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A Technique for Evaluating Psychopathology and Impairment in Role Functioning

Robert L. Spitzer, MD; Jean Endicott, PhD; Joseph L. Fleiss, PhD; Jacob Cohen, PhD

Arch Gen Psychiatry. 1970;23(1):41-55.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

THE numerous rating scales, inventories, and forms developed over the last two decades for evaluating psychiatric patients are designed primarily for detecting and recording psychopathological signs and symptoms appropriate for the evaluation of inpatients, and consequently give little, if any, attention to impairment in role functioning. Furthermore, the existing instruments generally do not assess alcoholism, drug addiction, and psychopathic behavior, although individuals with disturbances in these areas represent a significant portion of the patients now being seen at community mental health centers. This lack of coverage of both role functioning and addictive or psychopathic behavior in the more commonly used rating scales also limits their usefulness in epidemiological studies.

This paper describes the second edition of the Psychiatric Status Schedule (PSS), an instrument designed to overcome these limitations. Previous papers have described the use of the first edition in a computer program for psychiatric diagnosis, DIAGNO I,¹ and . . . [Full Text PDF of this Article]

Author Affiliations
New York

From the Evaluation Section, Biometrics Research, New York State Department of Mental Hygiene (Drs. Spitzer, Endicott, Fleiss, and Cohen); the New York State Psychiatric Institute, Department of Psychiatry, Columbia University (Drs. Spitzer, Endicott, and Fleiss); and the Department of Psychology, New York University (Dr. Cohen), New York.

Footnotes
Submitted for publication Sept 12, 1969.

Reprint requests to 722 W 168th St, New York 10032 (Dr. Spitzer).

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