Preview

Discuss Reliability and Validity of Diagnosis

Good Essays
Open Document
Open Document
1019 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Discuss Reliability and Validity of Diagnosis
Discuss reliability and validity of diagnosis
A reliable and valid diagnosis is one which is correctly reasoned from a satisfying premise and agreed upon by psychiatrists using the same diagnosis system.
However, there are many factors that make the process of determining a diagnosis intricate. For one to obtain a reliable and valid diagnosis, one has to be sure that the classification systems themselves are valid and reliable. Because the concept of abnormality is so complex it is particularly difficult to define and this affects diagnosis. Also, there are a number of cultural and ethical considerations one must consider when making a diagnosis, some of these include culture-bound syndromes, culture blindness and racial/ethnic bias. Though many errors with diagnosis have been occurred, one cannot ignore the benefits of diagnosis and the medical breakthroughs
When determining a diagnosis psychiatrists refer to one of three classification systems, the DSM-IV, the ICD and the Great Ormond Street System. For a classification system to be reliable, it should be possible for different clinicians, using the same system, to arrive at the same diagnosis for the same individual. For a classification system to be valid, it should be able to classify a read pattern of symptoms which can then lead to an effective treatment. However, it has been researched and statistics show that no classification system has a 100% reliability rate. In fact, it was found that the ICD had a reliability of 36%, the DSM had a reliability of 64% while the Great Ormond Street System had a reliability of 88%
The Rosenhan study illustrates the concerns about reliability in diagnosis of psychiatrist illness. The experiment consisted of two parts; the first part involved the use of 12 mentally stable people (pseudopatients) who tried to gain admission into 12 different psychiatric hospitals by complaining of ‘hallucinations’. All the researchers were admitted and diagnosed with psychiatric

You May Also Find These Documents Helpful

  • Good Essays

    One issue related to classification and diagnosis is reliability. Reliability refers to the consistency of a measuring instrument, such as DSM (the Diagnostic and Statistical Manual) that is used when diagnosing schizophrenia. Reliability can be measured in terms of whether two independent assessors give similar scores (inter-rater reliability). High reliability is indicated by a high positive correlation.…

    • 703 Words
    • 3 Pages
    Good Essays
  • Better Essays

    Dual Diagnosis

    • 1457 Words
    • 5 Pages

    There are four different theoretical models for dual-diagnosis; the first is that the SUDs and mental illness both reflect a common undiscovered…

    • 1457 Words
    • 5 Pages
    Better Essays
  • Good Essays

    A person who is being “treated in a psychiatric hospital may be given a dual diagnosis” (Stevens & Smith, pg. 158). This…

    • 624 Words
    • 3 Pages
    Good Essays
  • Good Essays

    Chapter 3 Questions00 Psy

    • 1192 Words
    • 8 Pages

    The Diagnostic and Statistical Manual of Mental Disorders uses a checklist of observable signs and symptoms, but this tends to limit clinicians’:…

    • 1192 Words
    • 8 Pages
    Good Essays
  • Good Essays

    Gender Dysphoria

    • 780 Words
    • 4 Pages

    After two decades of waiting, the revised version of the DSM has been reviewed and cleared by, “more than 1,500 experts in a variety of fields from 39 countries.” The classification of mental illness is one of the most important contributions the DSM provides. For us, the classification of a patient’s mental state ties in a range of aspects from medical assistance to social safety.…

    • 780 Words
    • 4 Pages
    Good Essays
  • Satisfactory Essays

    Psy 270 Appendix G

    • 416 Words
    • 2 Pages

    The DSM-IV is an important tool for clinicians. It provides a standard for diagnoses to be standardized across psychology; however, the DSM-IV is not as precise for diagnosing personality disorders as some psychologists would like.…

    • 416 Words
    • 2 Pages
    Satisfactory Essays
  • Satisfactory Essays

    PSY 275

    • 389 Words
    • 2 Pages

    A diagnosis the the determination of a perso’s psychological issues that include a disorder. This can include several different steps and options. Some may include:…

    • 389 Words
    • 2 Pages
    Satisfactory Essays
  • Good Essays

    Rosenhan wanted to see if psychologists needed these tests, shouldn’t they be able to tell who is insane and who isn’t. Is diagnosis tied to patient or situation? He proposed to find it by admitting "pseudopatients" to psychiatric facilities and see if they are found to be normal. If they are not, means that the diagnoses are tied more to the situation than the patients.…

    • 569 Words
    • 3 Pages
    Good Essays
  • Good Essays

    Rosenhan Article

    • 705 Words
    • 3 Pages

    Rosenhan took eight different type if people for his experiment. There were three psychologists, a pediatrician, a psychiatrist, a painter and a housewife. Three of them were woman, five of them men. All were in perfect mental health. In all of the cases, their presence was not known to the faculty of the hospitals. In order to generalize the findings into a variety they were all placed in different hospitals. "The 12 hospitals in the sample were located in five different states on the East and West coasts. Some were old and shabby some were quiet new. Some were research-oriented, others not. Some had good staff-patient ratios, others were quiet understaffed. Only one was a strictly private hospital. All of the others were supported by state and federal funds or, in one instance, by university funds." They all came "complaining that he had been hearing voices". After they were admitted "the pseudo patient ceased simulating any symptoms of abnormality". They all acted like they would regularly. Over all, they stayed at the hospitals for a total of 129 days. While they were at the hospitals they acted as they would usually do. While they were there, they would write down every thing they would see/be done to them. They tried to show that they are completely sane, but were not believed.…

    • 705 Words
    • 3 Pages
    Good Essays
  • Better Essays

    Assessment and Diagnosis

    • 1610 Words
    • 7 Pages

    Pertussis, also known as the “whooping cough”, is a highly contagious respiratory illness that is passed from person to person through coughing and sneezing (Gregory, 2013). Early symptoms are similar to those from common colds, but when Pertussis progresses, it can turn to deep cough and potentially vomiting with little or no fever. It is caused by the bacterium Bordetella pertussis. The disease can be very serious in children less than 1 year of age where it can cause lung infections and, less often, seizures or inflammation of the brain. In rare cases, pertussis can result in death, especially in infants (VDH, 2012). The purpose of this investigation is to help people understand the potential risk of having Pertussis, urge people take necessary actions to prevent the disease, and cite recommendations from CDC for health professionals to follow in their work.…

    • 1610 Words
    • 7 Pages
    Better Essays
  • Good Essays

    David Rosenhan is known for the classic, yet controversial study “On Being Sane in Insane Places” of progress within the mental health field. Rosenhan’s study (1973) of eight people with no previous history of mental illness were admitted at various mental hospitals in America and complained of individual symptoms (auditory illusions, e.g., ‘thud’). He investigated whether psychiatrists could distinguish between those genuinely mentally ill and not. Each pseudopatient behaved normally, and symptoms were not re-reported. However, the average length of hospitalisation was 19 days. This shows context has a powerful role in determining how behaviour is labelled. This led to question the truth in psychiatric diagnoses. The predominant issue was unauthorised diagnoses and needless treatments for a fictional mental illness tolerably accepted. Today, it is the difficulty in gaining treatment for real symptoms of mental disorders.…

    • 1470 Words
    • 6 Pages
    Good Essays
  • Good Essays

    It is important to consider both subjective and objective evidences to gain a comprehensive picture of any mental health condition. I am going to demonstrate through examples how parallel considerations can be used by clinicians to gain a full understanding of mental health disorders. Subjective evidence is how the patient interprets the working of his own mind. It includes what he reports about his thoughts and feelings including any uncomfortable sensations or distressing thoughts. Objective evidence on the other hand is measurable. It comprises of any signs of the illness that can be observed by a third person and any abnormality that has a biological basis in the body and can therefore be objectively measured (such as increased heart rate, change of hormones in the blood).…

    • 1015 Words
    • 5 Pages
    Good Essays
  • Satisfactory Essays

    Rosenhan Summary

    • 321 Words
    • 2 Pages

    This study proved the accuracy of which diagnosis can be extremely inaccurate. The psuedo patients were also treated like real patients which relflects of the fact that there is a possibility that normal are falsly diagnosed and are treated based on self-fulfilling prophecies of the nurses and pychiatrists.…

    • 321 Words
    • 2 Pages
    Satisfactory Essays
  • Good Essays

    Although DSM is used by psychiatrists and psychologist worldwide, it has been criticized. Psychologists view the DSM as a very valuable source which has the potential for misuse. When using the DSM criteria, the following things need to be considered: “whether it improves clinical decision making and whether it enhances the clinical outcome for people with psychological disorders.” (Rathus,…

    • 723 Words
    • 3 Pages
    Good Essays
  • Powerful Essays

    Mental Status Examination

    • 1483 Words
    • 6 Pages

    The assessment of a patient who may have a psychiatric disorder has several stages. It is needed to decide whether there is a disorder and if so of what kind, whether the patient is disabled and if so in what way, whether there is danger to the patient or to others, and what sort of person has become ill and what are his social circumstances.…

    • 1483 Words
    • 6 Pages
    Powerful Essays