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guide on DSM IV

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Dsm guidelines Dsm guidelines Presentation Transcript

  • Diagnostic and Statistical Manual of Mental Disorders IV DSM- IV TR (Text Revision)
  • DSM is a categorical classification system.
    • It provides a diagnostic criteria for mental disorders
    • DSM is concerned with the symptoms of mental disorders
    • It used by clinicians, researchers and pharmaceutical and insurance companies.
  • HISTORY
    • DSM was created for the ennd to collect statistical information.
    • It was first published in 1952 with 130 pages and listed 106 mental dosorders.
    • DSM IV was published in 1994 with a text revision in 2000.
    … Today DSM IV TR has 886 pages with 297 disorders listed…
  • CREATION DSM is created by a three step process .
    • Extensive literature reviews of diagnosis
    • Data analysis on research statistics
    • Field trials
    •  
  • “ the clinical significance criterion ” A symptom should cause a clinically significant distress or impairment in functioning of the individual.  
  • DSM IV TR (text revision) is an update of text sections and codes to maintain consisitency with the ICD
  • USES
    • DSM IV is used by clinicians to establish a diagnosis or to categorize patients
    • DSM IV is used by researchers in mental health researchers thru statistics
    • DSM IV is also used in formulating policies , terms and regulations of pharmaceutical and insurance companies
  • MULTI AXIAL SYSTEMS AXIS I Clinical disorders including major disorders as well as developmental and learning disorders.
  • AXIS II underlying pervasive or personality conditions as well as mental retardations. AXIS III Acute medical conditions and physical disorders
  • AXIS IV Psychological and environmental factors contributing to the disorder. AXIS V Global Assessment of Functioning or Children’s Global Assessment scale for children and teens under the age 18.
  • CATEGORIZATION
    • Categories are prototypes
    • Patients with close approximation to the prototypes is said to have the disorder.
  • Qualifyers like mild, moderate, and severe are used Symptoms must cause significant distress on the functioning of the individual
  • SOURCEBOOKS
    • DSM IV has four volumes of sourcebooks it does not specifically cite
    • Sources are from literature reviews, data analysis and field trials
  • CRITICISMS
    • On its validity and construct reliability
    • On symptomatological basis
    • On reductionist bias