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[精神器质性综合征诊断的确诊问题。医学判断与心理测量测试结果的比较(作者译)]

[The problem of insuring the diagnosis of psycho-organic syndrome. A comparison between medical judgments and psychometric test results (author's transl)].

作者信息

Fähndrich E, Gebhardt R, Neumann H

出版信息

Arch Psychiatr Nervenkr (1970). 1981;229(3):239-48.

PMID:7212988
Abstract

A comparison was made between diagnostic decisions made by psychiatrists about memory and affective disturbances which are assumed to be typical of Psycho-Organic Syndrome and the results of psychometric evaluations of mental functioning. Some correlations could be demonstrated, especially for memory. However, the classification of individual patients showed a high percentage of different assignments between inferences of psychiatrists and test results; very often the patient was categorized as disturbed by the psychiatrist but not by tests. The claim to replicate the medical diagnosis by means of special testing of mental disorders has been critically discussed and rejected. The main goal of psychometric testing in this field seems to be a differential analysis of the performance of patients which is the basis for goal-oriented training programs.

摘要

对精神科医生关于记忆和情感障碍的诊断决策(这些障碍被认为是精神器质性综合征的典型症状)与心理功能的心理测量评估结果进行了比较。可以证明存在一些相关性,尤其是在记忆方面。然而,对个体患者的分类显示,精神科医生的推断与测试结果之间存在很高比例的不同判定;患者常常被精神科医生归类为有障碍,但测试结果却并非如此。通过对精神障碍进行特殊测试来复制医学诊断的说法受到了批判性讨论并被否定。该领域心理测量测试的主要目标似乎是对患者表现进行差异分析,这是制定目标导向训练计划的基础。

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