Errors in the diagnosis of schizophrenia in black and Indian patients

The referral and/or final diagnoses of schizophrenia in 100 patients were examined. Discrepancies between these diagnoses were frequent and little evidence of a standardized approach to this diagnosis was revealed. Misinterpretation of cultural phenomena emerged as a further source of error. The critical nature of the interview and assessment situation, together with the need for standardized criteria and comprehensive understanding of cultural factors, is emphasized.