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Neurotic and Thyrotoxic Anxiety: Clinical, Psychological and Physiological Measurements

Published online by Cambridge University Press:  29 January 2018

Steven Greer
Affiliation:
Department of Psychological Medicine and Medical Unit, King's College Hospital, London, S.E.5
Ian Ramsay
Affiliation:
Department of Medicine, King's College Hospital Medical School, London, S.E.5; now Consultant Physician, Regional Endocrine Centre, North Middlesex Hospital, London, N.18
Christopher Bagley
Affiliation:
Centre for Social Research, University of Sussex, Falmer, Brighton

Extract

Among the various methods of assessing morbid anxiety the psychiatric interview remains pre-eminent. By this means, we attempt to elicit what patients actually feel—the criterion against which all other measurements are validated. Dissatisfaction with the subjective nature of psychiatric interviews and with their low reliability (Cattell and Scheier, 1958; Kreitman, Sainsbury, Morrissey, Towers, and Scrivener, 1961) has led, on the one hand, to the use of rating scales which quantify subjective clinical judgements (Kellner, Kelly and Sheffield, 1968), and, on the other, to the development of techniques which purport to measure anxiety objectively. The latter fall into two broad categories: (i) questionnaires such as the Manifest Anxiety Scale (Taylor, 1953) and the IPAT Anxiety Scale (Cattell and Scheier, 1963), and (ii) measurements of somatic correlates of anxiety, in particular the various endocrine and physiological responses reviewed by Mason (1968) and Lader (1969), respectively.

Type
Research Article
Copyright
Copyright © Royal College of Psychiatrists, 1973 

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