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Peer-Reviewed Publication
J Psychiatr Res2026;201240-243.June 15, 2026Journal Article

Calibrated clinical judgment in psychiatric drug trials: Beyond psychometric scales.

Luca Pani1, Gary S Sachs2, Nina R Schooler3
1Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Modena, Italy; Department of Psychiatry and Behavioral Sciences, University of Miami Miller School of Medicine, Miami, FL, USA. Electronic address: Luca.Pani@unimore.it.
2Department of Psychiatry, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA; Signant Health, Blue Bell, PA, USA.
3Department of Psychiatry and Behavioral Sciences, State University of New York Downstate Health Sciences University, Brooklyn, NY, USA.

Abstract

Psychiatric randomised controlled trials increasingly privilege psychometric rating scales, yet bedside clinical training, remains the clinician's primary integrator of meaning, context, and change. Recent reconceptualisations describe clinical judgment as a three-stage process encompassing data collection through clinical interviewing, interpretationviaclinical reasoning, and decision making (Fav…

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