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A Symptom Rating Scale for Use with Psychotic Patients

A Symptom Rating Scale for Use with Psychotic Patients Abstract Currently the recognition of psychotic illness and the recognition of improvement or recovery from such illness depend prmarily upon ascertaining the presence or absence of psychotic signs and symptoms. When we began a project (Veterans Administration Psychiatric Evaluation Project) involving evaluation of the effectiveness of the treatment of psychotic patients in 12 Veterans Adminstration neuropsychiatrie hospitals, we felt the need for techniques which would make it possible to describe the symptoms of patients in some standard form, to describe change quantitatively, and to make possible prognostic groupings of patients on the basis of their symptoms. Nothing worthy of respect can be accomplished in such a venture without scales or other devices with which different raters can secure a satisfactory level of agreement or reliability. For these purposes a psychotic symptom, no matter how interesting, is of no use as an indicator unless a number of raters can reach reasonable agreement on its absence or its presence and/or degree. References 1. We gratefully express our indebtedness to Drs. Robert Walker, VAH, Brockton, Mass.; Hiram L. Gordon, VAH, Fort Lyon, Colo.; Vito R. Buzzota and Henry Peters, VAH, Jefferson Barracks, M.o.; David Levine, VAH, Lyons, N. J.: Gloria J. Fischer, VAH, Marion, Ind.; Jacob Cohen, VAH, Montrose, N. Y.; Leonard P. Ullmann, VAH, Palo Alto, Calif.; Earl G. Guyer, VAH, Roanoke, Va.; William E. Morris, VAH, Salisbury, N. C.; Robert B. Ellsworth, VAH, Fort Douglas Station, Salt Lake City; Esther C. Toms, VAH, St. Cloud, Minn., and John Lubach, VAH, Topeka, Kan., and the manager and staff of VAH, Jefferson Barracks, for their assistance during this conference. 2. Readers who are particularly interested in Dr. Hester’s derivation of this formula or in the reliability data on all items, including those discarded, may secure them from the Veterans Administration Psychiatric Evaluation Project, 2650 Wisconsin Ave., N. W., Washington 7, D. C. 3. Lorr, M.: Multidimensional Scale for Rating Psychotic Patients: Hospital Form , Veterans Admin. Tech. Bull. pp. 10-507, 1953. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives of General Psychiatry American Medical Association

A Symptom Rating Scale for Use with Psychotic Patients

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References (1)

Publisher
American Medical Association
Copyright
Copyright © 1959 American Medical Association. All Rights Reserved.
ISSN
0375-8532
DOI
10.1001/archpsyc.1959.03590020093008
Publisher site
See Article on Publisher Site

Abstract

Abstract Currently the recognition of psychotic illness and the recognition of improvement or recovery from such illness depend prmarily upon ascertaining the presence or absence of psychotic signs and symptoms. When we began a project (Veterans Administration Psychiatric Evaluation Project) involving evaluation of the effectiveness of the treatment of psychotic patients in 12 Veterans Adminstration neuropsychiatrie hospitals, we felt the need for techniques which would make it possible to describe the symptoms of patients in some standard form, to describe change quantitatively, and to make possible prognostic groupings of patients on the basis of their symptoms. Nothing worthy of respect can be accomplished in such a venture without scales or other devices with which different raters can secure a satisfactory level of agreement or reliability. For these purposes a psychotic symptom, no matter how interesting, is of no use as an indicator unless a number of raters can reach reasonable agreement on its absence or its presence and/or degree. References 1. We gratefully express our indebtedness to Drs. Robert Walker, VAH, Brockton, Mass.; Hiram L. Gordon, VAH, Fort Lyon, Colo.; Vito R. Buzzota and Henry Peters, VAH, Jefferson Barracks, M.o.; David Levine, VAH, Lyons, N. J.: Gloria J. Fischer, VAH, Marion, Ind.; Jacob Cohen, VAH, Montrose, N. Y.; Leonard P. Ullmann, VAH, Palo Alto, Calif.; Earl G. Guyer, VAH, Roanoke, Va.; William E. Morris, VAH, Salisbury, N. C.; Robert B. Ellsworth, VAH, Fort Douglas Station, Salt Lake City; Esther C. Toms, VAH, St. Cloud, Minn., and John Lubach, VAH, Topeka, Kan., and the manager and staff of VAH, Jefferson Barracks, for their assistance during this conference. 2. Readers who are particularly interested in Dr. Hester’s derivation of this formula or in the reliability data on all items, including those discarded, may secure them from the Veterans Administration Psychiatric Evaluation Project, 2650 Wisconsin Ave., N. W., Washington 7, D. C. 3. Lorr, M.: Multidimensional Scale for Rating Psychotic Patients: Hospital Form , Veterans Admin. Tech. Bull. pp. 10-507, 1953.

Journal

A.M.A. Archives of General PsychiatryAmerican Medical Association

Published: Aug 1, 1959

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