Chapter 5 - Classification Assessment and Treatment(Chapter...

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Classification, Assessment, and Treatment (Chapter 5) Classification & Diagnosis 1) Classification: delineation of major categories of behavioral disorders for clinical or scientific purposes 2) Diagnosis: assigning a category of a classification system to an individual 3) What is our classification system? 4) Reminder: categories vs. dimensions Continuum of normality & abnormality A multiaxial system Axis I = clinical syndromes, childhood d/o Axis II = personality d/o; mental retardation Axis III = general medical conditions Axis IV = psychosocial/environmental probs Axis V = global assessment of functioning (GAF) Issues of comorbidity DSM controversy Lacking reliability Overreliance on medical model Adds to stigmatism Lack of emphasis on cultural issues/differences Lack of emphasis on relationships and relational functioning Clinical vs. Empirical Classification Clinical approach to classification Judgments & diagnoses based on clinician’s views Empirical approach to classification Focus on statistical techniques & measures of children’s behaviors Syndrome
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