IPDE - Extranet Systems - World Health Organization

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65 Centres participating in IPDE field trial than 1000 impatient admissions a year, and an out-patient department serving about 2000 psychiatric and 2000 neurological patients annually. The in-patient department consists of an intensive care unit (locked ward), several open wards, a crisis intervention ward, and a neurological ward. Cmnt research is focused on biological psychiatry, including neuroendocrinology and molecular genetics. There is also a great interest in the diagnosis and assessment of psychiatric disorders. The Institute has translated and tested a number of WHO diagnostic inshuments. The Department of Psychiatry of the University of Munich has an outstanding histoty dating hack to Emil Kraepelin. It is now a part of the Munich Faculty of Clinical Medicine and comprises a 208 bed hospital, out-patient clinic, day and night clinics, and several affiliated department. Its staff comprises more than 300 professionals, including 97 physicians, psychologists, psychotherapists, and biochemists. The in-patient service cares for the inhabitants of Munich and its surrounding areas, and also admits patients from Upper and Lower Bavaria. It has 10 wards, including a research unit and one for the treatment of addiction. The out-patient department provides comprehensive care that includes a 24-hour emergency and liaism consultation service to the other hospitals of the Faculty of Clinical Medicine in Munich. There are also departments of neurochemistry, experimental and clinical psychology, psychotherapy and psy- chosomatic~, neurophysiology and EEG, and forensic psychiatry. Patients are predominantly from working class backgrounds, but all socioeconomic groups are represented. 'hey include mostly those with anxiety. depression, ahistory of suicide attempts, and personality disorders. Nairobi Nairobi is the capital of Kenya and one of the main Wading centres in East Africa. The city was established at the end of the nineteenth century as a colonial railway settlement. It got its name from a waterhole known to the Masai people as Enkare Nairobi (cold water). The city attracted many migrants from various parts of rural Kenya and became one of the largest cities in tropical Africa. It is the principal industrial centre in the country and the railway is the largest single industrial employer. The study in Nairobi was conducted at three sites: Kenyatta National Hospital. Mathan Mental Hospital and the University of Nairobi Students' Health Centre. The Kenyatta National Hospital is the largest public hospital in the city of Nairobi and the majority of subjects for this
66 A. Janca and C. Pull study were recruited from there. The Mathan Mental Hospital is the largest in-patient facility in Nairobi with 1500 beds, most of which are occupied by patients with psychotic symptoms. It also has a 200-bed secure unit which houses mostly forensic cases. The University Students' Health centre provides medical services to students of the University of Nairobi and has about 40 admissions a week of cases with some psychological pmblems. Patients of these institutions represent a whole range of sociodem* graphic strata, although the majority belong to the working class. Most of the patients from the forensic unit of the Mathan Mental Hospital manifest some PD characteristics, while the patients from the other sites most commonly show mixed anxiety and depressive symptomatology, often with a history of suicide attempts. New YorkMlhite Plains In 1609 Henry Hudson, an Englishman employed by the Dutch to search for a new mute to the Indies, sailed his vessel Half Moon up the river that now bears his name. In 1626 the Dutch East India Company established a trading post on the present site of Manhattan, which they purchased from the natives for 60 guilders. It came under English rule in 1664 when Charles II seized it from the Dutch and gave it to the Duke of York. Situated on the Atlantic Ocean with one of the finest harbours in the world, in the nineteenth and early twentieth century New York was the gateway for most European immigrants to the US. Today, the city and its suburban communities has a population of more than 10 million, and is the financial, commercial and cultural capital of the US. With its unique ethnic mosaic it is arguably the most exciting and vibrant city in the world. The New York Hospital and its affiliated Comell University Medical College comprise The New York Hospital-Comell Medical Center, a world-renowned medical resource for patient care, research, education and training. Chartered by King George 111 in 1771, it has accepted mentally ill patients since it opened in 1791 at the conclusion of the American Revolutionary War. The Department of Psychiatry maintains the Payne Whitney Clinic, a 100-bed facility adjacent to the main hospital in Manhattan, and the Westchester Division, a 3Wbed hospital situated in a 200 acre park-like setting in suburban White Plains, where it has been located since 1894. Today White Plains has approximately 50,000 residents, and is a thriving shopping area and business community housing the offices and headquarters of many leading companies. It is also the
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Until recently, the standardization
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Assessment and diagnosis of persona
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Contents Contributors Preface Annan
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Contributors Dr Antonio Andreoli Ho
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Preface One of the major goals of t
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... Xlll Acknowledgements The IPDE
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Problems in the field of personalit
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5 Problems in the field of PD perso
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7 Problems in the field of PD In DS
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9 Problems in the field of PD cultu
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11 Review of diagnostic instruments
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13 Review of diagnostic instruments
Page 26 and 27: 15 Review of diagnostic instruments
Page 28 and 29: 17 Review of diagnostic instruments
Page 30 and 31: 19 Epidemiology of DSM-Ill PDs in c
Page 32 and 33: Table l. Prevalence rates of specif
Page 35 and 36: 24 1. H. Reich and G. de Girolamo (
Page 37 and 38: 26 .- 5 2 0 W C .- 0 P g F ? g e Q
Page 39 and 40: 28 J. H. Reich and G. de Girolarno
Page 41 and 42: Table 3. Prevalence rates ofpersona
Page 44 and 45: Pfohl etal.. l986 (67) Pilgrim & Ma
Page 46 and 47: 35 Epidemiology of DSM-Ill PDs were
Page 48 and 49: 37 Epidemiology of DSM-Ill PDs migh
Page 50 and 51: 39 Epidemiology of DSM-Ill PDs 23 R
Page 52 and 53: 4 1 Epidemiology of DSM-Ill PDs 55
Page 54 and 55: 43 International personality disord
Page 56 and 57: I 45 IPDE iner what he is actually
Page 58 and 59: 47 IPDE Sample of IPDE item The que
Page 60 and 61: 49 IPDE dimensional scores are not
Page 62 and 63: 1 9 IPDE considerable training and
Page 64 and 65: 53 Experiences with IPDE The invest
Page 66 and 67: 55 Experiences with IPDE passive ag
Page 68 and 69: 57 Field Trial
Page 70 and 71: 59 Sampling, inte~iewers, interview
Page 72 and 73: Description of centres participatin
Page 74 and 75: 63 Centres participating in IPDE fi
Page 82 and 83: P- P Table 1. Sample sizes and IPDE
Page 84 and 85: 73 Results Table 3. ICD-I0 Disorder
Page 86 and 87: 75 Results Table 5. Frequency of CO
Page 88 and 89: 77 Results Table 8. Interrater reli
Page 90 and 91: Discussion and conclusions Armand W
Page 92 and 93: 8 1 Discussion and Conclusions stab
Page 94 and 95: 83 Discussion and Conclusions Repet
Page 96 and 97: Discussion and Conclusions of princ
Page 98 and 99: 87 Discussion and Conclusions Frequ
Page 100 and 101: 89 Discussion and Conclusions emoti
Page 102 and 103: 9 1 Discussion and Conclusions inte
Page 104 and 105: 93 Appendix Table A2 Persomlity dis
Page 106 and 107: 95 Appendix Table A4 Personality di
Page 108 and 109: 97 Appendix Table A6 Personaliry di
Page 110 and 111: 99 Appendix Table SA Personaliry di
Page 112 and 113: Table A10 Personality disorder diag
Page 114 and 115: 103 Appendix Table A12 Personality
Page 116 and 117: Table A13 (con?) Criterion B7 B8 1
Page 118 and 119: 107 Appendix Table A13 (cont) Frequ
Page 120 and 121: 109 Appendix Table A14 (cont.) Freq
Page 122 and 123: Acknowledgements 113 Manual History
Page 124 and 125: Manual History of the IPDE One of t
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116 Manual Struchlre of the IPDE Th
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118 Manual that is likely to enhanc
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120 Manual data. If examiners have
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122 Manual Scoring conventions Much
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124 Manual Recording the scores Req
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126 Manual Q. What do you do when s
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128 Manual section, if there are qu
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ICD-10 criteria and corresponding I
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132 ICD-10 criteria and correspondi
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134 IPDE ICD-10 module screening qu
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136 Screening questionnaire 47 1 lo
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I 138 IPDE ICD-10 module* interview
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140 Interview schedule 2. 0 1 2 7 0
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142 Inte~iew schedule 4. O 1 2 I N
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144 Interview schedule 6. O l Z ? 0
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146 Interview schedule 8. 0 1 2 1 0
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148 Interview schedule .10. 0 1 2 ?
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150 Interview schedule 12. 0 1 2 7
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152 lnte~iew schedule 14. 0 1 2 ? 0
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154 Interview schedule 16. 0 1 2 ?
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156 interview schedule 18. 0 1 2 ?
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158 Interview schedule 20. O 1 2 N
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164 Interview schedule *26. 0 1 2 ?
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166 lntewiew schedule 28. 0 1 2 ? 0
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170 lnte~iew schedule 32. O 1 2 7 N
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174 lntewiew schedule 36. 0 1 2 ? 0
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176 lnterv~ew schedule 38. 0 1 2 ?
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184 lnte~iew schedule 46. 0 1 2 7 0
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~ 186 Interview schedule 48. 0 1 2
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194 Interview schedule 56. 0 1 2 1
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196 Interview schedule VI. IMPULSE
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200 Interview schedule Have you eve
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202 Interview schedule 1 63. 0 1 2
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204 Intewiew schedule Rate the foll
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206 IPDE ICD-10 module handscoring
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+ 39+44=4, 208 Handscoring algorith
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210 Handscoring algorithms and summ
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IPDE ICD-10 module summary scoreshe
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224 Index paranoid 108 schizoid 108
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226 Index Personalily Assessment Sc
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IPDE - Extranet Systems - World Health Organization

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