Give the complete name of the DSM. Who publishes it? (xli)
Diagnostic and Statistical Manual of Mental Disorders. Published by the American Psychiatric
... [Show More] Association.
What was it designed to facilitate? (xli)
Designed to facilitate more reliable diagnoses of these disorders
List three of the ways the DSM is intended to serve. (xli)
DSM is intended to (1) serve as a practical, functional, and flexible guide for organizing information that can aid in the accurate diagnosis and treatment of mental disorders. (2) It is a tool for clinicians, an (3) essential educational resource for students and practitioners and (4) a reference for researchers in the field.
What do the acronyms ICD and WHO stand for? (xli)
International Classification of Diseases (ICD) and World Health Organization (WHO)
List five of the enhancements incorporated into the DSM-5. (xlii-xliii)
1. Representation of developmental issues related to diagnosis
2. Integration of scientific findings from the latest research in genetics and neuroimaging
3. Consolidation of autistic disorder, Asperger's disorder and pervasive developmental disorder into autism spectrum disorder
4. Streamlined classification of bipolar and depressive disorders
5. Restructuring of substance use disorders for consistency and clarity
6. Enhanced specificity for major and mild neurocognitive disorders
7. Transition in conceptualizing personality disorders
8. Section III: new disorders and features
Why are reliable diagnoses essential? List four reasons cited in the DSM-5. (5)
Reliable diagnoses are essential for guiding treatment recommendations, Identifying prevalence rates for mental health service planning, Identifying patient groups for clinical and basic research, and documenting important public health information such as morbidity and mortality rates
List the four stages of the DSM-5 Revision Process. (6-10)
1. Proposals for revisions
2. DSM-5 Field trials
3. Public and Professional Review
4. Expert Review
What four principles guided draft revisions? (7)
Four principles guided the draft revisions:
1. DSM-5 is primarily intended to be a manual to be used by clinicians and revisions must be feasible for routine clinical practice
2. Recommendations for revisions should be guided by research evidence
3. Where possible, continuity should be maintained with previous editions of DSM
4. No a priori constraints should be placed on the degree of change between DSM-IV and DSM-5
Briefly summarize the three reasons why harmonization with the ICD-11 was thought to be important. (11)
1.hinders the collection and use of national health statistics, the design of clinical trials aimed at developing new treatments, and the consideration of global applicability of the results by international regulatory agencies
2.The existence of two classifications complicates attempts by replicate scientific results across national boundaries
3.Even when the intention was to identify identical patient populations, DSM-IV and ICD-10 diagnoses did not always agree
What realities are described as resulting from the narrowing of diagnostic categories in the attempt to identifying homogeneous patient populations for research and treatment? (12)
Indeed, the once plausible goal of identifying homogeneous populations for treatment and research resulted in narrow diagnostic categories that did not capture clinical reality, symptom heterogeneity within disorders, and significant sharing of symptoms across multiple disorders.
How does DSM-5 incorporate developmental and lifespan issues into its overall organization? (13)
It begins with diagnoses thought to reflect developmental processes that manifest early in life, followed by diagnoses that more commonly manifest in adolescence and young adulthood, and ends with diagnoses relevant to adulthood and later life. A similar approach has been taken, where possible, within each chapter. This organizational structure facilitates the comprehensive use of lifespan information as a way to assist in diagnostic decision making.
List the three concepts offering greater clinical utility that replaced the culture-bound syndrome in the DSM-5. (14)
1. Cultural syndrome: is a cluster or group of co-occurring, relatively invariant symptoms found in a specific cultural group, community, or context
2. Cultural idiom of distress: is a linguistic term, phrase or way of talking about suffering among individuals of a cultural group referring to shared concepts of pathology
3. Cultural explanation or perceived cause: is a label, attribution, or feature of an explanatory model that provides a culturally conceived etiology
What two phrases have replaced NOS diagnoses in the DSM-5? Briefly describe each of these. (15)
1. Other specified disorder: is provided to allow the clinician to communicate the specific reason that the presentation does not meet the criteria for any specific category within a diagnostic class.
2. Unspecified disorder: The clinician chooses not to specify the reason that the criteria are not met for a specific disorder. [Show Less]