Deciding how to treat – the relevance of psychiatric diagnosis

Paul R Williams

24 citations0/0 files storedPsychological Medicine

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Mental Health and Psychiatry Psychology and Mental Health Clinical Reasoning and Diagnostic Skills

Abstract

SYNOPSIS A distinction is drawn between ‘diagnostic decisions’ and ‘management (or treatment) decisions’, and a model for the process of making a management decision is suggested. Evidence is reviewed which suggests that psychiatric diagnosis does not strongly predict treatment, and an extension of diagnosis, the problem oriented approach, is advocated.

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References

1966Psychiatric illness in general practice 1966Target Complaints as Criteria of Improvement 1965Behavioral Analysis 1969Determinants of the Decision for Psychiatric Hospitalization 1960Psychiatric Morbidity in a London General Practice 1973Hidden Conceptual Models in Clinical Psychiatry 1966Psychiatric illness in general practice 1966Models of Madness

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