Consensus judgments of discharge readiness based on paranoid behavior: to what are clinical staff responding?
Background Salinas et al. (J Consult Clin Psychol 4:1029–1039, 2002) found that, contrary to widely held beliefs, paranoid behavior was a positive prognostic indicator for psychiatric inpatients only due to artifactual restrictions on overall level of functioning that result from traditional classif...
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| Veröffentlicht in: | Social Psychiatry and Psychiatric Epidemiology 2008-05, Vol.43 (5), p.380-386 |
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| container_title | Social Psychiatry and Psychiatric Epidemiology |
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| creator | Salinas, Julian A. Paul, Gordon L. Springer, Justin R. |
| description | Background
Salinas et al. (J Consult Clin Psychol 4:1029–1039, 2002) found that, contrary to widely held beliefs, paranoid behavior was a positive prognostic indicator for psychiatric inpatients only due to artifactual restrictions on overall level of functioning that result from traditional classification procedures. Paranoid functioning, in fact, negatively impacted consensus staff discharge-readiness judgments. This discrepancy between clinical lore and empirical findings raises a question about the aspects of paranoid functioning to which staff responds.
Method
Those aspects of paranoid functioning are examined in this study, using the same sample of 469 inpatients from 19 treatment units reported in the Salinas et al. investigation.
Results
Both dimensionally measured paranoid functioning and overall level of disability were independently associated with negative discharge-readiness decisions. However, rather than delusions or hallucinations, hostility entirely accounted for the contribution of paranoid functioning to these prognostic judgments.
Conclusion
We discuss implications of an alternative approach to classifying patients’ problem behavior for clinical research and practice. |
| doi_str_mv | 10.1007/s00127-008-0319-z |
| format | Article |
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Salinas et al. (J Consult Clin Psychol 4:1029–1039, 2002) found that, contrary to widely held beliefs, paranoid behavior was a positive prognostic indicator for psychiatric inpatients only due to artifactual restrictions on overall level of functioning that result from traditional classification procedures. Paranoid functioning, in fact, negatively impacted consensus staff discharge-readiness judgments. This discrepancy between clinical lore and empirical findings raises a question about the aspects of paranoid functioning to which staff responds.
Method
Those aspects of paranoid functioning are examined in this study, using the same sample of 469 inpatients from 19 treatment units reported in the Salinas et al. investigation.
Results
Both dimensionally measured paranoid functioning and overall level of disability were independently associated with negative discharge-readiness decisions. However, rather than delusions or hallucinations, hostility entirely accounted for the contribution of paranoid functioning to these prognostic judgments.
Conclusion
We discuss implications of an alternative approach to classifying patients’ problem behavior for clinical research and practice.</description><identifier>ISSN: 0933-7954</identifier><identifier>EISSN: 1433-9285</identifier><identifier>DOI: 10.1007/s00127-008-0319-z</identifier><identifier>PMID: 18273530</identifier><identifier>CODEN: SPPEEM</identifier><language>eng</language><publisher>Darmstadt: Steinkopff-Verlag</publisher><subject>Adult ; Attitude of Health Personnel ; Behavior ; Biological and medical sciences ; Consensus ; Decision Making ; Disability Evaluation ; Epidemiology ; Hallucinations ; Health staff related problems. Vocational training ; Hostility ; Humans ; Judgment ; Medical sciences ; Medicine ; Medicine & Public Health ; Nosology. Terminology. Diagnostic criteria ; Original Paper ; Patient Discharge ; Patients ; Psychiatry ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Schizophrenia, Paranoid - diagnosis ; Schizophrenia, Paranoid - epidemiology ; Schizophrenia, Paranoid - psychology ; Social psychiatry. Ethnopsychiatry ; Surveys and Questionnaires ; Techniques and methods</subject><ispartof>Social Psychiatry and Psychiatric Epidemiology, 2008-05, Vol.43 (5), p.380-386</ispartof><rights>Steinkopff Verlag Darmstadt 2008</rights><rights>2008 INIST-CNRS</rights><rights>Springer-Verlag 2008</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c399t-3df705c24f72da8b64079830072e0e397d7af0e3ed1e199b4571021f243794153</citedby><cites>FETCH-LOGICAL-c399t-3df705c24f72da8b64079830072e0e397d7af0e3ed1e199b4571021f243794153</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00127-008-0319-z$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00127-008-0319-z$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=20282783$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18273530$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Salinas, Julian A.</creatorcontrib><creatorcontrib>Paul, Gordon L.</creatorcontrib><creatorcontrib>Springer, Justin R.</creatorcontrib><title>Consensus judgments of discharge readiness based on paranoid behavior: to what are clinical staff responding?</title><title>Social Psychiatry and Psychiatric Epidemiology</title><addtitle>Soc Psychiat Epidemiol</addtitle><addtitle>Soc Psychiatry Psychiatr Epidemiol</addtitle><description>Background
Salinas et al. (J Consult Clin Psychol 4:1029–1039, 2002) found that, contrary to widely held beliefs, paranoid behavior was a positive prognostic indicator for psychiatric inpatients only due to artifactual restrictions on overall level of functioning that result from traditional classification procedures. Paranoid functioning, in fact, negatively impacted consensus staff discharge-readiness judgments. This discrepancy between clinical lore and empirical findings raises a question about the aspects of paranoid functioning to which staff responds.
Method
Those aspects of paranoid functioning are examined in this study, using the same sample of 469 inpatients from 19 treatment units reported in the Salinas et al. investigation.
Results
Both dimensionally measured paranoid functioning and overall level of disability were independently associated with negative discharge-readiness decisions. However, rather than delusions or hallucinations, hostility entirely accounted for the contribution of paranoid functioning to these prognostic judgments.
Conclusion
We discuss implications of an alternative approach to classifying patients’ problem behavior for clinical research and practice.</description><subject>Adult</subject><subject>Attitude of Health Personnel</subject><subject>Behavior</subject><subject>Biological and medical sciences</subject><subject>Consensus</subject><subject>Decision Making</subject><subject>Disability Evaluation</subject><subject>Epidemiology</subject><subject>Hallucinations</subject><subject>Health staff related problems. Vocational training</subject><subject>Hostility</subject><subject>Humans</subject><subject>Judgment</subject><subject>Medical sciences</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Nosology. Terminology. Diagnostic criteria</subject><subject>Original Paper</subject><subject>Patient Discharge</subject><subject>Patients</subject><subject>Psychiatry</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Schizophrenia, Paranoid - diagnosis</subject><subject>Schizophrenia, Paranoid - epidemiology</subject><subject>Schizophrenia, Paranoid - psychology</subject><subject>Social psychiatry. Ethnopsychiatry</subject><subject>Surveys and Questionnaires</subject><subject>Techniques and methods</subject><issn>0933-7954</issn><issn>1433-9285</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp1kU2LFDEQhoMo7uzHD_AiQXBvrfnonnS8LDKou7DgRc8h3anM9NCdjKluxf311jKDC4KnFOSpt6rel7FXUryTQpj3KIRUphKirYSWtnp4xlay1rqyqm2es5WwVBvb1GfsHHEvhNDW6JfsTLbK6EaLFZs2OSEkXJDvl7CdIM3Ic-RhwH7nyxZ4AR-GBIi88wiB58QPvviUh8A72PmfQy4f-Jz5r52fuS_A-3FIQ-9HjrOPkQTwkBNpbG8u2YvoR4Sr03vBvn_-9G1zW91__XK3-Xhf9draudIhGtH0qo5GBd9261oY22o6WYEAuiEYH6mAIEFa29WNkULJqGptbC0bfcGuj7qHkn8sgLOb6B4YR58gL-jWZIzS2hD45h9wn5eSaDen9Fo2pq5bguQR6ktGLBDdoQyTL7-dFO4xCHcMwlEQ7jEI90A9r0_CSzdBeOo4OU_A2xPgkbyK5Gg_4F9OCUVkq4lTRw7pK22hPG34_-l_AHDBoFQ</recordid><startdate>20080501</startdate><enddate>20080501</enddate><creator>Salinas, Julian A.</creator><creator>Paul, Gordon L.</creator><creator>Springer, Justin R.</creator><general>Steinkopff-Verlag</general><general>Springer</general><general>Springer Nature B.V</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FG</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>MBDVC</scope><scope>P5Z</scope><scope>P62</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20080501</creationdate><title>Consensus judgments of discharge readiness based on paranoid behavior: to what are clinical staff responding?</title><author>Salinas, Julian A. ; Paul, Gordon L. ; Springer, Justin R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c399t-3df705c24f72da8b64079830072e0e397d7af0e3ed1e199b4571021f243794153</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Adult</topic><topic>Attitude of Health Personnel</topic><topic>Behavior</topic><topic>Biological and medical sciences</topic><topic>Consensus</topic><topic>Decision Making</topic><topic>Disability Evaluation</topic><topic>Epidemiology</topic><topic>Hallucinations</topic><topic>Health staff related problems. Vocational training</topic><topic>Hostility</topic><topic>Humans</topic><topic>Judgment</topic><topic>Medical sciences</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Nosology. Terminology. Diagnostic criteria</topic><topic>Original Paper</topic><topic>Patient Discharge</topic><topic>Patients</topic><topic>Psychiatry</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Schizophrenia, Paranoid - diagnosis</topic><topic>Schizophrenia, Paranoid - epidemiology</topic><topic>Schizophrenia, Paranoid - psychology</topic><topic>Social psychiatry. Ethnopsychiatry</topic><topic>Surveys and Questionnaires</topic><topic>Techniques and methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Salinas, Julian A.</creatorcontrib><creatorcontrib>Paul, Gordon L.</creatorcontrib><creatorcontrib>Springer, Justin R.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies & Aerospace Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest Psychology</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Advanced Technologies & Aerospace Database</collection><collection>ProQuest Advanced Technologies & Aerospace Collection</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Social Psychiatry and Psychiatric Epidemiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Salinas, Julian A.</au><au>Paul, Gordon L.</au><au>Springer, Justin R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Consensus judgments of discharge readiness based on paranoid behavior: to what are clinical staff responding?</atitle><jtitle>Social Psychiatry and Psychiatric Epidemiology</jtitle><stitle>Soc Psychiat Epidemiol</stitle><addtitle>Soc Psychiatry Psychiatr Epidemiol</addtitle><date>2008-05-01</date><risdate>2008</risdate><volume>43</volume><issue>5</issue><spage>380</spage><epage>386</epage><pages>380-386</pages><issn>0933-7954</issn><eissn>1433-9285</eissn><coden>SPPEEM</coden><abstract>Background
Salinas et al. (J Consult Clin Psychol 4:1029–1039, 2002) found that, contrary to widely held beliefs, paranoid behavior was a positive prognostic indicator for psychiatric inpatients only due to artifactual restrictions on overall level of functioning that result from traditional classification procedures. Paranoid functioning, in fact, negatively impacted consensus staff discharge-readiness judgments. This discrepancy between clinical lore and empirical findings raises a question about the aspects of paranoid functioning to which staff responds.
Method
Those aspects of paranoid functioning are examined in this study, using the same sample of 469 inpatients from 19 treatment units reported in the Salinas et al. investigation.
Results
Both dimensionally measured paranoid functioning and overall level of disability were independently associated with negative discharge-readiness decisions. However, rather than delusions or hallucinations, hostility entirely accounted for the contribution of paranoid functioning to these prognostic judgments.
Conclusion
We discuss implications of an alternative approach to classifying patients’ problem behavior for clinical research and practice.</abstract><cop>Darmstadt</cop><pub>Steinkopff-Verlag</pub><pmid>18273530</pmid><doi>10.1007/s00127-008-0319-z</doi><tpages>7</tpages></addata></record> |
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| ispartof | Social Psychiatry and Psychiatric Epidemiology, 2008-05, Vol.43 (5), p.380-386 |
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| subjects | Adult Attitude of Health Personnel Behavior Biological and medical sciences Consensus Decision Making Disability Evaluation Epidemiology Hallucinations Health staff related problems. Vocational training Hostility Humans Judgment Medical sciences Medicine Medicine & Public Health Nosology. Terminology. Diagnostic criteria Original Paper Patient Discharge Patients Psychiatry Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Schizophrenia, Paranoid - diagnosis Schizophrenia, Paranoid - epidemiology Schizophrenia, Paranoid - psychology Social psychiatry. Ethnopsychiatry Surveys and Questionnaires Techniques and methods |
| title | Consensus judgments of discharge readiness based on paranoid behavior: to what are clinical staff responding? |
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