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Lecture 3

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Psychology 2310A/B
Rod Martin

Classification and Diagnosis Overview of DSM-5 *** at least 3 questions on DSM-5 The Need for the DSM-5 Revision DSM-IV published in 1994 (19 years ago) DSM-IV-TR in 2000 – minor revision • TR is text revision New knowledge from scientific research Need to update organization of DSM • Different axis • Now a book of disorders and diagnostics for the disorders Improve reliability • Making sure the symptoms and diagnostics are consistent • People agree to the methods and treatments Improve clinical usefulness However, ongoing debate about merits of DSM-5 • No right or wrong The DSM-5 Revision Process 1999 –APAplanning conference • Put together task force 2003-08 – series of planning conferences 2006-10 – DSM-5 Task Force and 13 diagnostic work groups Comprehensive reviews of research, consultation Developed proposed new diagnostic criteria • Psychiatric manual not psychological 2010 – initial draft of new DSM-5 2010-12 – extensive field trials • Added binge eating disorder to eating disorders 2012 – web site – public consultations 2013 – final changes decided by vote • Social workers, therapists, professionals • Before it was written by old white men • It used to be very bias, still might be May, 2013 – DSM-5 unveiled in San Francisco Some Changes in DSM-5 Reorganization of categories of disorders Some disorders moved to different chapters Renaming of some diagnoses Modified criteria for some diagnoses Some diagnoses dropped Some new diagnoses added Elimination of Multiaxial system and GAF • Can be diagnosed for double depression Something that hasn’t changed: Categorical (rather than dimensional) diagnosis Selected DSM-5 Diagnostic Groups Neurodevelopmental Disorders Schizophrenia Spectrum and Other Psychotic Disorders Bipolar and Related Disorders Depressive Disorders Anxiety Disorders Obsessive-Compulsive and Related Disorders Trauma- and Stressor-Related Disorders Dissociative Disorders Somatic Symptom and Related Disorders Feeding and Eating Disorders Sleep-Wake Disorders Sexual Dysfunctions Gender Dysphoria Paraphilic Disorders Substance-Related and Addictive Disorders Personality Disorder
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