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The Diagnosis of Depressive Syndromes and the Prediction of E.C.T. Response

Published online by Cambridge University Press:  29 January 2018

M. W. P. Carney ,
M. Roth  and
R. F. Garside
M. W. P. Carney
Affiliation:
Blackpool and Fylde Hospital Group and Lancaster Moor Hospital; lately Senior Registrar, Department of Psychological Medicine, University of Newcastle upon Tyne
M. Roth
Affiliation:
University of Newcastle upon Tyne
R. F. Garside
Affiliation:
University of Newcastle upon Tyne
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Extract

The establishment of a classification of affective disorders commanding wide agreement among clinical practitioners and investigators is one of the most pressing needs of contemporary psychiatry. This group of conditions has, in recent decades, displaced schizophrenia from the centre of the clinical stage. However, despite its prominence and importance in clinical practice, the territory remains inadequately charted. There is evidence to indicate that the uncertainty about the most clear and convenient lines of demarcation within this clinical territory makes a large contribution to the unreliability of psychiatric diagnosis. Thus, in a recent enquiry (Sandifer, Pettus and Quade, 1965) into the reliability of diagnoses made in 91 first admissions to a mental hospital by ten experienced psychiatrists, it was shown that the resolution of disagreement in the areas of “psychoneurosis—affective disorder” and “psychoneurosis—personality disorder” would have raised the overall reliability of diagnosis in this enquiry from 57 per cent. to 83 per cent.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 111 , Issue 477 , August 1965 , pp. 659 - 674
Copyright
Copyright © Royal College of Psychiatrists, 1965 

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