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Luis R. Marcos, MD; Leonel Urcuyo, MD; Martin Kesselman, MD; Murray Alpert, PhD

Arch Gen Psychiatry. 1973;29(5):655-659.

Abstract
We have previously demonstrated that Spanish-speaking schizophrenic patients interviewed in English are judged by experienced raters as significantly more psychopathological than when interviewed in their native tongue. In this study behavior in the two interview situations was compared directly.

Compared to the parallel Spanish-language situation, patients interviewed in English demonstrated more content indicative of psychopathology, more frequent misunderstandings of the interviewer, briefer responses, and a significantly higher frequency of speech disturbances previously shown to be associated with anxiety. They tended to speak more slowly and with longer silent periods, characteristics associated with depression. Unless he is aware of these features, the clinician may interpret them as reflecting increased psychopathology.

Author Affiliations
New York

From the Department of Psychiatry, New York University Medical School, New York City.

Footnotes
Accepted for publication May 22, 1973.

Reprint requests to Department of Psychiatry, State University of New York, Downstate Medical Center, Box 88, 450 Clarkson Ave, Brooklyn, NYC 11203 (Dr. Marcos).

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