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The Hierarchy Model of Psychiatric Symptomatology: An Investigation Based on Present State Examination Ratings

Published online by Cambridge University Press:  29 January 2018

P. G. Surtees  and
R. E. Kendell
P. G. Surtees
Affiliation:
Medical Research Council Unit for Epidemiological Studies in Psychiatry, University Department of Psychiatry, Royal Edinburgh Hospital, Morningside Park, Edinburgh EH10 5HF, Scotland
R. E. Kendell
Affiliation:
University of Edinburgh, Royal Edinburgh Hospital, Edinburgh EH10 5HF, Scotland
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Summary

Psychiatric diagnoses are arranged in a rough hierarchy, generally regarded as a convention to enable patients with a wide range of symptoms to be allocated to single diagnostic categories. Foulds, on the basis of self-report questionnaire responses, claimed that patients with symptoms at the higher levels of this hierarchy not only may but characteristically do exhibit symptoms at all lower levels as well. Foulds’ hierarchy model was tested here, using PSE ratings from two large series of in-patients; at least 75 per cent fulfilled the requirements of the model, but up to 50 per cent of schizophrenic and manic patients failed to do so. Almost two-thirds of all patients with psychotic symptoms establishing them in one of the upper two classes of the hierarchy did not exhibit the neurotic symptoms they required lower in the hierarchy.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 135 , Issue 5 , November 1979 , pp. 438 - 443
Copyright
Copyright © Royal College of Psychiatrists, 1979 

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References

Cooper, J. E., Kendell, R. E., Gurland, B. J., Sharpe, L., Copeland, J. R. M. & Simon, R. (1972) Psychiatric Diagnosis in New York and London, Maudsley Monograph No. 20. London: Oxford University Press.Google Scholar
Foulds, G. A. (1965) Personality and Personal Illness. London: Tavistock Publications.Google Scholar
Foulds, G. A. (1976) The Hierarchical Nature of Personal Illness. London: Academic Press.Google Scholar
Foulds, G. A. & Bedford, A. (1975) Hierarchy of classes of personal illness. Psychological Medicine, 5, 181–92.CrossRefGoogle ScholarPubMed
Jaspers, K. (1959) Allgemeine Psychopathologie. 7th Edition. Translation by Hoenig, J. and Hamilton, M. W. (1962). Manchester: Manchester University Press.Google Scholar
Registrar General (1968) A Glossary of Mental Disorders. Studies on Medical and Population Subjects, No. 22. London: H.M.S.O.Google Scholar
Schneider, K. (1959) Klinische Psychopathologie, 5th Edition. Translation by Hamilton, M. W. New York: Grune and Stratum.Google Scholar
Spitzer, R. L. & Endicott, J. (1968) Diagno: a computer program for psychiatric diagnosis utilizing the differential diagnostic procedure. Archives of General Psychiatry, 18, 746–56.CrossRefGoogle ScholarPubMed
Wing, J. K., Cooper, J. E. & Sartorius, N. (1974) Description and Classification of Psychiatric Symptoms. Cambridge: Cambridge University Press.Google Scholar
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