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  • For example, the Beck Depression Inventory is a how much viagra on nhs psychotherapy assessment instrument that does not have adequate specificity when used in the care or study of hospitalized patients with depressive illness. Clinician-generated scales are also helpful, the clinician listing and rating the features identified in the initial examination, and then periodically re-assessing the patient using that list. The Hamilton Depression Rating Scale is a better scale for use in patients with severe depression, but it is a severity scale, not a diagnostic scale, and should not be used to distinguish subgroups of depressed patients.

    Their structured approach is interpersonally robotic, and ignores most of the examination principles covered in this text.12 Because symptom rating scales are used clinically to assess severity and symptom change during treatment, all trainees should be experienced with the content and use of the commonly employed scales to help shape their skills in the systematic and objective assessment of their patients. Some specific scales are briefly discussed in the end notes.6 Structured examination instruments such as the Schedule for Affective Disorders and Schizophrenia (SADS) permit the collection of large amounts of information for research purposes by relatively unskilled interviewers. Whether applied to clinical assessment or in research, a rating scale’s designed purpose should determine its use.

    Examination style, structure, and technique of the phenomena covered in this text. The instruments, however, are unwieldy for clinical use and cover limited psychopathology.

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    (1989). Prefrontal neuronal activity in rhesus monkeys performing a delayed anti-saccade task. Nature, 435, 853–806. S.