Critical Appraisal of Fish's Clinical Psychopathology Signs and Symptoms in Psychiatry (Third Edition)

摘要

AbstractThe aim of authors are to highlight the errors in the third edition of Fish's Clinical Psychopathology and inform its readers to use their discretion before accepting the edited version as the final word.MaterialsandMethods:Textual analysis of words quoted in third edition of Fish and review of their meaning with reference to various Psychiatric textbooks, Advance Oxford English dictionary, Taber's Cyclopedic Medical dictionary, Penguin dictionary of Psychology, The Penguin dictionary of Philosophy, web based search engines e.g., PubMed, SCOPUS, EMBASE, EBSCO, Index Copernicus, Ulrichs, Hinari, Google scholar etc., were used to extract the relevant data and decipher the intended truth conveyed therein. 39 records were initially identified. 30 studies were included from review of literature; seven records were excluded because of duplication in extended phase and two more studies were excluded as they reported effects of RLS on pathophysiology etc., which was not the intended purpose of the study.Results:There is discontinuity in copying and interpretation of the text with meaning either lost or distorted, possibly, due to inadvertent human error in the subsequent editions of Fish's Clinical Psychopathology. New operational definition of Hallucination is proposed, Delusional Perception redefined with reference to Fish's earlier edition, Delusional memory segregated from sudden delusional idea, subtleties between Aphasia and speech disorder enumerated for being ontological and epistemological distinct and delusional parasitosis reestablished as Ekbom syndrome.Conclusions:Both the deductive and inductive reasoning were applied to analyze the information. The inferences were drawn on facts rather than fiction or partial truth about Restless Leg Syndrome, Delusion Disorder of Infestation or parasitosis, Aphasia, Delusional Perception, and Hallucination. Thus, this study helps in restoring sanctity of the Fish's Clinical Psychopathology.