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The American Journal of Psychiatry, VOL. 126, No. 2

Articles | August 01, 1969

Similarities and Differences in Patient Evaluation by U. S. and U. K. Psychiatrists

MYRON G. SANDIFER; ANTHONY HORDERN; GERALD C. TIMBURY; LINDA M. GREEN

Am J Psychiatry 1969;126:206-212.

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Professor of psychiatry and associate dean for academic affairs, University of Kentucky College of Medicine, Lexington, Ky. 40506

Consultant psychiatrist, King's College Hospital, Denmark Hill, London, England

Consultant psychiatrist and physician superintendent, Gartnavel Royal Hospital, Glasgow, Scotland

Associate, North Carolina Department of Mental Health

1970, American Psychiatric Association

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Abstract

Comparisons were made between evaluations of 23 U. S. patients by 33 U. S. psychiatrists and eight U. K. psychiatrists. The most striking finding was that the U. S. psychiatrists reported almost twice as many symptoms as the U. K. group. Two possible explanations are offered. Also, the U. K. psychiatrists tended to report more symptoms that "overshoot the mark" such as elation, while reporting much less underactivity (dependence, indecisiveness) than did U. S. psychiatrists.

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