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Systematic Nursing Observation of Psychopathology

William A. Hargreaves, PhD
Arch Gen Psychiatry. 1968;18(5):518-531. doi:10.1001/archpsyc.1968.01740050006003.
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MANY RATING instruments have been developed in recent years for use in psychiatric research. Several have been used widely and effectively. Therefore, it behooves anyone offering a new scale to describe the application for which it is designed and for which, presumably, it offers an improvement over existing scales.In our case, we wish to study the longitudinal course of symptom change in acute psychosis as it evolves during a psychiatric hospitalization. We wish to provide as much detail about individual symptoms as possible within a scale short enough for daily use on a research ward of about 25 patients.Finally, we need a general purpose scale suitable to a wide range of psychiatric inpatients, providing data both for basic studies of patterns of symptom change and for several cooperating research projects. Of the regular ward staff, only nurses and technicians have sufficient daily contact with the patients to


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