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Lecture 18

PSYC 102: Lecture 18

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PSYC 102
David Klonsky

Psychology 102: Developmental, Social, Personality, and Clinical Psychology Lecture #18 - March 21, 2013 DSM Definition of Mental Disorder: a. A behavioural or psychological syndrome or pattern that occurs in an individual b. The consequences of which are clinically significant distress (ex. A painful symptom) or disability (ex. Impairment in one or more important areas of functioning) c. Must not be merely an expectable response to common stressors and losses (for example, the loss of a loved one) or a culturally sanctioned response to a particular event (for example, trance states in religious rituals) d. That reflects an underlying psychobiological dysfunction e. That is not primarily a result of social deviance or conflicts with society Formulating a New Diagnosis:  Example: non-suicidal self injury (NSSI)  A symptom of a personality disorder in DSM-IV  Proposed as a Behavioural Disorder for DSM-5  Group of experts o Members of Mood Disorders and child/adolescent disorders workgroups o Advisors with particular expertise in NSSI  Lots of emails and phone discussions o Separateness o Clinical significance o Threshold o Defining characteristics o Differentiation from other behaviours/disorders  And the proposed NSSI diagnosis is a. In the last year, the individual has, on 5 or more days, engaged in intentional self-inflicted damage to the surface of his or her body, of a sort likely to induce bleeding or pain for purposes not socially sanctioned but performed with the expectation that the injury will lead to only minor or moderate physical harm. The absence of suicidal intent is either report by the patient or can be inferred by frequent use of methods that the patients knows, by experience, not to have lethal potential. The behaviour is not of a common and trivial nature, such as picking at a wound or nail biting. b. The intentional injury is as
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