lecture on new DSM-5

2.  The DSM-IV-TR was published in 2000
◦ Was a minor revision of the DSM-IV, which was
published in 1994
 DSM-5 intended to reflect advances in
research and clinical practice over the past 20
years
 Officially released May 18-22, 2013
 Not yet available for purchase
 Preliminary info available from:
◦ www.dsm5.org

3.  No longer using 5 axes for diagnosis
◦ The old Axes I, II, and III are being combined into a
single list of diagnoses that include all
psychological and medical diagnoses
◦ Axis IV replaced by notations for psychosocial and
contextual factors
◦ Axis V replaced by notation of degree of severity of
individual symptoms
 Appears to be an effort to integrate more of a
dimensional perspective

4.  Basic system of diagnosing
◦ Still assigning codes for insurance purposes
◦ Remains an essentially categorical approach
 Most diagnoses are tweaked or revised, not
removed or dramatically changed

5.  Attention Deficit-Hyperactivity Disorder
◦ Easier to diagnose adults
 Autism Spectrum Disorder
◦ Asperger’s Disorder has been eliminated as a distinct
diagnosis
◦ Greater emphasis of assessing severity of symptoms
along a spectrum
 “Mental Retardation” now called Intellectual
Disability
◦ Criteria for diagnosis remain about the same
 More info:
◦ http://www.psych.org/practice/dsm/dsm5

6.  Publishers (American Psychiatric Association)
emphasize basis in research
◦ American Psychological Association appears to be
adopting DSM-5 as well
 National Institute of Mental Health countered
with Research Domain Criteria Project
◦ http://www.nimh.nih.gov/about/director/2013/tra
nsforming-diagnosis.shtml
◦ Future research proposals should not utilize DSM-5
categories

7.  The textbook is based on DSM-IV-TR
 Previously recorded lectures based on DSM-IV-
TR
 I can’t buy a copy of DSM-5 yet!
 Check in each chapter for notes, announcements,
or mini-lectures
 Exam questions will be based ONLY on material
made available through the course website
◦ Will try to eliminate exam questions that confuse
between mini-lectures and textbook
◦ When in doubt, post to class discussion board or email
me!