RT Journal A1 Feinstein AR T1 CLinimetrics and psychometrics work hand in hand JF Archives of Internal Medicine JO Archives of Internal Medicine YR 1999 FD August 9 VO 159 IS 15 SP 1811 OP 1817 DO UL http://dx.doi.org/ AB I thank Drs Zyzanski and Perloff for their complimentary remarks, and particularly for their open acknowledgment, as psychometric authorities, that "clinical knowledge" and "the essential ingredient of clinical insight" are important for appraising the "complex intangible phenomena" of patient care. This acknowledgment has not always occurred during the "blind application of the statistical or psychometric approach" when multi-item instruments were initially constructed for complex clinical phenomena, or when credulous clinicians used and gave obeisance to the instruments.