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Naturalistic assessments in psychiatry

  • M.W. Devries, C.D. Kaplan and P.A.E.G. Delespaul


Research in psychiatry could speeden its progress by taking the manifest heterogenity and variability of symptom expression within diagnostic groups more fully into account. Since Kraepelin symptom variation has been recognized to have both biological and environmental roots. If investigated systematically, such variations in illness experience will yield new subtypes that will provide greater insight into the onset, course and vulnerability of mental disorders. Studies ranging from population surveys to the laboratory have demonstrated that psychopathology is not randomly distributed in a population, nor is it constantly present in the lives of individuals. At both the population and the person levels, psychopathology varies with time and place. At the population level, illness processes localize in risk groups, who often reside in specific neighbourhoods or social settings. The individual experience of psychopathology also fluctuates with time, place and culture. This variability requires methods for case detection and treatment planning that take this into account.


Corresponding author

Subdivision of Social Psychiatry and Psychiatric Epidemiology, Academic Psychiatric Center, Maastricht University/ The International Institute for Psycho-Social and Socio-Ecological Research (IPSER), P.O. Box 616, NL-6200 MD Maastricht, the Netherlands


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1.Vries, MW de, ed. The Experience of Psychopathology: Investigating mental Disorders in their natural Settings. Cambridge: Cambridge Univ Press, 1992.
2.Kaplan, CD, Korf, D, Sterk, C. Temporal and social contexts of heroin-using populations. An illustration of the snowball sampling technique. J nerv ment Dis 1987;175:566–74.
3.Krueger, RA, ed. Focus Groups. A practical Guide for applied Research. Newburry Park: California Sage Pubi, 1988.
4.Vries, MW De. Investigating mental disorders in their natural Settings. J nerv ment Dis 1987;175:509–13.
5.Keliam, SG, Rebok, GW. Building developmental etiological theory through epidemiologically based preventive intervention trials. In: McCord, J, Tremblay, RE, eds. Preventing deviant Behavior: Experimental Approaches from Birth to Adolescence. New York: Guilford Press, 1992.
6.Bieleman, B, Díaz, A, Merlo, G, Kaplan, C, eds. Lines across Europe: Nature and Extent of Cocaine use in Barcelona, Rotterdam and Turin. Amsterdam/Lisse: Swets & Zeitlinger, 1993.
7.Mehan, H, Wood, H. The Reality of Ethnomethodology. New York: John Wiley, 1975.
8.Kleinman, A. The Illness Narrative. New York: Basic Books, 1988.
9.Kaplan, CD. Drug craving and drug use in the daily life of heroin addicts. In: Vries, MW De, ed. The Experience of Psychopathology: Investigating mental disorders in their natural settings. Cambridge: Cambridge Univ Press, 1992.
10.Romme, MAJ, ADMAC, Escher. Hearing Voices. Schizophr Bull 1989;15:209–17.
11.Jong, JTVM de, Clark, L, eds. WHO/UNHCR Mental Health Training Manual. Geneva: WHO, 1992.
12.Grund, J-P, Kaplan, CD, Adriaans, NFP. Needle sharing in the Netherlands: An ethnographic analyses. Am J Pubi Health, 1991;81: 1602–07.
13.Baars, HMJ, Kaplan, CD, Manual for the Maastricht Social Network Analysis: Analysis and Description of personal social Network. Maastricht: Unigraphic, Maastricht Univ, 1996.
14.Watters, JK, Biernacki, P. Targeted sampling: Options for the study of hidden populations. Soc Problems, 1989;36:416–30.
15.Frank, O, Snijders, T. Estimating the size of hidden populations using snowball sampling. Paper presented at the third European conference on social network analysis. Munchen, 06 10-13, 1993.
16.Bronfenbrenner, U. The Ecology of human Development. Cambridge (USA): Harvard Univ Press, 1979.
17.Wheeler, L, Reis, H T. Self-recording of everyday life events: Origins, types and uses. J Personal, 1991;59:339–54.
18.Delespaul, PhAEG. Assessing Schizophrenia in daily Life. Maas-tricht:Maastricht Univ Press/Datawyse, 1995.
19.Ericsson, AK, Simon, HA. Protocol Analysis: Verbal Reports and Data. Cambridge, MA:MIT Press, 1985.
20.Barge-Schaapveld, DQCM, Nicolson, NA, Gerritsen van der Hoop, R, DeVries, MW. Changes in daily life experience associated with clinical improvement in depression. J affect Disord, 1995;34:139–54.
21.Vries, MW De. Recontextualizing psychiatry: Toward an ecologically valid mental health research. In: Transcuit Psychiat 1997;34: 185218.


Naturalistic assessments in psychiatry

  • M.W. Devries, C.D. Kaplan and P.A.E.G. Delespaul


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