caa a22 4500 386353913 CHVBK 20180307111844.0 cr unu---uuuuu 161130e198902 xx s 000 0 eng 10.1017/S0033291700011028 doi S0033291700011028 pii (NATIONALLICENCE)cambridge-10.1017/S0033291700011028 Robins Lee N. Department of Psychiatry, Washington University School of Medicine, St. Louis, MO, USA Diagnostic grammar and assessment: translating criteria into questions [Elektronische Daten] [Lee N. Robins] There has been concern about whether standardized psychiatric interviews make valid diagnoses. Agreements between the Diagnostic Interview Schedule (DIS), as an example of a standardized interview, with independent assessments by a clinician are reasonably high in most studies, but the clinical assessment is itself of uncertain validity. Using predictive ability is an alternative way of judging validity. Data are presented to show that the DIS is almost as good at prediction as a clinician's assessment, but here too there are problems. Because prediction is probabilistic (i.e. the same disorder can have multiple outcomes, and different disorders can share outcomes), it is not possible to say how good prediction has to be to demonstrate perfect validity. Across varied methods of validity assessment, some disorders are regularly found more validly diagnosed than others, suggesting that part of the source of invalidity lies in the diagnostic grammar of the systems whose criteria standardized interviews evaluate. Sources of invalidity inherent in the content and structure of a variety of diagnoses in DSM-III and its heir, DSM-III-R, are reviewed and illustrated, in part with results from the Epidemiological Catchment Area study. The relationship between diagnostic criteria and standardized interviews is symbiotic. While attempts to adhere closely to existing diagnostic criteria contribute to the diagnostic accuracy of standardized interviews, the exercise of translating official diagnostic criteria into standardized questions highlights problems in the system's diagnostic grammar, enabling standardized interviews to contribute to improvements in diagnostic nosology. Copyright © Cambridge University Press 1989 Psychological Medicine Cambridge University Press 19/1(1989-02), 57-68 0033-2917 19:1<57 1989 19 PSM https://doi.org/10.1017/S0033291700011028 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1017/S0033291700011028 text/html Onlinezugriff via DOI NATIONALLICENCE 100 1- Robins Lee N. Department of Psychiatry, Washington University School of Medicine, St. Louis, MO, USA NATIONALLICENCE 773 0- Psychological Medicine Cambridge University Press 19/1(1989-02), 57-68 0033-2917 19:1<57 1989 19 PSM CC0 http://creativecommons.org/publicdomain/zero/1.0 nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-cambridge