Abstract To the Editor.— We welcome the comments on our Archives' article of February 1980 (37:209-221, 1980) conveyed by Weissman and Klerman (37:229-230, 1980). Our commentators partially identify several differences, both apparent and real, between us related to matters of nomenclature in psychiatric epidemiology. These differences revolve around (1) questions of historical fact, (2) issues of theory, and (3) critical problems about situationally limited research instruments. History.— In the realm of historical fact, six corrections are in order.1. Weissman and Klerman assert, "Psychiatric epidemiology, along with other fields of mental health research during the immediate post-World War II period, rejected the classic 19th century view of diagnosis and classification associated with Kraepelin and Bleuler, and adopted the view that there was a continuum (or spectrum) from mental health through mental illness." One of the present responders (L.S.) has been a researcher and teacher in academic psychiatry since the issuance of DSM-I References 1. Srole L, Fischer A (eds): Mental Health in the Metropolis , rev ed. New York, New York University Press, 1978, pp 199, 155-160. 2. Langner TS, Michael ST: Life Stress and Mental Health . New York, The Free Press, 1963. 3. Zubin J: Research in clinical diagnosis , in Wolman BB (ed): Clinical Diagnosis of Mental Disorders . New York, Plenum Press Inc, 1978, p 11. 4. Spitzer RL, Endicott J: Medical and mental disorder: Proposed definition and criteria , in Spitzer RL, Klein DF (eds): Critical Issues in Psychiatric Diagnosis . New York, Raven Press, 1978, p 16. 5. National Center for Health Statistics: Conference on Advances in Health Survey Research Methods, publication No. (HRA) 77-3154. Research Proceedings Series, Rockville, Md, Dept of Health and Human Services, 1975, p 9. 6. Sells SB (ed): The Definition and Measurement of Mental Health . Rockville, Md, National Center for Health Statistics, 1968. 7. A Summary of Studies of Interviewing Methodology. Rockville, Md, National Center for Health Statistics, 1977. 8. Bradburn NM, Sudman S: Improving Interview Method and Questionnaire Design . San Francisco, Jossey-Bass Inc Publishers, 1979.
Archives of General Psychiatry – American Medical Association
Published: Dec 1, 1980
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