0
Get Alert
Please Wait... Processing your request... Please Wait.
You must sign in to sign-up for alerts.

Please confirm that your email address is correct, so you can successfully receive this alert.

Article   |    
A STUDY OF THE DIAGNOSES IN CASES SEEN AT THE PSYCHOPATHIC DEPARTMENT AND HOSPITAL DEPARTMENT OF THE BOSTON STATE HOSPITAL
LAWSON G. LOWREY
Am J Psychiatry 1921;77:437-449.
View Author and Article Information

Harvard Medical School; Psychopathic Department Boston State Hospital

text A A A
PDF of the full text article.
Abstract

1. Forty per cent of the yearly admissions to the Psychopathic Department are committed to some one of the state hospitals.2. In 1203 cases we have ascertained the diagnosis made by the other institution, together with notes concerning the condition of the patient.3. An average of 6 per cent of cases receive no diagnosis at the Psychopathic. Excluding these, the diagnoses of other institutions agree with ours in 83 per cent of cases.4. Of the transferred cases, 41.6 per cent received a diagnosis of dementia precox—the other institutions agreeing in 89 per cent; 13.3 per cent were diagnosed manic depressive, with agreement of 82 per cent; and 13 per cent were cases of all forms of neurosyphilis, with agreement in 98 per cent.5. In 8 per cent of the cases the other institution disagreed on first or second report, but eventually made a diagnosis agreeing with ours.6. Accordingly "general impressions" of our diagnostic errors are not borne out by these figures.7. Thirty-nine per cent of the transfers were to the Hospital Department of the Boston State Hospital.8. Excluding 31 unclassified cases, the hospital staff agreed with us in 84 per cent of cases, although in 50 cases they did not at first do so.9. The common causes of errors in diagnosis are: (1) insufficient data, either of history or observation; (2) too great stress on one or two symptoms, particularly certain spinal fluid findings; (3) insufficient stressing of important symptoms; (4) multiplicity of signs; (5) changes in general picture of psychosis; (6) failures of interpretation.10. The necessity for complete analysis from every possible angle is accordingly emphasized, as well as the necessity for careful and orderly interpretation of the data when procured.11. Extensive and intensive consideration of the individual case is the great desideratum.12. Since, with a good working technique, diagnoses can be so easily determined in all except the unusual cases, we can pay more attention to treatment than is now usually the case; at the same time bringing to bear on each case all modern methods, laboratory or other, which will aid in understanding the processes of disease.

Abstract Teaser
Figures in this Article

Your Session has timed out. Please sign back in to continue.
Sign In Your Session has timed out. Please sign back in to continue.
Sign In to Access Full Content
 
Username
Password
Sign in via Athens (What is this?)
Athens is a service for single sign-on which enables access to all of an institution's subscriptions on- or off-site.
Not a subscriber?

Subscribe Now/Learn More

PsychiatryOnline subscription options offer access to the DSM-5 library, books, journals, CME, and patient resources. This all-in-one virtual library provides psychiatrists and mental health professionals with key resources for diagnosis, treatment, research, and professional development.

Need more help? PsychiatryOnline Customer Service may be reached by emailing PsychiatryOnline@psych.org or by calling 800-368-5777 (in the U.S.) or 703-907-7322 (outside the U.S.).

+

References

+
+

CME Activity

There is currently no quiz available for this resource. Please click here to go to the CME page to find another.
Submit a Comments
Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
Comments are moderated and will appear on the site at the discertion of APA editorial staff.

* = Required Field
(if multiple authors, separate names by comma)
Example: John Doe



Related Content
Articles
Books
The American Psychiatric Publishing Textbook of Substance Abuse Treatment, 4th Edition > Chapter 38.  >
Gabbard's Treatments of Psychiatric Disorders, 4th Edition > Chapter 22.  >
Gabbard's Treatments of Psychiatric Disorders, 4th Edition > Chapter 22.  >
The American Psychiatric Publishing Textbook of Psychopharmacology, 4th Edition > Chapter 27.  >
Gabbard's Treatments of Psychiatric Disorders, 4th Edition > Chapter 34.  >
Topic Collections
Psychiatric News
PubMed Articles