Issues Related to the Classification and Diagnosis of Schizophrenia Is

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One issue related to the classification and diagnosis of schizophrenia is reliability. This refers to the consistency of a measuring instrument, such as the DSM or ICD that is used when classifying and diagnosing schizophrenia. Reliability can either be measured in terms of inter-rater reliability, which is the extent to which two or more independent assessors give a similar diagnosis, or in terms of test-retest reliability which is the extent to which the tests used to deliver these diagnoses are consistent over time. Although it has been claimed that the DSM (version three) onwards is reliable, evidence shows that the reliability of the DSM is low when assessed by inter- rater reliability. For example Whaley (2001) found only a small positive correlation of +.11 between different raters. This is evidence for low reliability when using the DSM to diagnose schizophrenia. However, test-retest reliability studies have shown positive results. Prescott et al (1986) analysed the test-retest reliability of several measures of attention and information processing in 14 chronic schizophrenics. Performance on these measures was stable over a 6-month period. This shows that there is high test-retest reliability when using these measures of attention and information processing to diagnose schizophrenia. Differences in cultural interpretations also pose a threat to the reliability of the diagnosis of schizophrenia. A research study by Copeland et al (1971) compared 134 US psychiatrists and 194 British psychiatrists in their diagnosis of a patient, and found that 69% of the US psychiatrists diagnosed schizophrenia compared with only 2% of the British psychiatrists. This suggests that there is massive variation between countries and it affects the reliability of diagnosis in schizophrenia. Reliability is also an issue for diagnosis alone. This was raised
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