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The British Journal of Psychiatry (1971) 118: 629-640. doi: 10.1192/bjp.118.547.629
© 1971 The Royal College of Psychiatrists
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Differences in Usage of Diagnostic Labels amongst Psychiatrists in the British Isles

J. R. M. COPELAND MB., M.R.C.P., D.P.M.1, J. E. COOPER B.M., M.R.C.P., D.P.M.2, R. E. KENDELL M.D., M.R.C.P., D.P.M.3, and A. J. GOURLAY M.A.4

1 Senior Lecturer, U.S.-U.K. Diagnostic Project, Institute of Psychiatry, De Crespigny Park, London, S.E.5
2 Consultant Psychiatrist, U.S.-U.K. Diagnostic Project, Institute of Psychiatry, De Crespigny Park, London, S.E.5
3 Reader, U.S.-U.K. Diagnostic Project, Institute of Psychiatry, De Crespigny Park, London, S.E.5
4 Research Worker, U.S.-U.K. Diagnostic Project, Institute of Psychiatry, De Crespigny Park, London, S.E.5

Some 200 psychiatrists at seven different centres in the British Isles made diagnoses and ratings of symptoms and behaviour (using Lorr's IMPS) on three video-tapes of psychiatric interviews. Compared to large diagnostic differences demonstrated in other studies on the same video-tapes between British and American psychiatrists, there was quite good diagnostic agreement between the psychiatrists when grouped by their place of training. Only Glasgow stood out, in that psychiatrists who trained there had a significant tendency to make a diagnosis of affective illness in one of the tapes where the choice of diagnosis was between affective illness and schizophrenia.

On the IMPS ratings of symptoms and behaviour, Maudsley-trained psychiatrists had a significant general tendency to rate at a lower level than the rest. In addition, older psychiatrists rated significantly higher than younger psychiatrists, irrespective of their place of training, as did those with psychotherapeutic training and experience.

The comparative dearth of knowledge about the rating and diagnostic behaviour of psychiatrists is emphasized, and a plea is made for more studies of the effect of different methods and conditions upon these fundamental processes.

Submitted on June 19, 1970




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