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Lecture 7

Psychology 46-322 Lecture 7: Notes on DSM Issues

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University of Windsor

Lecture 7 on DSM Issues History of the DSM  Published by American Psychiatric Association  DSM-I and DSM-II  followed more psychiatric traditional and less diagnosis (no childhood disorders)  DSM-III  first time to be explicit; no longer descriptive; first time for multi-axial system which continues today  DSM-IIIR  improved some diagnostic criteria; not big improvement DSM-IV and DSM-IV TR  text within criteria improved but criteria remained the same; first  place for prototypic (doesn’t need same symptoms with the person who has the same disorder; different ways to have the same disorder) DSM-IV TR  Clinicians and thousands of people in the US gather data and define the disorders' symptoms and come to consensus by experts  Defining what psychopathology is  any disorder or syndrome that occurs within the individual must cause distress or dysfunction, thus restrict life activities in some way  Diagnosis comes from defining psychopathology very behavioural (behaviours we can observe)  Goal of DSM is reliability  different therapists should come to the same conclusion  Also reliability across time  assuming the same symptoms are there over time, different therapists should diagnose the person the same Multi-axial  System orientation approach  Axis I and II  disorders that happen for a long time for some individuals  Axis II  disorders unlikely to change significantly or respond good to treatments (ex. PDs)  PDs typically not diagnosed in childhood disorders (PDs defined as enduring patterns, deviate from typical experience, likely to represent as dysfunction, cognitions or thoughts, behaviours and feelings)  Axis III  medical conditions that interact with or affect/interfere the disorders (either has a direct causal or has a psychological reaction)  ex. sleeplessness with depression
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