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Table 1 Presentation of examples of diagnostic assessment on Criterion A

From: Symmetrical treatment of “Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition”, for major depressive disorders

Symptom number

1

2

3

4

5

6

7

8

9

 

Episode

row 1

1

1

1

0

1

1

0

1

1

(mod 2)

1

row 2

0

1

0

0

1

0

0

1

1

(mod 2)

0

row 3

0

0

0

1

0

0

0

1

0

(mod 2)

0

row 4

1

1

0

1

1

0

1

0

1

(mod 2)

1

row 5

0

1

1

1

0

0

0

0

1

(mod 2)

0

row 6

1

1

1

0

1

1

0

0

1

(mod 2)

1

row 7 (= row 4)

1

1

0

1

1

0

1

0

1

(mod 2)

1

row 8 (= row 2)

0

1

0

0

1

0

0

1

1

(mod 2)

1

row 9 (= row 5)

0

1

1

1

0

0

0

0

1

(mod 2)

1

row 10 (= row 4)

1

1

0

1

1

0

1

0

1

(mod 2)

1

Total sum

5

9

4

6

7

2

3

4

9

 

5

Average

0.5

0.9

0.4

0.6

0.7

0.2

0.3

0.4

0.9

 

0.5

  1. Examples for symptoms 1–9 in Criterion A having values of 0 or 1 are shown. Each row is an assessment during a session. Rows 3 and 5 are equivalent to row 1; i.e., row = row 3 = row 5. Additionally, row 4 = row 6 = row 7 = row 9 = row 10, and row 2 = row 8. The expression of these examples can be simplified as in Table 2. In this case, the order of ‘which items should be effective on the scale’, is Aall(1–9) = [11|12|13|14|15|16|17|18|19||0 10 |0 11 |0 12 |…] (mod 2); all symptoms 1–9 in Criterion A should be effective, and this could be reinterpreted as the result of the operation (selection for effectiveness) Aall(1–9) (= A(0→all(1–9))) acting on the identity order A0 = [01|02|03|04|05|06|07|08|09||0 10 |0 11 |0 12 |…] (mod 2); i.e., A0 * A(0→all(1–9)) = Aall(1–9). A0 could be also regarded as an undiagnosed state. The rows whose components are equivalent to each other are compressed in the earliest rows of Table 2 and are highlighted silver in Table 1. Additionally, the diagnosis is given in the extreme right column; rows 1, 4, 6, 7 and 10 meet Criterion A of a ‘major depressive episode’ and have a diagnosis value of 1 (whereas rows not meeting Criterion A have a value of 0)