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TOPIC 3 CLASSIFICATION AND ASSESSMENT OF MALADAPTIVE BEHAVIOR . CLASSIFICATION OF ABNORMAL PSYCHOLOGY. Diagnostic and Statistical Manual of Mental Disorder (DSM) International Classification of Diseases (ICD). ABNORMAL BEHAVIOR ACCORDING TO DSM : - experience emotional distress
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TOPIC 3CLASSIFICATION AND ASSESSMENT OF MALADAPTIVE BEHAVIOR
CLASSIFICATION OF ABNORMAL PSYCHOLOGY Diagnostic and Statistical Manual of Mental Disorder (DSM) International Classification of Diseases (ICD)
ABNORMAL BEHAVIOR ACCORDING TO DSM: - experience emotional distress - show significant impairment in psychological functioning - impaired functioning, involves difficulties in meeting responsibilities at work (in family @ society in general - behavior of people that places people at risk
The DSM and Model of Abnormal Behavior DSM treats abnormal behavior as symptoms of mental disorder DSM recognizes that the cause of mental disorder remain uncertain DSM is used to classify disorders not people
Features of the DSM The DSM is descriptive, not explanatory Specific diagnostic criteria are used Abnormal behavior patterns that share clinical features are grouped together The system is multiaxial
Axis IClinical Disorders (all mental disorders except Personality Disorders and Mental Retardation) • Axis IIPersonality Disorders and Mental Retardation • Axis IIIGeneral Medical Conditions (Have to be related to Mental Disorder) • Axis IVPsychosocial and Environmental Problems (for example problems with primary support group) • Axis VGlobal Assessment of Functioning (Psychological, social and job-related functions are evaluated on a continuum between mental health and extreme mental disorder)
The main categories of clinical disorders (Axis I) according to DSM-IV are: • 1. Disorders Usually First Diagnosed in Infancy, Childhood, or Adolescence2. Delirium, Dementia, and Amnestic and Other Cognitive Disorders3. Mental Disorders Due to a General Medical Condition Not Elsewhere Classified4. Subtance-related Disorders5. Schizophrenia and Other Psychotic Disorders6. Mood Disorders7. Anxiety Disorders8. Somatoform Disorders (Disorders with somatic symptoms)
9. Facticious Disorders (Disorders involving faking)10. Dissociative Disorders (for example multiple-personalities)11. Sexual and Gender Identity Disorders12. Eating Disorders13. Sleep Disorders14. Impulse Control Disorders Not Elsewhere Classified15. Adjustment Disorders16. Other Conditions That May Be a Focus of Clinical Attention
Evaluation of the DSM system • Reliability • Is the degree to which a measuring device produce the same result each time is used to measure the same thing. • Validity • Is the extent to which a measuring instrument actually measures what it is supposed to measure
Advantages and Disadvantages of the DSM system Advantages: - Permits the clinician to readily match a client’s complain - multiaxis – comprehensive picture of client
Disadvantages: - stress on categorizing psychological disorders rather than describing people’s behavioral strengths and weaknesses - Potential for stigmatization of people with psychiatric diagnoses
Sociocultural Factors in the classification of abnormal behavior