Summary
The evidence presented suggests that while there are large differences in the diagnostic practices of psychiatrists trained in the United States and Great Britain and Ireland that in general psychiatrists trained in Britain and Ireland diagnose similarly. Some evidence is also presented suggesting that these trans-atlantic differences may be reduced, at least in the short time, by medical education.
The overall similarities in diagnostic habits of psychiatrists working in Ireland and Great Britain as well as between Irish trained and British trained psychiatrists emphasize the importance of investigating further the differences in diagnostic statistics generated by mental hospitals in Ireland and England and Wales.
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References
commission of Enquiry on Mental Illness, 1966. Report Stationary Office, Dublin. p. 24.
Cooper, J. E., Kendell, R. E., Gurland, B. J., Sharpe, L. and Copeland, J. R. M. 1972. Psychiatric Diagnosis in New York and London. Oxford University Press. p. 28.
Copeland, J. R. M., Cooper, J. E., Kendell, R. E. and Gourlay, A. J. 1971. Differences in usage of diagnostic labels amongst psychiatrists in the British Isles. Brit. J. Psych. 118, 629.
Copeland, J. R. M., Kelleher, M. J., Kellett, J. M., Fountain-Gourlay, A. J., Cowan, D. W., Barron, G., De Gruchy, J., Gurland, B. J., Sharpe, L., Simon, R., Kuriansky, J. and Stiller, P. 1974. Cross national study of diagnosis of the mental disorders: a comparison of the diagnosis of elderly psychiatric patients admitted to mental hospitals serving Queen’s County, New York and the Old Borough of Camberwell, London. Brit. J. Psych. (in press).
Dawson, W. R. 1911. The relationship between the geographic distribution of insanity and that of certain social and other conditions in Ireland. Jour. Ment. Sci. 57, 571.
Glossary of Mental Disorders. 1968. London. London General Register Office.
Hammer, M. and Leacock, E. 1961. Source material on the epidemiology of mental illness. Field Studies in the Mental Disorders, New York. p. 418.
Kelleher, M. J. 1972. Cross-national differences in obsessional symptoms and traits of personality. Psychol. Med. 2, 23.
Kelleher, M. J. 1975. The effects of post-graduate teaching on psychiatrists’-in-training perception of mental abnormality: a videotape follow-up study. Brit. J. Psychiat. (in press).
Kelleher, M. J. and Copeland, J. R. M. 1973. Psychiatric diagnosis in Cork and London. J. Irish Med. Assoc. 66, 553.
Kelleher, M. J. and Copeland, J. R. M. 1974. Psychiatric diagnosis in Ireland: a video tape study. J. Irish Med. Assoc. 67, 87.
Kelleher, M. J., Gardner, R., Harwin, B. J. and Copeland, J. R. M. 1974. The influence of teaching on the observation of psychopathology by medical undergraduates. The results of a videotape teaching experiment. Brit. J. Med. Educ. (in press).
Kendell, R. E. 1973. The influence of the 1968 glossary on the diagnoses of England psychiatrists. Brit. J. Psych. 123, 527.
Kendell, R. E., Cooper, J. E., Gourlay, A. J., Copeland, J. R. M., Sharpe, L. and Gurland, B. J. 1971. Diagnostic criteria of American and British psychiatrists. Arch. Gen. Psych. 25, 123.
Lorr, M. and Klett, C. J. 1967. Inpatient Multidimensional Psychiatric Scale. Palo Alto, California. Consulting Psychologists’ Press.
Medico-Social Research Board. 1972. Annual Report. Dublin. p. 30.
O’Hare, A. and Walsh, D. 1973. Activities of Irish psychiatric hospitals and units. Report issued by Medico-Social Research Board, Dublin. p. 117.
Scadding, J. G. 1967. Diagnosis: the clinician and the computer. Lancet ii, 877.
Sharpe, L., Gurland, B. J., Fleiss, J. L., Kendell, R. E., Cooper, J. E. and Copeland, J. R. M. 1974. Some comparisons of American, Canadian and British psychiatrists in their diagnostic concepts. Canad. J. Psych. (in press).
Spitzer, R. L., Fleiss, J. L., Burdock, E. I. and Hardesty, A. S. 1964. The mental status schedule: rationale, reliability and validity. Comprehensive Psych. 5, 384.
Walsh, D. 1968. Hospitalized psychiatric morbidity in the Republic of Ireland. Brit. J. Psych. 114, 11.
Walsh, D. 1971. The 1963 Irish psychiatric hospital census. Dublin, Medico-Social Research Board, p. 15.
Walsh, D. and Walsh, B. 1968. Some influences on the inter-county variation in Irish psychiatric hospital admissions. Brit. J. Psych. 114, 15.
Walsh, D. and Walsh, B. 1970. Mental illness in the Republic of Ireland—first admissions. J. Irish med. Assoc. 30, 400.
Wing, J. K., Birley, J. L. T., Cooper, J. E., Grapham, P. and Isaacs, A. D. 1967. Reliability of a procedure for measuring present psychiatric state. Brit. J. Psych. 113, 499.
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Kelleher, M.J. The relevance of diagnosis to the epidemiology and teaching of psychiatry. IJMS 144, 49–54 (1975). https://doi.org/10.1007/BF02938990
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DOI: https://doi.org/10.1007/BF02938990