Topic 1.1.1: History of the DSM

Section III: Emerging Measures and Models

1. Dimensional approach depending primarily on an individual's subjective reports of symptom experiences, along with the clinician's interpretation, is consistent with current diagnostic practices. 2. Integrate both objective and subjective patient data should be gathered to supplement and enhance the accuracy of the diagnostic process. 3. Measuring tools used to develop diagnoses and proper treatment plans include: 1) Cross-cutting symptom measures 2) Severity measures 3) The World Health Organization Disability Assessment Schedule (WHODAS).

section 1

1. basic orientation to the purpose, structure, content, and use of the DSM-5. 2. Includes definitions of Mental Disorders, forensic considerations, and a brief overview of the diagnostic process.

When was the DSM-1 published?

1952

How many sections does the DSM-5 have?

3

Section II: Diagnostic Criteria and Codes

All diagnoses are grouped and categorized together based on underlying vulnerabilities and symptom characteristics. - Ultimately, the purpose is to improve diagnostic and treatment approaches, and signal shared commonalities in etiology pithing larger disorder groups.

What is Section I of the DSM-5?

DSM V Basics

What is the latest version of DSM?

DSM-5

What is Section II of the DSM-5?

Diagnostic Criteria and Codes

What is Section III of the DSM-5?

Emerging measures and models.

What coincides with the DSM revisions?

ICD (International Classification of Disease)

DSM Pre-World War II development

In the U.S., the initial reason for developing a classification of mental disorders was the need to collect statistical information

American Psychiatric Association Committee

Nomenclature and statistics developed a variation of the ICD-6 that was published in 1952 as the first edition of Diagnostic and Statistical Manual: Mental Disorders (DSM-1)

What is the DSM intended to facilitate?

Objective assessment of symptoms presentation in a variety of clinical settings.

DSM Post-World War II development

World Health Organization (WHO) published the sixth edition of International Classification of Diseases (ICD), which for the first time, included a section for mental disorders.

Section II

contains diagnostic criteria approved for routine clinical use along with the ICD-9CM codes (ICD-10 codes are shown parenthetically). - each mental disorder, the diagnostic criteria are followed by descriptive text to assist in diagnostic decision making.

Section III

contains tools and techniques to enhance the clinical decision-making process, understand the cultural context of mental disorders, and recognize emerging diagnose for further study.

Cautionary Statement for Forensic Use of the DSM-5

located in section 1. States "Even when diminished control over one's behavior is a feature of the disorder, having a diagnosis itself does not demonstrate that a particular individual is (or was) unable to control his or her behavior at a particular time.

What is the ultimate goal when using the DSM-5 Manual?

to develop comprehensive treatment plan that is informed by the individual's cultural and social framework.

The DSM was initially developed for what reason?

to gather statistical info