Diagnostic and Statistical Manual Outline
Diagnostic and Statistical Manual Outline PHI 3453
Popular in Philosophy of Psychiatry
Popular in Political Science, Philosophy, & Religion
This 3 page Class Notes was uploaded by Sarah Parker on Wednesday September 7, 2016. The Class Notes belongs to PHI 3453 at Florida Atlantic University taught by Carol S Gould in Fall 2016. Since its upload, it has received 42 views. For similar materials see Philosophy of Psychiatry in Political Science, Philosophy, & Religion at Florida Atlantic University.
Reviews for Diagnostic and Statistical Manual Outline
Report this Material
What is Karma?
Karma is the currency of StudySoup.
You can buy or earn more Karma at anytime and redeem it for class notes, study guides, flashcards, and more!
Date Created: 09/07/16
Philosophy of Psychiatry Professor Gould DSM Notes Unit One Highlight = Important Principle Highlight = Important Concept Highlight = Key Term TERMINOLOGY DSM: Diagnostic and Statistical Manual; A guide used by clinicians to diagnose patients. A diagnosis is determined by a cluster of symptoms. The DSM contains diagnostic codes necessary for an insurance claim. Nosology: The study of classification of diseases. Exogenous disorders: Caused by external factors, e.g. death of a family member, divorce, etc. Endogenous disorders: Internal origin, e.g. brain injury, chemical imbalance, etc. Psychodynamic model: Disorders classified in terms of purported causality, as a person’s interaction with its psychological, social, and physical environment. Emil Kraepelin: Created the dual-category system of classification of mental illness (Exogenous and endogenous); the DSM has been heavily influenced by his ideals since the 1980s. PSYCHOTHERAPUTIC VS N EUROBIOLOGICAL TREATMENTS - Psychotherapeutic - Cognitive Behavioral Therapy - Oriented around the mind rather than the brain - Hardly funded by insurance, making it difficult for patients to afford proper treatment and leaving them with high co-pays. - Neurobiological Treatment - Medication to address mental illness - Oriented around the brain rather than the mind - Favored approach by insurance companies and more easily accessible - Look for chemical imbalances that cause mental illnesses THE DSM O VERVIEW - The DSM, or Diagnostic and Statistical Manual, is used by health professionals when diagnosing a patient with a mental illness. Each diagnosis has a specific code for the doctor to submit to make an insurance claim. The diagnosis must adhere to specific symptoms in the DSM, which has been cause for controversy in the philosophic and psychiatric community as some symptoms could have one of several underlying conditions. However, in order to file an insurance claim and receive financial assistance with treatment, the diagnosis must be made through the DSM. PROBLEMS WITH THE DSM - In addition to the questionable method of diagnosing patients using the DSM, some have argued that the manual contains sexist, racist, and class biases. The current DSM, called DSM 5, is under fire by members of the medical community for pathologizing normal human behavior, such as reacting to a death of a loved one through grief and mourning. This is now considered to be a symptom of clinical depression. It has also broadened some categories while limiting others, which has been criticized as well. For example, hoarding is now considered an independent diagnosis, whereas before it was a symptom of ODC. O RIGIN The DSM derives from the 1840 United States Census, which included an option to mark someone as having “idiocy/insanity” in order to get more statistics on the population. DSM I AND II DSM I was published in 1952 These DSMs did not have a list of symptoms. DSM II was published in 1968 Both created based on a Psychodynamic model and were strongly influenced by psychoanalysis They contained three categories of mental disorders: - Psychosis - Neuroses - Character (now known as personality disorders) DSM III AND IV - DSM III was published in 1980. - Classifications became empirical: - Classified by symptoms (observed and reported) - Rejected the psychoanalytic model - Took the genetics and physical characteristics of the patient into consideration. - Both the DSM III and IV utilized the multiaxial system: it took the physical, mental, and social aspects of the patient’s condition into consideration for diagnosis and treatment. EMIL K RAEPELIN - Influenced DSM III and all that came after - Created the dual-category system of classification—included exogenous and endogenous disorders. - Did not realize his own prejudices against others, causing erroneous psychiatric ideas - Coined the terms autistic personality and paranoia - Believed in 19 century positivism DSM 5: H OW IT DIFFERS FROM THE PREVIOUS VERSIONS DSM 5 is the most recent publication of the DSM (2013) and contains many differences from the previous versions. - Instead of identifying with Roman numerals, DSM 5 has transitioned to the Arabic numbering system in order to update it different aspects of it as new information is discovered. This means there will be a DSM 5.1, 5.2, etc. to keep psychiatrists and their practices up to date with the most recent findings, and new versions like this can be published though the internet. - There is a new section called “Emerging Measures and Models”, which contains disorders not represented in DSM 5. - The multiaxial approach is excluded. - The Global Assessment of Functioning scale is excluded. It is important to keep in mind how a diagnosis may affect the patient. For instance, it may be good for something like PTSD to be recognized as a mental illness so that treatment options are made available to those who suffer, but being labeled as mentally ill may negatively affect the way a person views themself and how others view them too.
Are you sure you want to buy this material for
You're already Subscribed!
Looks like you've already subscribed to StudySoup, you won't need to purchase another subscription to get this material. To access this material simply click 'View Full Document'