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Large-scale collaborative studies on diagnosis 

Large-scale collaborative studies on diagnosis
Large-scale collaborative studies on diagnosis

John E. Cooper

and Norman Sartorius

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date: 23 January 2019

The methods of interviewing and diagnosis just described in Chapter 2 made possible two large-scale collaborative projects on diagnosis. The first was the cross-national US/UK Diagnostic Project between London and New York, and the second, which overlapped in time, was the set of international educational and investigative programmes A,B,C, and D of the WHO. Using the PSE and the Diagno computer program of the MSS, plus the Glossary to ICD-8, The US/UK Diagnostic Project demonstrated that the much larger mental hospital admission rates for schizophrenia in New York were due to differences between the diagnostic concepts of the hospital psychiatrists rather than differences in the clinical states of the patients. Programme A of the WHO was a set of international seminars aimed at providing a basis for the forthcoming chapter V of ICD-9. Programme B was to test whether interviewing and rating methods, such as the PSE, could be translated and used in different cultures; this test took the form of setting up a network of Field Research Centres as a basis for the International Pilot Study of Schizophrenia(IPSS), carried out in Denmark, Columbia, Chekoslovakia, India, London, Moscow and Washington. Assuming that Programme B was successful, Programme C was planned to be an epidemiologically based international collaborative study on severe mental disorders; the Determinants of Outcome of severe Mental Disorders (DOSMED) study was the eventual result. Programme D was a long- term project aimed at the training and education of mental health workers in different countries in methods of epidemiological research

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