Psy 103-Psychodiagnosis

Dsm iiir revised 750 disorders in 40 categories 1994

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DSM – IIIR (Revised) (750 disorders in 40  categories) 1994 DSM – IV 2000 DSM-IV-TR (Text Revision / Update) 2013 DSM-V (see  www.dsm5.org www.dsm5.org ) DSM-I and DSM-II Diagnosis DSM-I and DSM-II Diagnosis Consisted of brief paragraphs containing “horoscopic” descriptions of each disorder,  e.g.:  300.04 Depressive neurosis. This disorder is manifested by an excessive reaction  to an internal conflict or to an identifiable event such as the loss of a love object   or cherished possession. Deciding which disorder fit a particular patient was highly subjective and proved  statistically unreliable. Features of DSM-III, IIIR, IV, IV-TR Features of DSM-III, IIIR, IV, IV-TR Phenotypic diagnosis Based only on observable signs/symptoms Abandoned intrapsychic conjectures and terms like “neurosis” and “reaction” “Chinese-menu” decision-tree approach Inclusion criteria Exclusion criteria Field-tested for reliability Multiaxial diagnosis
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DSM-IV-TR Phenotypic Diagnosis:  DSM-IV-TR Phenotypic Diagnosis:  e.g.,  e.g.,  Major Depression, Single Episode Major Depression, Single Episode Inclusion Criteria: A person must have experienced at least 5 of the 9 symptoms below for the same two  weeks or more, for most of the time almost every day, and this is a change from  his/her prior level of functioning. One of the symptoms must be either (a) depressed  mood, or (b) loss of interest.  Depressed mood most of the day, nearly every day, indicated by subjective report (e.g., fells sad  or empty), or observation made by others (e.g., appears tearful). For children and adolescents,  may be irritable mood.  Significantly reduced level of interest or pleasure in all, or almost  all activities most of the day,  nearly every day.  A considerable loss or gain of weight (e.g., 5% or more change of weight in a month) when not  dieting. This may also be an increase or decrease in appetite. For children, they may fail to gain  an expected amount of weight.  Difficulty falling or staying asleep (insomnia), or sleeping more than usual (hypersomnia)  nearly every day.   Psychomotor agitation or retardation nearly every day, observable by others, not merely due to  subjective report.  Fatigue or loss of energy nearly every day.  Thoughts of worthlessness or excessive or inappropriate guilt ((which may be delusional) nearly  every day (not merely self-reproach or guilt about being ill).  Diminished ability to think or concentrate, or indecisiveness.  Recurrent  thoughts of death (not just fear of dying), recurrent suidical ideation without a  specific plan, or  a suicide attempt or a specific plan for committing suicide. 
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