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I. Description, Rationale, and Development

Barry J. Gurland, MRCP, DPM; Neil J. Yorkston, MRACP; Anthony R. Stone, PhD; Jerome D. Frank, MD, PhD; Joseph L. Fleiss, PhD

Arch Gen Psychiatry. 1972;27(2):259-264.

Abstract
The Structured and Scaled Interview to Assess Maladjustment (SSIAM) is described, together with its rationale and development. The SSIAM contains questions by which a trained interviewer gathers evidence of maladjustment, and corresponding scales on which to rate this evidence. The interview, which takes about half an hour, has 45 items to assess deviant behavior, friction with others, and subjective distress, within five fields of maladjustment: work, social, family, marriage, and sex. A further 15 items cover the degree of environmental stress, prognostic issues, and aspects of positive mental health.

Author Affiliations
New York; Philadelphia; Baltimore; New York

From Biometrics Research, New York State Department of Mental Hygiene, New York (Drs. Gurland and Fleiss); Department of Psychiatry, Temple University, Philadelphia (Dr. Yorkston); and the Psychotherapy Research Unit, Henry Phipps Clinic, Baltimore (Drs. Stone and Frank). Dr. Yorkston is currently at the University of Minnesota.

Footnotes
Accepted for publication Nov 29, 1971.

Reprint requests to Biometrics Research, New York State Department of Mental Hygiene, 722 W 168th St, New York 10032 (Dr. Gurland).

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