DIAGNOSTIC STATISTICAL MANUEL IV

1. DIAGNOSTIC STATISTICAL MANUEL IV DSMIV

2. PURPOSE • 1. GUIDE TO CLINICAL PRACTICE • 2. ASSISTING TREATMENT PROCESS • 3. CLINICAL RESEARCH • 4. EDUCATIONAL TOOL

3. EXTENSIVE RESEARCH • DOCUMENT SUPPORTED BY AN EXTENSIVE EMPIRICAL FOUNDATION • USED ACROSS SETTINGS, DISCIPLINES AND CULTURES

4. PROCESS • PRODUCT OF 13 WORK GROUPS,TASK FORCES AND SCHOLARS IN THE FIELD • CRITIQUED BY 50-100 ADVISERS, SOLICITED OPINIONS, REPRESENTING DIVERSITY • LIASEN WITH 60 ORGANIZATIONS, SUCH AS APA (American Psychological Association)

5. HISTORY FIRST OFFICIAL ATTEMPT WAS IN 1840 NEED TO COLLECT STATISTICAL INFORMATION 1880, SEVEN CATEGORIES OF MENTAL ILLNESS PRIMARILY USED FOR DIAGNOSING THE VETERAN’S ADMINISTRATION ADOPTS THE MANUEL

6. 1952 ADDED A GLOSSARY OF DESCRIPTIONS AND CATEGORIES, FIRST OFFICAL MANUAL OF MENTAL DISORDERS FOCUSED ON CLINICAL USE • WORD “REACTION” WAS USED: MENTAL DISORDERS REPRESENT REACTIONS OF THE PERSONALITY TO VARIOUS PSYCHOLOGICAL, SOCIAL & BIOLOGICAL FACTORS

7. ASSOCIATED WITH THE ICD (INTERNATIONAL CLASSIFICATION OF DISEASES) 10th Edition, 1992 • REVIEWED EXTENSIVELY TO PROVIDE COMPREHENSIVE, UNBIASED INFORMATION SO THE DSM-IV RELFECTS THE BEST AVAILABLE CLINICAL AND RESEARCH LITERATURE.

8. CLASSIFICATION SYSTEM • CLASSIFIES DISORDERS THAT PEOPLE HAVE, NOT PEOPLE THEMSELVES • AN INDIVIDUAL WITH….. INSTEAD OF WORDS LIKE SCIZOPHRENIC OR ALCOHOLIC

9. LIMITATIONS • EACH CATEGORY IS NOT A COMPLETE DISCRETE ENTITY WITH ABSOLUTE BOUNDARIES • NOT ALL INDIVIDUALS ARE ALIKE • NEED FLEXIBILITY IN USING THE DSM SYSTEM

10. LAW & PSYCHOLOGY • AN IMPERFECT FIT • CLINICAL DIAGNOSIS IS NOT SUFFICIENT TO ESTABLISH THE LEGAL PURPOSES OF “MENTAL DISORDER” “MENTAL DISEASE” “MENTAL DISABILITY” • ADDITIONAL INFORMATION NEEDED TO ESTABLISH MENTAL COMPETENCE AND CRIMINAL RESPONSIBILITY

11. ETHNIC VARIATIONS • MANUEL USED IN CULTURALLY DIVERSE POPULATIONS IN U.S. AND OTHER COUNTRIES • SPECIAL LIST OF CULTURAL BOUND SYNDROMES INCLUDED IN CURRENT MANUEL