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The psychopathology of everyday art: a quantitative Study - World ...

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Reliability Analysis<br />

Judgement <strong>of</strong> characteristics differentiating patient groups<br />

All rating scales have limitations, especially those involving human subjects. Given<br />

enough different people performing a measurement, individual differences will contribute<br />

to error, but a single rater may be inconsistent, or may be scoring on other criteria than<br />

the published instrument. If a measure is unreliable, there is no possible way that any<br />

sort <strong>of</strong> statistically significant relationship or difference with that measure can be<br />

documented. It makes little sense therefore to list the characteristics for every study in<br />

the controlled and case analyses unless they have established inter-rater reliability so that<br />

it is certain their scoring is consistent and their definitions <strong>of</strong> terms unambiguous.<br />

Terms used in this analysis <strong>of</strong> studies<br />

Most studies have some counted or presence/absence scales, but there is a wide range <strong>of</strong><br />

opinion on what is described as objective or formal qualities. Here, formal qualities are<br />

broadly differentiated from objective qualities as relating to the structure <strong>of</strong> the picture;<br />

how it is made, rather than why it is made or what it represents 173 . Objective decisions<br />

can be made about elements <strong>of</strong> form and content; although a characteristic can be both<br />

formal and objective, it cannot be formal and subjective. For this review, objective<br />

categories may be considered as observable dimensions; for example: the presence or<br />

absence <strong>of</strong> some element, countable items, differentiation <strong>of</strong> structural aspects or<br />

elements <strong>of</strong> the picture, such as lines, shapes and colours. Objective dimensions also<br />

173 This form description is broader than the formal description for the DAPA, which appears in Chapter<br />

3. It is clearly not reasonable to apply criteria to studies which are not aimed at that point.<br />

113

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