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DSM5 In Action

Chapter 1 - Getting Started

QuestionAnswer
What is the purpose of assessing and diagnosing? Communicate bt professionals, research, treatment development
What are the accepted sources for diagnostic criteria? Diagnostic and StatisticalManual of Mental Disorders, 5th Edition and the International Classification of Diseases
Describe the limitation and caution regarding the use of the DSM by clinicians in terms of client treatment
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Contrast the point of views of DSM1 and DSM2 DSM1 reflected a psychobiological POV. DSM2 reflected no particular POV
Describe the main criticisms of DSM1 and DSM2 open for interpretation by clinicians, unscientific and negatively labeled clients, did not consider clients history, personality, and life experiences.
What was improved to develop the DSM3? claimed to be unbiased and more scientific (thought there were still problems), utilized a categorical approach, shifted to medical model, outlined a common language
There were issues with DSM3 and DSM3R objectivity and credibility. Why was it still used? increased demand to diagnose to qualify for reimbursement from private practice companies and gov programs
What was improved to develop the DSM4? DSM4TR? included additional cultural info, diagnostic tests, lab findings, and was based on 500 clinical trials. TR included more info based on research and field trials
What was improved to develop the DSM5? major changes in diagnostic criteria and highlighted a shift toward a dimensional approach over previous categorical ones.
Reasons for the publication of the DSM4 and 4TR correct facts, allow group to review, new research, enhanced edu value, incorporated ICD coding changes
Intent of DSM4TR review info and ensure it was up to date, make educational improvements to enhance value of DSM as a teaching tool
Three sections of DSM5: How to Use, Categorical Diagnoses that Eliminate the Multi-Axial System, Conditions requiring future research, cultural formulations, and other info
Controversy regarding the DSM5 labeling: stigma, can be lifelong diagnosis, can encourage new maladaptive behavior presentation, inhibited growth and change
Pros of DSM5 uniform and improved diagnosis, improves informed communication, basis for comprehensive diagnostic and educational tool
Cons of DSM5 labels, limited info on relationship bt environment and condition. Does not describe intervention strategy
Describe Person-in-Environment Classification System adn how it relates to the DSM5. considers environment, assesses client social functioning (ADLs, access to needs, social roles). Developed to support DSM. Includes features of multiaxial system from DSM4.
What does PIE provide? common language for SW, improved communication, potential social aid in treatment, basis for gathering data to measure and design service program, clarifies a SW domain in humans service
Created by: kellyyrosse
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