January 1967

Psychhiatrists' Reliability in Judging Ego Function

Author Affiliations

From the Department of Psychiatry, University of Florida, Gainesville.

Arch Gen Psychiatry. 1967;16(1):48-55. doi:10.1001/archpsyc.1967.01730190050006

THE PROBLEM of diagnosis has been a difficult one in child psychiatry for many years, or, in fact, throughout the history of child psychiatry. It is the purpose of this paper to show thata clinical appraisal of a child is not as unreliable as one would Surmise when the issue is judged only from the point of view of diagnosis. In other words, the authors contend that two child psychiatrists looking at the same child will describe him under very different diagnostic labels, but will arrive at judgment of the presence or absence and the severity of illness in some sort of uniform way. Further, it is contended that despite training in different centers and in different parts of the country, similarity of thought exists. If such similarity of thought exists, on what is it based.? What do we look at as we evaluate a child.? We

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