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First steps towards international agreement on diagnosis and classification 

First steps towards international agreement on diagnosis and classification
First steps towards international agreement on diagnosis and classification

John E. Cooper

and Norman Sartorius

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date: 24 January 2019

By the time Stengel’s report (noted in the last chapter) was published in 1960, psychiatrists on both sides of the Atlantic had already reacted to the increasing difficulty of communication. They did this by developing glossaries that were systematic descriptions of symptoms that did not rely upon theoretical assumptions or interpretations. The first of these to be published was the UK Glossary of Mental Disorders for ICD-8 (1967), and this led the WHO to produce, after a further period of wide international consultation, the first glossary to chapter V of ICD-8 (1974). During this period, there was a parallel development of standardized and structured interviewing and rating schedules aimed at increasing the inter-rater reliability of the descriptions of symptoms upon which descriptive diagnoses could be based. This happened independently, in the USA (Biometrics Department of Columbia University, New York) in the form of the Mental Status Schedule (MSS), and in London (Institute of Psychiatry, University of London) where the Present State Examination(PSE) was produced.

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