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Amos Welner, MD; Jay L. Liss, MD; Eli Robins, MD

Arch Gen Psychiatry. 1974;31(2):193-196.

Abstract
We believe that a systematic approach, using diagnostic classification by criteria, enhances psychiatric research that, in turn, leads to an increase in accuracy of that classification. Also, using diagnostic criteria to arrive at a psychiatric diagnosis serves as a safeguard against bias in diagnostic impression when a major psychiatric symptom dominates the clinical picture.

Some of the conclusions arrived at by our studies were the following: (1) Most patients whose conditions were undiagnosed by clinical impression were diagnosed when systematically studied, using criteria for diagnostic classification; and (2) With the exception of antisocial personality, we could not classify personality disorders by criteria; rather, most of these patients met the criteria for one or more psychiatric disorders.

Author Affiliations
From the Department of Psychiatry, Washington University School of Medicine, St. Louis.

Footnotes
Accepted for publication March 29, 1974.

Reprint requests to the Department of Psychiatry, Washington University, Barnes and Renard Hospitals, 4940 Audubon Ave, St. Louis, MO 63110 (Dr. Welner).

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