Exam 2 Lecture Notes - Clinical Diagnosis 20:02 Overview:...

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Unformatted text preview: Clinical Diagnosis 20:02 Overview: • History of clinical diagnosis • Criticisms of clinical diagnosis • Objectives of our current diagnostic system • Basic features of the DSM-IV • Major classes of mental disorders • Alternatives to the DSM-IV History • Pre DSM • DSM-I (1952) • DSM-II (1968) • DSM-III (1980) o Real breakthrough – the first time where the manual actually laid out clear guidelines, diagnostic criteria, of what was required to meet the descriptions. Allowed for more accuracy o Many hierarchical exclusions – More extreme diagnosis gave precedent over less extreme diagnosis. • DSM-III-R (1987) o Some hierarchical exclusions were dropped • DSM-IV (1994) o Still have a couple hierarchical exclusions were dropped Criticisms of Psychiatric Diagnoses • Confusing categorization with explanation • Problem with clinical consensus • Concerns about reliability and validity • Reinforces the medical model view of psychopathology Objectives of the Current Diagnostic System • Enhance diagnosis • Facilitate agreement among clinicians • Enhance communication among clinical researchers Definitional Features • The syndrome must not be merely an expected response to an event • The syndrome must not be merely deviant behavior or conflicts between the person and society. • Does not assume that people with a mental disorder are alike in all ways. • Classifies mental disorders not people Basic Features of DSM-IV • Uses a descriptive (as opposed to theoretical) approach to diagnosis. o Clinical features associated with the disorder o Specific predisposing factors o Differential diagnostic considerations o Typical onset, clinical course, impairment, and complications o Specific diagnostic criteria • Uses a specific criteria for each disorder • Uses a polythetic approach to diagnostic criteria o There is more than one way to meet a feature • Uses some hierarchical organization of diagnostic classes • Uses a Multiaxial system of classification Example of Diagnostic Criteria • A. Preoccupation with fears of having, or the idea that one has, a serious disease based on the person’s misinterpretation of bodily symptoms • B. The preoccupation persists despite appropriate medical evaluation and reassurance • C. The belief in A is not of delusional intensity and is not restricted to a circumscribed concern about appearance • D. The preoccupation causes clinically significant distress or impairment in social, or occupational functioning....
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This note was uploaded on 04/22/2009 for the course PSY 364 taught by Professor Telch during the Spring '06 term at University of Texas at Austin.

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Exam 2 Lecture Notes - Clinical Diagnosis 20:02 Overview:...

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