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DSM-IV-TR
diagnostic and statistical
manual-IV-text revision
BY:
RITIKA JAISWAL
M.A-II YEAR
PSYCHOLOGY
BANARAS HINDU UNIVERSITY
 In 1952, the first of the diagnostic and
statistical manual of mental disorders
(DSM) was published to help
psychological professionals diagnose
psychological disorders.
 The current version of the DSM is called
the diagnostic statistical manual of
mental disorders, version IV , text
revision or DSM-IV-TR (American
Psychiatric Association ).
 DSM-IV-TR a cynically significant behavioural
or psychological syndrome or pattern that
occurs in an individual and that is associated
with present distress or disability or with a
significantly increased risk of suffering death ,
pain, disability or an important loss of
freedom.
 The classification of abnormal
behaviour ….
 Four criticism of the diagnosis
merit consideration…
1. The first is that diagnosis falsifies reality by
implying that most abnormal behaviour is
qualitatively different from normal behaviour.
2. if diagnosis discount that gradations between
normal and abnormal , it is even more likely to
discount the gradation between different form
of abnormality .
3. a third criticism is that diagnosis given the
illusion of explanation (Carson 1996).
4. a fourth criticism is that diagnostic labelling
can be harmful to people.
 The DSM-IV-TR describe in 250 different
psychological disorders . Each disorders is
described in term of its symptoms , the typical
path the disorders takes as it progresses , and a
checklist of specific criteria that must be met in
order for the diagnosis of that disorders to be
made .
 The manual also divides these disorders and
relevant facts about the person being , diagnosed
along five different categories or axes . A
psychologist or psychiatrist assesses the person
on each of these five axes.
AXIS TYPE OF
INFORMATIO
M
DESCRIBTION IN BRIEF
 AXIS I clinical disorders and
other conditions that
may be a focus of
clinical attention.
Psychological disorders that impair
functioning and are stressful and
factors that are not disorders but that
may affect functioning , such as
academic or social problems.
 AXIS II Personality disorders
Mental retardation
Rigid , enduring , maladaptive
personality patterns
 AXIS III General medical
conditions
Chronic and acute illnesses and
medical conditions that may have an
impact on mental health.
 AXIS IV Psychosocial and
environmental
problems
Problems in the physical
surroundings of the person that that
may have an impact on diagnostic ,
treatment , and outcome.
 AXIS V Global assessment of
functioning
Overall judgment of current
functioning , including mental , social
, and occupational.
 Psychological disorders are more common
than most people might think. In any
given year, about 22  of adults in the
united states over age 18 suffer from a
mental disorder .
DISORDER EXAMPLES
 Disorders usually first diagnosed in infancy
childhood , or adolescence
Learning disabilities ,ADHD ,
bedwetting , speech disorder
 Delirium , dementia ,amnesia , and other
cognitive disorders
Alzheimer's , parkinsonism ,
amnesia due to physical cause
 Psychological disorder due to a general medical
condition
Personality change because of a
brain tumour
 Substance –related disorders Alcoholism , drug addiction
 Schizophrenia and other psychotic disorders Schizophrenia , delusional
disorders , hallucinations ,
paranoid psychosis
 Mood disorders Depression , mania , bipolar
disorders
 Anxiety disorders Panic disorder , phobias , stress
disorders
DISORDDER EXAMPLES
 Somatoform disorders Hypochondria , conversion
disorders
 Factitious disorders Pathological lying , Munchausen
syndrome
 Dissociative disorders Multiple personality , amnesia not
due to physical causes
 Sexual and gender identity
disorders
Sexual desire disorders ,
paraphilia's
 Eating disorders Anorexia , bulimia
 Sleep disorders Insomnia , sleep terror disorder ,
sleepwalking , narcolepsy
 Impulse-control disorders not
elsewhere classified
 Adjustment disorders
Kleptomania , pathological
gambling , pyromania
Mixed anxiety , conduct
distribution
Paranoid ,schizoid , schizotypal
Cluster B; dramatic ,emotional , erratic disorders
Cluster C; anxious and fearful disorders
Avoidant , dependent , obsessive-compulsive
Axis-III General medical
conditions relevant to abnormal
behaviour
Infections ; parasites ;neoplasm ;endocrine ;
notional and metabolic diseases ; diseases of; the
blood and blood forming organs; the nervous
system and sense organs; the circulatory ;
respiratory ;digestive or genitourinary systems
Axis-IV Information on patients
life circumstances
Specific psychological and
environmental problems
• Problems with primary support group
• Problems related to the social environment
• Educational problem
• Occupational problem
• Housing problem
• Economic problem
• Problems with access to health care services
• Problems related to interaction with the legal
system
• Other psychological problems
Axis –v rating of patients
psychological; social and
occupational function Global
assessment of functioning scale
11 code categories
0= inadequate information
DIAGNOSTIC AND STATISTICAL MANUAL VERSION -IV TEXT VERSION

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DIAGNOSTIC AND STATISTICAL MANUAL VERSION -IV TEXT VERSION

  • 1. DSM-IV-TR diagnostic and statistical manual-IV-text revision BY: RITIKA JAISWAL M.A-II YEAR PSYCHOLOGY BANARAS HINDU UNIVERSITY
  • 2.
  • 3.
  • 4.  In 1952, the first of the diagnostic and statistical manual of mental disorders (DSM) was published to help psychological professionals diagnose psychological disorders.  The current version of the DSM is called the diagnostic statistical manual of mental disorders, version IV , text revision or DSM-IV-TR (American Psychiatric Association ).
  • 5.  DSM-IV-TR a cynically significant behavioural or psychological syndrome or pattern that occurs in an individual and that is associated with present distress or disability or with a significantly increased risk of suffering death , pain, disability or an important loss of freedom.
  • 6.  The classification of abnormal behaviour ….  Four criticism of the diagnosis merit consideration…
  • 7. 1. The first is that diagnosis falsifies reality by implying that most abnormal behaviour is qualitatively different from normal behaviour. 2. if diagnosis discount that gradations between normal and abnormal , it is even more likely to discount the gradation between different form of abnormality . 3. a third criticism is that diagnosis given the illusion of explanation (Carson 1996). 4. a fourth criticism is that diagnostic labelling can be harmful to people.
  • 8.  The DSM-IV-TR describe in 250 different psychological disorders . Each disorders is described in term of its symptoms , the typical path the disorders takes as it progresses , and a checklist of specific criteria that must be met in order for the diagnosis of that disorders to be made .  The manual also divides these disorders and relevant facts about the person being , diagnosed along five different categories or axes . A psychologist or psychiatrist assesses the person on each of these five axes.
  • 9. AXIS TYPE OF INFORMATIO M DESCRIBTION IN BRIEF  AXIS I clinical disorders and other conditions that may be a focus of clinical attention. Psychological disorders that impair functioning and are stressful and factors that are not disorders but that may affect functioning , such as academic or social problems.  AXIS II Personality disorders Mental retardation Rigid , enduring , maladaptive personality patterns  AXIS III General medical conditions Chronic and acute illnesses and medical conditions that may have an impact on mental health.  AXIS IV Psychosocial and environmental problems Problems in the physical surroundings of the person that that may have an impact on diagnostic , treatment , and outcome.  AXIS V Global assessment of functioning Overall judgment of current functioning , including mental , social , and occupational.
  • 10.  Psychological disorders are more common than most people might think. In any given year, about 22  of adults in the united states over age 18 suffer from a mental disorder .
  • 11. DISORDER EXAMPLES  Disorders usually first diagnosed in infancy childhood , or adolescence Learning disabilities ,ADHD , bedwetting , speech disorder  Delirium , dementia ,amnesia , and other cognitive disorders Alzheimer's , parkinsonism , amnesia due to physical cause  Psychological disorder due to a general medical condition Personality change because of a brain tumour  Substance –related disorders Alcoholism , drug addiction  Schizophrenia and other psychotic disorders Schizophrenia , delusional disorders , hallucinations , paranoid psychosis  Mood disorders Depression , mania , bipolar disorders  Anxiety disorders Panic disorder , phobias , stress disorders
  • 12. DISORDDER EXAMPLES  Somatoform disorders Hypochondria , conversion disorders  Factitious disorders Pathological lying , Munchausen syndrome  Dissociative disorders Multiple personality , amnesia not due to physical causes  Sexual and gender identity disorders Sexual desire disorders , paraphilia's  Eating disorders Anorexia , bulimia  Sleep disorders Insomnia , sleep terror disorder , sleepwalking , narcolepsy  Impulse-control disorders not elsewhere classified  Adjustment disorders Kleptomania , pathological gambling , pyromania Mixed anxiety , conduct distribution
  • 13. Paranoid ,schizoid , schizotypal Cluster B; dramatic ,emotional , erratic disorders Cluster C; anxious and fearful disorders Avoidant , dependent , obsessive-compulsive Axis-III General medical conditions relevant to abnormal behaviour Infections ; parasites ;neoplasm ;endocrine ; notional and metabolic diseases ; diseases of; the blood and blood forming organs; the nervous system and sense organs; the circulatory ; respiratory ;digestive or genitourinary systems Axis-IV Information on patients life circumstances Specific psychological and environmental problems • Problems with primary support group • Problems related to the social environment • Educational problem • Occupational problem • Housing problem • Economic problem • Problems with access to health care services • Problems related to interaction with the legal system • Other psychological problems Axis –v rating of patients psychological; social and occupational function Global assessment of functioning scale 11 code categories 0= inadequate information