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Richard B Day

September 14 , 2012 Psych 2AP3: Abnormal Psychology – Major Disorders Abnormal Psychology: Introduction (4) History of DSM - 1952: DSM-I  based on ICD-6, WHO: un-useful for physicians due to brief overview of mostly physical diseases  bias toward psychodynamic interpretation  give guidance to treatments of disorders  ideology, causality  psychosis vs neurosis  psychoses: loss of contact or understanding with reality, inability to know who you were, where you were, when you were, ex.:schizophrenia  neuroses: no psychotic symptoms, no significant loss with contact with reality,  106 categories in 130 pages  intended to:  help clinicians use a consistent set to assign labels to symptoms in the same ways and the same criteria, more reliable diagnosis  provide common language for people in the field to use - 1968: DSM-II  reduced psychodynamic bias especially of neurosis disorders  closer in line to the ICD  neuroses and psychoses  182 categories in 134 pages - 1980: DSM-III  big change  atheoretical - no psychodynamic bias, more towards a biomedical, or medical model of disorder focus on genetic, physiological  more compatible with ICD  265 categories in 494 pages - 1987: DSM-III-R  some categories dropped, added  250 categories in 567 pages - 1994: DSM-IV  fewer differences with ICD-10 (1992)  297 categories in 886 pages - 2000: DSM-IV-TR  no change in categories, diagnostic criteria  descriptive test updated: more information, textual description  297 categories in 940 pages - 2012: DSM-V  listed all the changes they were planning on making and allowed comments on the proposed changes  release of the text has been postponed What is DSM-IV-TR - diagnostic labels/categories to describe & classify presenting problems: grouping items that are similar and separate things that are different, label symptoms - identifies dysfunction based on personal distress, impaired functioning, or increased risk of impaired functioning - helps select treatments known to be effective on certain symptoms: narrow the range of therapeutic options - facilitates communication between clinicians, and researchers Interpreting DSM Categories - does not mean symptoms are ‘mental’ as distinct from physical: there is no such pure disorder, physical symptoms are present in mental disorders and vic
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