Werner P D, Rose T L, Yesavage J A
Veterans Administration Medical Center, Palo Alto, California.
J Clin Psychol. 1990 Jul;46(4):534-8. doi: 10.1002/1097-4679(199007)46:4<534::aid-jclp2270460423>3.0.co;2-i.
This research studied individual differences among psychiatric patients in the extent to which clinical workers agree about the likelihood that the patients will act violently. Predictions of imminent violence proneness for 40 male inpatients made by 35 experienced clinical practitioners were analyzed. As hypothesized, subgroups of patients who elicited high interjudge agreement were found, and admission profiles of these patients were presented. Clinical workers' predictive accuracy was found to be greater when they rated patients who elicited high consensus than for unselected patients or for those who elicited low consensus.
本研究探讨了精神科患者个体差异,即临床工作者对患者暴力行为可能性的判断一致性程度。分析了35名经验丰富的临床医生对40名男性住院患者近期暴力倾向的预测。正如所假设的,发现了能引起高度评判者间一致性的患者亚组,并呈现了这些患者的入院特征。结果发现,临床工作者对高度一致认可患者的评分预测准确性高于未筛选患者或一致性低的患者。