SM_96b: Classification and Diagnosis

Question 1

Steps to achieving diagnostic validity for psychiatric disorders include

1. _____
2. _____
3. _____
4. _____
5. _____

Answer 1

Steps to achieving diagnostic validity for psychiatric disorders include

1. Clinical description
2. Delimitation from other disorders
3. Follow-up study (including treatment response)
4. Family study
5. Laboratory studies

Question 2

_____ is when the same diagnosis is made by different physicians for the same patient

Answer 2

Reliability is when the same diagnosis is made by different physicians for the same patient

(consistency)

Question 3

____ is the degree to which a test appears effective in achieving its stated aims

Answer 3

Face validity is the degree to which a test appears effective in achieving its stated aims

Question 4

____ is a group of symptoms that occuring together characterize a disorder

Answer 4

Syndrome is a group of symptoms that occuring together characterize a disorder

Question 5

____ is how well a certain measure can predict future behavior

Answer 5

Predictive validity is how well a certain measure can predict future behavior

Question 6

____ is the degree to which the test measures what it says it will measure

Answer 6

Construct validity is the degree to which the test measures what it says it will measure

Question 7

Categorical diagnoses are defined by ____, ____, and ____

Answer 7

Categorical diagnoses are defined by a set of rules / criteria, a glossary of descriptions, and yes / no answers

Question 8

Dimensional system uses ____

Answer 8

Dimensional system uses ratings on a variety of dimensions / scales, often with normative comparisons and cutoff points

(how often, how severe, how many)

Question 9

Categorical and dimensional diagnostic systems are suitable for ____

Answer 9

Categorical and dimensional diagnostic systems are suitable for different disorders

Question 10

Complexity of human behavior and cognition makes it especially difficult to achieve a high level of validity in ____

Answer 10

Complexity of human behavior and cognition makes it especially difficult to achieve a high level of validity in psychiatric diagnosis

• Most psychiatric diagnosis is based on clinical syndromes
• Diagnostic classifications have used the term disorder rather than disease to reflect the shortcoming
• Some current psychiatric diagnoses are more useful than others

Question 11

Diagnosis can be ____ but not ____

Answer 11

Diagnosis can be reliable but not valid

Question 12

Compulsive behavior fits a ____ diagnostic classification

Answer 12

Compulsive behavior fits a categorical diagnostic classification

Question 13

Transition from DSM II to III involved the establishment of ____

Answer 13

Transition from DSM II to III involved the establishment of polythetic criteria

Person must meet a certain number of criteria in the criteria set to receive a diagnosis

(Rosenhan case”