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Feighner Criteria
The Feighner Criteria are a set of influential psychiatric diagnostic criteria developed at Washington University in St. Louis between the late 1950s to the early 1970s. The criteria are named after a psychiatric paper published in 1972 of which John Feighner was the first listed author. It became the most cited article in psychiatry for some time. The development of the criteria had been led by a trio of psychiatrists working together on the project for a medical model of psychiatric diagnosis since the late 1950s: Eli Robins, Samuel Guze and George Winokur. Fourteen conditions were defined, including primary affective disorders (such as depression), schizophrenia, anxiety neurosis and antisocial personality disorder. The criteria were expanded in the publication of the Research Diagnostic Criteria on which many of the criteria of the American Psychiatric Association's DSM III (1980) were based, which in turn shaped the World Health Organization's ICD manual. "The historical ...
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Psychiatric
Psychiatry is the medical specialty devoted to the diagnosis, prevention, and treatment of mental disorders. These include various maladaptations related to mood, behaviour, cognition, and perceptions. See glossary of psychiatry. Initial psychiatric assessment of a person typically begins with a case history and mental status examination. Physical examinations and psychological tests may be conducted. On occasion, neuroimaging or other neurophysiological techniques are used. Mental disorders are often diagnosed in accordance with clinical concepts listed in diagnostic manuals such as the ''International Classification of Diseases'' (ICD), edited and used by the World Health Organization (WHO) and the widely used ''Diagnostic and Statistical Manual of Mental Disorders'' (DSM), published by the American Psychiatric Association (APA). The fifth edition of the DSM (DSM-5) was published in May 2013 which re-organized the larger categories of various diseases and expanded upon the pre ...
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Washington University In St
Washington commonly refers to: * Washington (state), United States * Washington, D.C., the capital of the United States ** A metonym for the federal government of the United States ** Washington metropolitan area, the metropolitan area centered on Washington, D.C. * George Washington George Washington (February 22, 1732, 1799) was an American military officer, statesman, and Founding Father who served as the first president of the United States from 1789 to 1797. Appointed by the Continental Congress as commander of th ... (1732–1799), the first president of the United States Washington may also refer to: Places England * Washington, Tyne and Wear, a town in the City of Sunderland metropolitan borough ** Washington Old Hall, ancestral home of the family of George Washington * Washington, West Sussex, a village and civil parish Greenland * Cape Washington, Greenland * Washington Land Philippines *New Washington, Aklan, a municipality *Washington, a barangay in Catar ...
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Medical Model
''Medical model'' is the term coined by psychiatrist R. D. Laing in his ''The Politics of the Family and Other Essays'' (1971), for the "set of procedures in which all doctors are trained". It includes complaint, history, physical examination, ancillary tests if needed, diagnosis, treatment, and prognosis with and without treatment. The medical model embodies basic assumptions about medicine that drive research and theorizing about physical or psychological difficulties on a basis of causation and remediation. It can be contrasted with other models that make different basic assumptions. Examples include holistic model of the alternative health movement and the social model of the disability rights movement, as well as to biopsychosocial and recovery models of mental disorders. For example, Gregory Bateson's double bind theory of schizophrenia focuses on environmental rather than medical causes. These models are not mutually exclusive. A model is not a statement of abso ...
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Eli Robins
Eli Robins (1921 Texas – 1994 Washington) was an American psychiatrist who played a pivotal role in establishing the way mental disorders are researched and diagnosed today. Early career Robins finished his medical training and residencies at Harvard, where he worked under biologically-oriented psychiatrist Mandel E. Cohen who would greatly influence his career and with whom he first developed ideas about operational definitions for psychiatric conditions (the theory of operationalization having been recently advanced by Harvard physicist and philosopher of science Percy Williams Bridgman). Robins rejected the then dominant psychoanalysis, having personally undergone it for a year as was the norm in training, describing it as 'silly' (he also had a relative who committed suicide at Harvard-affiliated McLean Hospital while being treated with psychoanalytic methods).
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Samuel Guze
Samuel Barry Guze (October 18, 1923 – July 19, 2000) was an American psychiatrist, medical educator, and researcher. A graduate of City College of New York and Washington University School of Medicine, he was an influential psychiatrist. He worked at the Washington University School of Medicine in St. Louis for most of his career.Fatemi; Clayton, p.738 In addition to twice serving as department chair, he led the School of Medicine as Vice Chancellor for Medical Affairs (1971-1989). Along with Eli Robins, George Winokur and others, Guze advanced psychiatry by establishing criteria for diagnosis. A short paper by Guze and Robins contained a discussion of validity from a medical perspective. and came up with five phases of research that demonstrated that a diagnostic concept represented a disease.Oxford Uni These five phases were: clinical description, laboratory studies, delimitation from other disorders, follow-up studies and family studies. While previously two psychiatris ...
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George Winokur
George Winokur (February 10, 1925 - October 12, 1996) was an American psychiatrist known for seminal contributions to diagnostic criteria and to the classification and genetics of mood disorder. Education He obtained his M.D. degree from the University of Maryland School of Medicine in 1947. He moved to the Washington University School of Medicine in 1954, becoming professor in 1966. In 1971 he moved to head the Department of Psychiatry at the University of Iowa College of Medicine until 1990, remaining as emeritus professor until his death in 1996. Contributions to psychiatry He is known for having played a key role in the development from the 1950s of diagnostic criteria for mental disorders, particularly as a trio alongside Eli Robins and Samuel Guze. The proposals were influentially published as the so-called Feighner Criteria in 1972, which became the most cited article in psychiatry and shaped the Research Diagnostic Criteria and DSM-III of the American Psychiatric As ...
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Schizophrenia
Schizophrenia is a mental disorder characterized by continuous or relapsing episodes of psychosis. Major symptoms include hallucinations (typically hearing voices), delusions, and disorganized thinking. Other symptoms include social withdrawal, decreased emotional expression, and apathy. Symptoms typically develop gradually, begin during young adulthood, and in many cases never become resolved. There is no objective diagnostic test; diagnosis is based on observed behavior, a history that includes the person's reported experiences, and reports of others familiar with the person. To be diagnosed with schizophrenia, symptoms and functional impairment need to be present for six months (DSM-5) or one month (ICD-11). Many people with schizophrenia have other mental disorders, especially substance use disorders, depressive disorders, anxiety disorders, and obsessive–compulsive disorder. About 0.3% to 0.7% of people are diagnosed with schizophrenia during their lifetime. In 2 ...
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Anxiety Disorder
Anxiety disorders are a cluster of mental disorders characterized by significant and uncontrollable feelings of anxiety and fear such that a person's social, occupational, and personal function are significantly impaired. Anxiety may cause physical and cognitive symptoms, such as restlessness, irritability, easy fatiguability, difficulty concentrating, increased heart rate, chest pain, abdominal pain, and a variety of other symptoms that may vary based on the individual. In casual discourse, the words ''anxiety'' and ''fear'' are often used interchangeably. In clinical usage, they have distinct meanings: anxiety is defined as an unpleasant emotional state for which the cause is either not readily identified or perceived to be uncontrollable or unavoidable, whereas fear is an emotional and physiological response to a recognized external threat. The umbrella term ''anxiety disorder'' refers to a number of specific disorders that include fears (phobias) or anxiety symptoms. There a ...
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Antisocial Personality Disorder
Antisocial personality disorder (ASPD or infrequently APD) is a personality disorder characterized by a long-term pattern of disregard of, or violation of, the rights of others as well as a difficulty sustaining long-term relationships. Lack of empathy is often apparent, as well as a history of rule-breaking that can sometimes include law-breaking, a tendency towards substance abuse, and impulsive and aggressive behavior. Antisocial behaviors often have their onset before the age of 8, and in nearly 80% of ASPD cases, the subject will develop their first symptoms by age 11. The prevalence of ASPD peaks in people age 24 to 44 years old, and often decreases in people age 45 to 64 years. In the United States, the rate of antisocial personality disorder in the general population is estimated between 0.5 and 3.5 percent. In a study, a random sampling of 320 newly incarcerated offenders found ASPD was present in over 35 percent of those surveyed. Personality disorders are a class o ...
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Research Diagnostic Criteria
The Research Diagnostic Criteria (RDC) are a collection of influential psychiatric diagnostic criteria published in late 1970s under auspices of Statistics Section NY Psychiatric Institute, authors were Spitzer, R L; Endicott J; Robins E. PMID 1153649.Spitzer RL, Robins E (1978)Research diagnostic criteria: rationale and reliabilityArchives of General Psychiatry, vol. 35, no6, pp. 773–82 As psychiatric diagnoses widely varied especially between the US and Europe, the purpose of the criteria was to allow diagnoses to be consistent in psychiatric research. Some of the criteria were based on the earlier Feighner Criteria, although many new disorders were included; "The historical record shows that the small group of individuals who created the Feighner criteria instigated a paradigm shift that has had profound effects on the course of American and, ultimately, world psychiatry."
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American Psychiatric Association
The American Psychiatric Association (APA) is the main professional organization of psychiatrists and trainee psychiatrists in the United States, and the largest psychiatric organization in the world. It has more than 37,000 members are involved in psychiatric practice, research, and academia representing a diverse population of patients in more than 100 countries. The association publishes various journals and pamphlets, as well as the ''Diagnostic and Statistical Manual of Mental Disorders'' (DSM). The DSM codifies psychiatric conditions and is used mostly in the United States as a guide for diagnosing mental disorders. The organization has its headquarters in Washington, DC. History At a meeting in 1844 in Philadelphia, thirteen superintendents and organizers of insane asylums and hospitals formed the Association of Medical Superintendents of American Institutions for the Insane (AMSAII). The group included Thomas Kirkbride, creator of the asylum model which was used thr ...
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DSM III
The ''Diagnostic and Statistical Manual of Mental Disorders'' (DSM; latest edition: DSM-5-TR, published in March 2022) is a publication by the American Psychiatric Association (APA) for the classification of mental disorders using a common language and standard criteria and is the main book for the diagnosis and treatment of mental disorders in the United States and is considered one of the "Bibles" of psychiatry along with the ICD, CCMD and the Psychodynamic Diagnostic Manual. It is usedmainly in the United Statesby researchers, psychiatric drug regulation agencies, health insurance companies, pharmaceutical companies, the legal system, and policymakers. Mental health professionals use the manual to determine and help communicate a patient's diagnosis after an evaluation. Hospitals, clinics, and insurance companies in the United States may require a DSM diagnosis for all patients with mental disorders. Health-care researchers use the DSM to categorize patients for research pur ...
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