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Chapter 7. Diagnostic Interviews

Lee Carlisle, M.D.; Jon M. McClellan, M.D.
DOI: 10.1176/appi.books.9781585623921.452882

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The clinical interview remains the primary diagnostic tool for psychiatry. Despite extensive international research efforts, no valid biological markers with clinical utility for classifying psychiatric syndromes have yet been identified. Thus, the diagnostic process remains embedded within consensus-based, criterion-derived categories, using traditional interview and mental status examinations that define traditional medicine.

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FIGURE 7–1. Impact of prevalence rates on predictive value positive and predictive value negative.The predictive value positive (PVP) is the percentage of individuals identified as being a "case" who truly have the disorder. The predictive value negative (PVN) is the percentage of individuals identified as being a "noncase" who truly do not have the disorder. False positives are more likely with disorders that have low prevalence rates in the population. This simulation is based on a population of 1,000 individuals, using an assessment with 95% specificity and 95% sensitivity.
Table Reference Number
TABLE 7–1. Characteristics of structured diagnostic interviews frequently used with children and adolescents

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The process of making a psychiatric diagnosis is fraught with numerous potential biases. Which of the following clinician practices is least likely to result in a biased diagnosis?
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Various diagnostic tools have been developed to enhance the reliability of the information gathered and the diagnosis assignment. Which of the following statements is false?
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The term face validity refers to
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