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1 Research Worker, Medical Research Council Social Psychiatry Unit, Institute of Psychiatry; Honorary Senior Lecturer, Institute of Psychiatry, De Crespigny Park, Denmark Hill, London, SE5 8AF
The reliability exercises that formed part of the International Pilot Study of Schizophrenia were used to explore any possible differences between psychiatrists from the various centres in the way they perceived patients' verbal expression of emotion. It was found that psychiatrists from developed centres agreed with psychiatrists from developing centres in their perception of the degree of emotional differentiation shown by patients from developed centres. However their ratings of patients from developing centres indicated a significant disagreement. Psychiatrists from developing centres saw these patients as exhibiting a relatively low degree of emotional differentiation, whereas their colleagues from developed centres rated them significantly higher in this respect. The possible reasons for this disagreement are discussed and it is concluded that the assessment by the developing centre psychiatrists is more likely to be accurate.
Submitted on November 30, 1973
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