Tucker
B. M. Astrachan
Affiliation:
Yale University School of Medicine; Connecticut Mental Health Center, 34 Park Street, New Haven, Connecticut, 06508, U.S.A.
M. Harrow
Affiliation:
Department of Psychiatry, Yale University School of Medicine, New Haven, Connecticut, 06508, U.S.A.
D. Adler
Affiliation:
Yale University School of Medicine, New Haven, Connecticut, 06508, U.S.A.
L. Brauer
Affiliation:
Department of Psychiatry, Yale University School of Medicine, New Haven, Connecticut, 06508, U.S.A.
A. Schwartz
Affiliation:
Yale University School of Medicine, New Haven, Connecticut, 06508, U.S.A.
C. Schwartz
Affiliation:
Yale University School of Medicine, New Haven, Connecticut, 06508, U.S.A.
G. Tucker
Affiliation:
Dartmouth Medical School, Department of Psychiatry, Hanover, New Hampshire, U.S.A.
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Extract

Despite extensive research and a vast literature, the diagnosis of schizophrenia remains primarily a clinical decision based upon the presence of some agreed-upon symptom complex. Laboratory studies and special testing procedures have not yet demonstrated their utility in establishing diagnosis in this syndrome. While it is easy to cite studies of diagnostic difficulty (Beck, 1962), it is also apparent that when clinicians state they are ‘certain of the diagnosis' or agree to utilize pre-established diagnostic stereotypes, the diagnostic agreement frequently achieves an 80 per cent reliability (Beck, 1962; Hordern et al., 1968). Clinicians the world over tend to identify gross symptoms in similar ways. However, they may ascribe varying significance to similar symptom complexes and may even use similar symptom constellations to arrive at different diagnoses (Saenger, 1968; Sandifer et al., 1968). There seems to be general agreement on the major symptoms found in schizophrenia (Cooper, 1967; Beck et al., 1962; Hordem et al., 1968); however, diagnostic agreement on subtypes, and on admixtures of paranoid symptoms and depression is much more difficult to achieve (Cooper, 1967; Morgan et al., 1968; Lorr and Klett, 1968; Hordem et al., 1968). The present study attempts to formalize the apparent commonality of clinical features which together establish a diagnosis of schizophrenia through the development of a valid and reliable checklist of symptoms.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 121 , Issue 564 , November 1972 , pp. 529 - 539
Copyright
Copyright © Royal College of Psychiatrists, 1972 

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References

Arieti, S. (1959). ‘Schizophrenia: the manifest symptomatology, the psychodynamic and formal mechanisms’, in American Handbook of Psychiatry, vol. 1 (ed. Arieti). New York: Basic Books.Google Scholar
Astrachan, B. M., Harrow, M., and Flynn, H. R. (1968). ‘Influence of the value system of a psychiatric setting on behavior in group therapy meetings.’ Social Psychiatry, 3, 165–72.Google Scholar
Bannister, D. (1962). ‘The nature and measurement of schizophrenic thought disorder.’ Journal of Mental Science, 108, 825–42.Google Scholar
Bateson, G., Jackson, D. D., Haley, J., and Weakland, J. (1956). ‘Towards a communication theory of schizophrenia.’ Behavioural Science, 1, 251–64.Google Scholar
Beck, A. T. (1962). ‘Reliability of psychiatric diagnosis: 1. A critique of systematic studies.’ American Journal of Psychiatry, 119, 210–16.Google Scholar
Beck, A. T., Ward, C. H., Mandelson, M., Mock, J. E., and Erbaugh, J. K. (1962). ‘Reliability of psychiatric diagnoses: 2. A study of consistency of clinical judgments and ratings.’ American Journal of Psyshiatry, 119, 351–7.Google Scholar
Bellak, L. (1970). ‘The validity and usefulness of the concept of the schizophrenic syndrome’, in The Schizophrenic Reactions (ed. Cancro). New York: Brunner/Mazel, Inc.Google Scholar
Benjamin, J. D. (1944). ‘A method for distinguishing and evaluating formal thinking in schizophrenia’, in Language and Thought in Schizophrenia (ed. Kasanin). New York: W. W. Norton and Co.Google Scholar
Bleuler, E. (1950). Dementia Praecox or the Group of Schizophrenias (translated by Zinkin, ). New York: International Universities Press.Google Scholar
Brauer, R., Harrow, M., and Tucker, G. J. (1970). ‘Depersonalization phenomena in psychiatric patients.’ British Journal of Psychiatry, 117, 509–51.Google Scholar
Gameron, N. (1939). ‘Schizophrenic thinking in a problem-solving situation.’ Journal of Mental Science, 85, 1012–35.Google Scholar
Cooper, J. E. (1967). ‘Diagnostic change in a longitudinal study of psychiatric patients.’ British Journal of Psychiatry, 113, 129–42.Google Scholar
Detre, T., Kessler, D. R., and Jarecki, H. G. (1963). ‘The role of the general hospital in modern community psychiatry.’ American Journal of Orthopsychiatry, 33, 690–700.Google Scholar
Donabedian, A. (1966). ‘Evaluating the quality of medical care.’ Milbank Memorial Quarterly, 2, 166–206.Google Scholar
Federn, P. (1952). Ego Psychology and the Psychosis. New York: Basic Books.Google Scholar
Feirstein, A., Weisman, G., and Thomas, C. (1971). ‘A crisis interventional model for in-patient psychiatric hospitalization’, in Current Psychiatric Therapies, vol. XI (ed. Masserman). New York: Grune and Stratton.Google Scholar
Goldstein, K. (1944). ‘Methodological approach to the study of schizophrenic thought disorder’, in Language and Thought in Schizophrenia (ed. Kasanin). New York: W. W. Norton & Co.Google Scholar
Gorry, A. (1970). ‘Modelling the diagnostic process.’ Journal of Medical Education, 45, 293–302.Google Scholar
Gurland, B. J., Fleiss, J. L., Cooper, J. E., Kendell, R. E., and Simon, R. (1969). ‘Cross-national study of diagnosis of the mental disorders: Some comparisons of diagnostic criteria from the first investigation.’ American Journal of Psychiatry, 125, April Supplement, 30–39.CrossRefGoogle Scholar
Harrow, M., Tucker, G. J., and Adler, D. (1972a). ‘Concrete thinking and idiosyncratic thinking in acute schizophrenic patients.’ Archives of General Psychiatry, 26, 433–39.Google Scholar
Harrow, M., Himmelhoch, J. M., Hersh, J., and Tucker, G. J. (1972b). ‘Overinclusive thinking in acute schizophrenic patients.’ Journal of Abnormal Psychology, 79, 161–68.Google Scholar
Harrow, M., Tucker, G. J., and Bromet, E. (1969). ‘Short term prognosis of schizophrenic patients.’ Archives of General Pschiatry, 21, 195–202.Google Scholar
Hollingshead, A. B., and Redlich, F. C. (1958). Social Class and Mental Illness. New York: John Wiley and Sons.Google Scholar
Hordern, A., Sandifer, M. G., Green, L. M., and Tinbury, G. C. (1968). ‘Psychiatric diagnosis: British and Northern American concordance on stereotypes of mental illness.’ British Journal of Psychiatry, 114, 935–44.CrossRefGoogle Scholar
Kasanin, J. S. (1944). Language and Thought in Schizophrenia, New York, W. W. Norton & Co. Google Scholar
Klerman, G. L., and Paykel, E. S. (1970). ‘Depressive pattern, social background and hospitalization.’ Journal of Nervous and Mental Disease, 150, 466–78.Google Scholar
Kolb, L. (1968). Noyes' Modern Clinical Psychiatry, pp. 365–6. Philadelphia: W. B. Saunders Co.Google Scholar
Lidz, T., Fleck, S., and Cornelson, A. (1965). Schizophrenia and the Family, New York: International Universities Press.Google Scholar
Linn, L. (1967). ‘Clinical manifestations of psychiatric disorders,’ in Comprehensive Textbook of Psychiatry (eds. Freedman and Kaplan). Baltimore: Williams and Wilkins, Co.Google Scholar
Lorr, M., and Klett, C. J. (1968). ‘Major psychiatric disorders.’ Archives of General Psychiatry, 19, 652–8.Google Scholar
Lovibond, S. H. (1953). ‘The object sorting test and conceptual thinking in schizophrenia.’ Australian Journal of Psyehology, 5, 52–70.Google Scholar
Meadow, A., Greenblatt, M., and Solomon, H. (1953). ‘Looseness of associations and impairment in abstraction in schizophrenia.’ Journal of Nervous and Mental Disease, 118, 27–35.Google Scholar
Morgan, D. W., Prozio, R. J., and Hedlund, J. L. (1968). ‘Schizophrenic symptom change with rehospitsdization.’ Archives of General Psychiatry, 19, 227–31.Google Scholar
Payne, R. W. (1966). ‘The measurement and significance of overinclusive thinking and retardation in schizophrenic patients,’ in Psychopathology of Schizophrenia (eds. Hoch and Zubin). New York: Grune and Stratton.Google Scholar
Phillips, L. (1953). ‘Case history data and prognosis in schizophrenia.’ Journal of Nervous and Mental Disease, 117, 515–25.CrossRefGoogle ScholarPubMed
Rapaport, D. (1946). Diagnostic Psychological Testing. Chicago: Year Book Publishing Co.Google Scholar
Reed, J. L. (1970). ‘Schizophrenic thought disorder: a review and hypothesis.’ Comprehensive Psychiatry, 11, 403–32.Google Scholar
Riedel, D. (1968). ‘Assuring high quality in health facilities through utilization review,’ in Quality in Health Care: Proceedings of the 1968 National Health Forum, National Health Council, New York.Google Scholar
Riedel, D. C., Brauer, L., Brenner, M. H., Goldblatt, P., Schwartz, C., Myers, J. K., and Klerman, G. (1971). ‘Developing a system for utilization review and evaluation in community mental health centers.’ Hospital and Community Psychiatry, 22, 229–32.Google Scholar
Robins, E., and Guze, S. B. (1970). ‘Establishment of diagnostic validity in psychiatric illness: Its application to schizophrenia.’ American Journal of Psychiatry, 126, 983–7.Google Scholar
Rubenstein, R., and Lasswell, H. D. (1966). The Sharing of Power in a Psychiatric Hospital. New Haven: Yale University Press.Google Scholar
Saenger, G. (1968). ‘Psychiatric outpatients in America and the Netherlands: A transcultural comparison.’ Social Psychiatry, 3, 149–64.Google Scholar
Sandifer, M. G., Hordern, A., Tinbury, G. C., and Green, L. M. (1968). ‘Piychiatric diagnosis: a comparative study in North Carolina, London and Glasgow.’ British Journal of Psychiatry, 114, 1–9.Google Scholar
Shakow, D. (1967). ‘Understanding normal psychological function: contributions from schizophrenia.’ Archives of General Psychiatry, 17, 306–19.CrossRefGoogle ScholarPubMed
Shanfield, S., Tucker, G. J., Harrow, M., and Detre, T. (1970). ‘The schizophrenic patient and depressive symptomatology.’ Journal of Nervous and Mental Disease, 151, 203–10.Google Scholar
Singer, M. T., and Wynne, L. C. (1965). ‘Thought disorder and family relations of schizophrenics.’ Archives of General Psychiatry, 12, 201–21.Google Scholar
Stephens, J. H., Astrup, C., and Mangrum, J. C. (1966). ‘Prognostic factors in recovered and deteriorated schizophrenics.’ American Journal of Psychiatry, 122, 1116–21.CrossRefGoogle ScholarPubMed
Tischler, G. L. (1971). ‘The effect of consumer control on the delivery of service.’ American Journal of Orthopsychiatry, 41, 501–5.Google Scholar
Vaillant, G. E. (1962). ‘The prediction of recovery in schizophrenia.’ Journal of Nervous and Mental Disease, 135, 534–43.Google Scholar
Vaillant, G. E. (1964). ‘An historical review of the remitting schizophrenias.’ Journal of Nervous and Mental Disease, 138, 48–56.Google Scholar
Von Domarus, E. (1944). ‘Thc specific Laws of logic in schizophrenia,’ in Language and Thought in Schizophrenia (ed. Kasanin, ). New York: W. W. Norton and Co.Google Scholar
Vygotsky, L. S. (1962). Thought and Language (ed. and translated by E. Hanfman, and G. Vakar). New York: John Wiley & Sons, Inc.Google Scholar
Watzlawick, P., Beavin, J. H., and Jackson, D. D. (1967). Pragmatics of Human Communication. New York: W. W. Norton and Co.Google Scholar
Wynne, L. C. (1968). ‘Methodologic and conceptual issues in the study of schizophrenics and their families,’ in The Transmission of Schizophrenia (eds. Rosenthal and Kety). London: Pergamon Press.Google Scholar
Zuk, G. (1967). ‘Family therapy: formulation of a technique and its theory.’ International Journal of Group Psychotherapy, 18, 42–58.CrossRefGoogle Scholar
Zusman, J., and Ross, E. R. R. (1969). ‘Evaluation of the quality of mental health services.’ Archives of General Psychiatry, 20, 352–7.Google Scholar
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