Hemifacial flushing during unilateral ECT.
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Biomedical subjects
Publications and source records attributed to S Idupuganti.
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In 1982, 2 years after the introduction of DSM-III, the authors sent questionnaires to 1,313 psychiatrists in the United States asking what criteria they used to diagnose schizophrenia. They received responses from 341 and compared these with responses of 301 psychiatrists to the same question in October 1980, 3 months after the introduction of DSM-III. The results indicate that DSM-III did not have a major effect on the diagnostic practices of psychiatrists from 1980 to 1982. A high number of psychiatrists continued to approach the diagnosis of schizophrenia in an individualistic, unsystematic way.
The authors mailed 1,227 questionnaires to U.S. psychiatrists at the time of the introduction of DSM-III to ascertain their diagnostic approach to schizophrenia; 25% (N = 301) of the questionnaires were returned. Only 4 symptom categories reached a 50% accordance level, and there was little agreement on combinations of signs or symptoms, including that recommended by DSM-III. A cluster analysis showed some overall patterns: younger respondents and those from the Pacific coast tended to diagnose more closely to DSM-III; older respondents gave more individualistic responses. The authors express concern that research separating schizophrenia from other disorders that are far more effectively treated has not had a substantial effect on the diagnostic practices of U.S. psychiatrists.
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