Diagnosis - Diagnosis & Assessment The Diagnostic System...

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1/3 The Diagnostic System I. The DSM th ed. – this lists the acceptable labels for all psychological disorders. It is primarily the reference book of mental disorders. A. The DSM-IV definition of mental disorder In a med. model you look at 1. levels of abstraction – e.g., structural pathology – ex/ cleft palate 2. symptom presentation – ex/ migraines 3. deviance from the physiological norm – ex/ low or high blood pressure 4. etiology – causal relationships The DSM IV defines mental disorders as “in the DSM IV, each of the mental disorders is conceptualized as a clinically significant behavioral or psychological syndrome or pattern that occurs in an individual & that is associated with present distress (e.g., a painful symptom) or disability (i.e., an impairment in one or more important areas of functioning) or with a significantly increased risk of suffering death, pain, disability, or loss of freedom. In addition, this syndrome or pattern must not be merely an expectable or culturally sanctioned response to a particular event, for example the death of a loved one. Whatever its original cause, it must currently be considered a manifestation of behavioral, psychological, or biological dysfunction in the individual.” It goes on to add that “neither deviant behavior (e.g., political, religious, or sexual) nor conflicts that are primarily b/w the individual & society are mental disorders unless the deviance or conflict is a symptom of dysfunction in the individual, as described above.” B. The evolution of the DSM & ICD - initially, the classification system was developed merely to allow for statistical data collection on individuals. WHO in the ICD-6 (international classification of disease) included for the 1
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This note was uploaded on 04/18/2008 for the course CLP 4414 taught by Professor Hubertz during the Spring '08 term at FAU.

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Diagnosis - Diagnosis & Assessment The Diagnostic System...

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