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Content Reliability Of a Structured Psychiatric Interview
IVER F. SMALL, MD;
JOYCE G. SMALL, MD;
RAMON GONZALEZ C., MD;
MALCOLM D. GYNTHER, PhD
Arch Gen Psychiatry. 1964;11(2):192-196.
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Introduction
The clinical history obtained from the patient and his family furnishes the essential information for psychiatric diagnosis, evaluation, and treatment planning. Moreover the interview is regarded by many as a therapeutic process, which, when skillfully employed, may guide the examiner to an understanding of the significant dynamics and conflicts of the patient. Information derived from interview sources is also widely utilized in research and is assumed to possess sufficient reliability to be meaningful for scientific purposes.
However, several studies have shown that the patient's account of his illness, symptoms, and past history is often contradictory..4,7,15,16 Further, in the usual clinical situation, individual physicians tend to ask different questions in their own personal style, to emphasize various topics unequally, and to record information in idiosyncratic ways.2,10,13 These practices have compounded the difficulties in the understanding of patients, the interpretation
. . . [Full Text PDF of this Article]
Author Affiliations
ST. LOUIS
Assistant Professor of Psychiatry (Dr. I. F. Small); Assistant Professor of Psychiatry (Dr. J. G. Small); Fellow in Psychiatry (Dr. Gonzalez); and Assistant Professor of Medical Psychology (Dr. Gynther), Department of Psychiatry, Washington University School of Medicine.
Footnotes
Submitted for publication Jan 20, 1964.
This research supported in part by each of the following USPHS grants: MH 04667; MH 07140 and Graduate Training Grant MH 5804.
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