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9.14.17 Lecture Notes.docx

9.14.17 Lecture Notes.docx - 9.14.17 Lecture Notes...

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9.14.17 Lecture Notes Assessment and Diagnosis Diagnostic and Statistical Manual of Mental Disorders (DSM) – “Bible of Psychiatry” DSM-1 - Commissioned by army in 1952 for WWII veterans - Homosexuality was a diagnosis DSM-2 - Not much better - Unreliable – no evidence, lack of consistency DSM-3 to 5 - More behaviorally based - More specific symptoms - Improved reliability - Valid? – is this a real thing? DSM 4 Axis System: Axis 1 – Clinical Disorders Axis 2- Personality Disorders and Mental Retardation Axis 3- General Medical Conditions Axis 4- Psychosocial and Environmental Problems Axis 5- Global Assessment of Functioning DSM-5 - No Axis system in DSM-5 - 383 disorders in DSM-4, now 541 in DSM-5 Core Features of a Disorder: 1. Behavioral or psychological syndrome or pattern that occurs in an individual 2. Based in a decrement or problem in one or more aspects of mental functioning including global functioning 3. Not merely an expectable response to common stressors 4. That is not a primarily a consequence of social deviance or conflict with society Symptoms vs Syndromes Symptoms combine to form syndromes (disorders) - Some symptoms overlap between disorders - Disease: essentially when you know the root cause What is assessment? Assessment - Gathering info about symptoms and potential cause of those symptoms
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Clinical Interviews : Can either be unstructured or structured Structured
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