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PSYB32 Ch 3

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Konstantine Zakzanis

PSYB32 Ch 3 Diagnostic and Statistical Manual of Mental Disorders DSMIVTR the official diagnostic system employed by mental health professionals published by the American Psychiatric Association APA thth During the 1920 centuries there was great inconsistency in the classification of abnormal bhvr and impeded commn among ppl in the field Although the World Health Organization WHO added mental disorders to the list of International Statistical Classification of Diseases Injuries and Causes of Death ICD the mental disorders section was not widely accepted and so the APA published its own Diagnostic and Statistical Manual DSM in 1952 DSMII dvlpd in 68Diagnostic practices still varied bc there were different symptoms for a given disorder DSMIIIR dvlpd in 87 DSMIVTR dvlpd in 94 Cdn psychologist Paula Caplan has been outspoken on how the DSM lacks ppl f different viewpoints to contribute to the decisionmaking processMental disorder a clinically significant behavioural or psychological syndromepattern that occurs in a person and thats associated w present distress painful symptom or disability impairment in 1 important areas of functioning or w a significantly increased risk of suffering death pain disability or an important loss of freedom according to APAMust currently be considered a manifestation of a behavioural psychological or biological dysfunction in the personMultiaxial classification a person is rated on 5 separate dimensionsaxes the multiaxial system by requiring judgements on each of the 5 axes forces the diagnostician to consider a broad range of infoAxis Iall diagnostic categories except personality disorders and mental retardation Depression or anxiety disorder Axis IIpersonality disorders and mental retardation Classification of abnormal bhvr Axis IIIgeneral medical condt Axis IVpsychosocial and environmental problems Including occupational or economic problems and interpersonal difficulties w family Axis Vcurrent level of functioning Life areas considered are social relsh occupational functioning and use of leisure timeratings of current functioning are supposed to give info about the need for treatment Possible categories in need of further study Criteria Sets and Axes Provided for Further Study of the DSMCaffeine withdrawal not drinking accustomed levels of caffeine beveragesdistress impairment in occupationalsocial functioning symptoms are headache fatigue anxiety depression nausea and impaired thinking Premenstrual Dysphoric disorder this proposed syndrome occurs a week or so before menstruation for most months in a given yr and is marked by depression anxiety anger mood swings and decreased interest in activities engaged in w pleasureinterfered social or occupational functioning controversial to feminist and sexist
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