Amara I B
Can Psychiatr Assoc J. 1978 Aug;23(5):329-36. doi: 10.1177/070674377802300509.
A review of the case books of 868 patients who had been admitted into a psychiatric hospital from January 1, 1970, to December 31, 1973, was carried out for consistency in the pattern of diagnosis by the same or different psychiatrists. Of these, 16.5% had a revision in diagnosis. The pertinent literature was reviewed. The possible factors that contribute to the observed inconsistency in diagnosis in this and other investigations are discussed. It is concluded that the problems as reflected in the significant change in diagnosis in this study are multifactorial. It is suggested that these problems may be related to the unknown etiology of the functional psychoses and the absence of identifiable specific lesions.
对1970年1月1日至1973年12月31日期间入住一家精神病医院的868例患者的病历进行了回顾，以检查同一位或不同精神科医生诊断模式的一致性。其中，16.5%的患者诊断有修订。对相关文献进行了综述。讨论了在本研究及其他调查中导致观察到的诊断不一致的可能因素。得出的结论是，本研究中诊断的显著变化所反映的问题是多因素的。建议这些问题可能与功能性精神病的病因不明以及缺乏可识别的特定病变有关。
