Therapists' recognition of psychopathology: A model for quality review of psychotherapy

F. Kass, A. Skodol, P. Buckley, E. Charles

Research output: Contribution to journalArticlepeer-review

12 Scopus citations


In this study, 32 randomly selected psychiatric emergency room patients, who were in concurrent psychotherapy, completed the SCL-90 and a clinically oriented questionnaire. Their therapists independently rated the patients' degree of psychopathology on the nine SCL-90 symptom scales. Therapists were highly efficient in recognizing depression (94% of the cases) and anxiety (89%) but not psychotic (35%) and obsessive-compulsive (16%) pathology, Variables significantly associated with the therapists' nonrecognition of psychopathology were the diagnosis of borderline, the patient's expression of inadequacy in comparison to the therapist, the patient's fear of offending the therapist, and the patient wanting but not receiving empathy from the therapist. The authors disscuss the implications of these findings for peer review and further research.

Original languageEnglish (US)
Pages (from-to)87-90
Number of pages4
JournalAmerican Journal of Psychiatry
Issue number1
StatePublished - 1980
Externally publishedYes

ASJC Scopus subject areas

  • Psychiatry and Mental health


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