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Lecture 3

Lecture 3 Notes

Course Code
Konstantine Zakzanis

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-There is nothing statistical about DSM
-It is used as a method of communication to convey messages of disorders
-The introduction of DSM3, did not show any sort of credibility; thus all the versions before
were no more than just diagnostic categories
-DCM 3 established diagnostic guidelines
-Thus it outlined how many certain symptoms were required, and what hallmarks
symptoms the person may have required to deal with
-This gave the factor of improvement in the reliability of diagnosis in terms of
interrator reliability
-Basically a patient in front of 3 different collisions before DSM3, and we would have
3 different diagnostics
-The interrator reliability is how reliable the diagnostic decision making is, how
much agreement the patient is in.
-The latest version is the DSM4
-If one says they have a major depressive disorder, it comes with a host or constellations
which compile to make up the disorder
-The substance abuse may have to be in a certain degree to cause an impact
-DSM also provides exclusion criteria
-IF there are behaviors which are expectable and culturally sanctioned, its not considered
worthy of the DSM diagnosis
-If someone loses a loved one and is really depressed
-Homosexuality, the DSM recognizes that it is not an abnormal behavior
-Hunger strikes and such, would be abnormal behavior, yet obviously are not something
that would warrant the DSM diagnosis
-DSM is compiled into 5 dimensions of classification system
-Axis 1; typically the mood disorders; eating disorders etc…
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-Axis 2; personality disorder
-Axis 3; medical conditions which are impacting on axis 1 or 2, or vice versa
-Medical conditions: Strokes, hypertensions (regulation of blood pressure) and
its contribution to anxiety, tumors
-Axis 4; psychosocial- infidelity, abuse, marriage turmoil, homelessness or poverty
-Axis 5; level of functioning, global assessment of functioning scale (GAF Scale);
complicated way to assign a number to the functioning of a patient
-Conduct disorder
-Disorders usually first diagnosed in infancy, childhood, or adolescence
-The substance impacts on the ability of the patient in their living ability
-The most crippling disorders: schizophrenia
-Mood disorders are:
-Major depressive disorder
-Bipolar Disorder
-For example: patients are typically very very active individuals
-Hyper and hypomania, is a disorder that many successful people actually have
-Anxiety disorders:
-Panic Disorder
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