PSYC1002 Lecture Notes - Lecture 19: Inter-Rater Reliability, Binge Eating, Dsm-5
19 May 2018
School
Department
Course
Professor
Labels of diagnosis help understand symptoms, prognosis immediately
○
Improve communication between researchers and between health professionals
-
May improve communication and understanding of mental health in community
-
May reduce social stigma
-
Help to normalise and validate feelings, they're not alone
○
Some people find diagnosis helpful - answers to symptoms experienced
-
Why need to classify and diagnose
Classification systems
Changes
History
Diagnostic
and
statistical
manual of
mental
disorders
(DSM)
APA
○
1st ed 1952
○
Currently
DSM-5 (2013)
○
Aus/US/Englis
h speaking
world
○
Defines
psychopathology
and mental
disorders
-
Defines
symptoms/criteria
/differential
diagnosis
-
Most agreed upon
definitions/current
consensus
-
Evolving: 5th ed in
2013
-
Helpful but
guideline only! Not
a doctorine, to be
used with caution,
best thing we have
at the moment
-
Important to
recognise
limitations
-
Homosexuality
remove from DSM in
1973
-
Generalised anxiety
disorder first
introduced in DSM III
R in 1987
-
Binge eating
disorder included in
DSM 5
-
Asperger's Disorder
deleted from DSM-5
-
Strongly influenced by psychoanalytic theory
-
The more you feel this ambivalence the more depressed you are
○
How to agree on the diagnosis
▪
How much depression is needed
▪
How often? What if guilt not present? What qualifies as a loss?
▪
Hard to measure
▪
Problematic RELIABILITY: inter-rater reliability
○
Is this really what "depression" is
▪
Based on unproven theories about aetiology
▪
Unfalsifiable
▪
Problematic VALIDITY
○
e.g. DSM-I depressive reaction
-
DSM-I (1952), DSM-II (1968)
III (1980), III-R (1987), IV (1994), IV-TR (2000), 5 (2013)
-
Reflects biology model
-
Major development in calssification of mental disorders
-
Reflects medical/biological model
○
No theoretical assumptions about causation
○
Quantifies things
▪
Patient report, direct observation, measurement
▪
No assumptions about unconscious processes
▪
Clear, explicit criteria and decision rules
▪
Improved reliability
▪
?? Validity
▪
If causation NOT known, description of symptoms
○
e.g. major depression
○
Screen clipping taken: 11/10/2017 12:28 PM
DSM 5
-
DSM-III and onwards
Internationa
l
classification
of diseases
and health
related
problems
WHO
○
Mental health
disorders
added in 1948
○
Currently 10th
ed
○
Europe,
L3 - classification and diagnosis timeline, mental health
practitioners
Wednesday, 11 October 2017
11:39 AM
abnormal psyc Page 1
Document Summary
L3 - classification and diagnosis timeline, mental health practitioners. Improve communication between researchers and between health professionals. Labels of diagnosis help understand symptoms, prognosis immediately. May improve communication and understanding of mental health in community. Some people find diagnosis helpful - answers to symptoms experienced. Help to normalise and validate feelings, they"re not alone. Diagnostic and statistical manual of mental disorders (dsm) Not a doctorine, to be used with caution, best thing we have at the moment. Generalised anxiety disorder first introduced in dsm iii. Strongly influenced by psychoanalytic theory e. g. dsm-i depressive reaction. The more you feel this ambivalence the more depressed you are. Iii (1980), iii-r (1987), iv (1994), iv-tr (2000), 5 (2013) Internationa l classification of diseases and health related problems. Both are comparable but not identical due to cultural differences. May work independently or together as part of a multi-disciplinary team. Specialist training and qualifications in the diagnosis, treatment and prevention of mental illness.
