Reference Source Analysis The 600

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Reference Source AnalysisThe 600s

• Week 4
• Spring 2009
• Catherine Watson

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R616.89075 D5405 2000

• American Psychiatric Association, Diagnostic and
  Statistical Manual of Mental Disorders DSM-IV-TR.
  4th. Washington D.C. American Psychiatric
  Association, 2000.

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The Diagnostic and Statistical Manual of Mental
Disorders (DSM-IV-TR) is published by the
American Psychiatric Association. It is the
standard classification of mental
problems/disorders used by mental health
professionals in the United States.
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BN reader review by LonestarRx

• October 10, 2008
• I know there are those who would ban this
  book for assigning damning labels to that
  swarming mass that is humanity.
• And those using it for professional purposes
  should undoubtedly proceed with real caution.
• But for the rest of us -- those simply
  trying to make sense of the nuttiness that our
  friends and family members, and most especially
  our ex-lovers exhibit
• The DSM-IV is probably the best guide there
  is the bible of mental disorders.
• Would-be writers will find it a fantastic
  research tool as well. Looking to put a little
  meat on the bones of a character?
• Check out the Diagnostic and Statistical
  Manual of Mental Disorders.

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This is the 4th and current edition, published in
July 2000, the next revision is slated for 2011-a
website companion for the book has the latest
news on everything having to do with the book
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What is the DSM-IV-TR?

• The DSM is a manual that contains a listing of
  psychiatric disorders and their corresponding
  diagnostic codes.
• Each disorder included in the manual is
  accompanied by a set of diagnostic criteria and
  text containing information about the disorder,
  such as associated features, prevalence, familial
  patterns, age-, culture- and gender-specific
  features, and differential diagnosis.
• No information about treatment or presumed
  etiology is included. 
• The DSM-IV-TR is the last major revision of the
  DSM. Its the culmination of a six-year effort
  that involved over 1000 individuals and numerous
  professional organizations.
• This book has been translated into 22 languages

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Table of Contents (simplified)

• Introduction
• Disorders Usually First Diagnosed in
• Infancy, Childhood, and Adolescence
  
• Delirium, Dementia, and Amnestic and
• Other Cognitive Disorders
  
• Mental Disorders Due to a General Medical
  Condition
• Substance-Related Disorders
• Schizophrenia and Other Psychotic Disorders
• Mood Disorders
• Anxiety Disorders
• Somatoform Disorders
• Factitious Disorders
• Dissociative Disorders
• Sexual and Gender Identity Disorders
• Eating Disorders
• Sleep Disorders
• Impulse-Control Disorders Not Elsewhere
  Classified
• Adjustment Disorder

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arrangement of its 992 pages

• INTRODUCTION- consists of 9 sections, 4 of which
  are
• -cautionary statement
• -use of the manual
• -DSM-IV-TR classification
• -multiaxial assessment
• BODY- 18 subject chapters
• -begins w/Disorders Usually First Diagnosed in
  Infancy, Childhood, and Adolescence
• -ends w/Additional Codes
• APPENDICES A-K
• -E-Alphabetical listing of DSM-IV-TR
• diagnosis and codes
• -F-Numerical listing of DSM-IV-TR
• diagnosis and codes
• INDEX-alphabetical including page numbers

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examples of classification codes

• Sleep disorders

• Impulse-control disorders not elsewhere
  classified

• Primary sleep disorders
• 307.44 Primary hypersomnia
• 307.42 Primary insomnia
• 347 Narcolepsy
• 780.59 Breathing-related sleep disorder
• 307.45 Circadian rhythm sleep disorder
• 307.47 Dyssomnia NOS
• Parasomnias
• 307.47 Nightmare disorder
• 307.46 Sleep terror disorder
• 307.46 Sleepwalking disorder
• 307.47 Parasomnia NOS

• 312.34 Intermittent explosive disorder
• 312.32 Kleptomania
• 312.33 Pyromania
• 312.31 Pathological gambling
• 312.39 Trichotillomania
• 312.30 Impulse-control disorder NOS

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4 ways to access the information!

• subject headings!- appendices EF lists by
  alphabet and number!-comprehensive alphabetical
  index in the back!

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book citation
the continued and increased popularity
of the Diagnostic and Statistical Manual of
Mental Disorders (DSM) makes it the most
frequently used publication in the field of
mental health. The publisher of the DSM is the
American Psychiatric Press, a professional
organization in the field of psychiatry.
Nevertheless, the majority of copies are bought
and used by individuals who are not
psychiatrists. Furthermore, early in the
introductory pages of the book, the authors
remind the reader that the book is designed to be
utilized by professionals in all areas of mental
health, including psychiatrists, physicians,
psychiatric nurses, psychologists, social
workers, and other mental health professionals
(American Psychiatric Association APA, 2000).
Since most mental health professionals believe
there is a need for a system that accurately
identifies and classifies biopsychosocial
symptoms as a basis for assessing mental health
problems, it is no surprise that this book
continues to gain popularity
UTILIZING THE DSM-IV-TR
By Sophia F. Dziegielewski, Ph.D., L.C.S.W.
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Intended purpose

• It is intended for use by mental health
  professionals and graduate students from a
  variety of disciplines and backgrounds for a wide
  range of purposes, including clinical, research,
  administrative, and educational.

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BN reader review by anonymous

• I have said for many years that this book
  should not be made available to the general
  public, they do not know how to use it, they
  cannot understand half of the language or
  terminology. I feel it should only be sold to
  Physicians, Psychiatrists, Psychologists Licensed
  Social workers, Licensed Mental Health
  Counselors, Psychiatric Nurses and students in a
  Graduate related program.

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Who Else?

• I know for a fact that writers love to cite this
  text-Ive read about this manual often
• The Seattle Public library owns 20 copies of this
  expensive book
• The central branch has 7 copies with 4 constantly
  in circulation.
• Ive read many opinions, the same as anonymous,
  stating this book should not be read by lay
  people.
• This book is excellent for anyone wanting to know
  whats going on in the mental health field. It
  should be read as it is not to be believed. And
  its best to be forearmed and forewarned.
• People not in the mental health field, but who
  deal with the public, would benefit from
  utilizing this book lawyers, bus drivers,
  military and law enforcement

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The US Government!

• The US Government has officially sanctioned the
  continued use of the DSM-IV-TR diagnostic
  criteria.  http//www.cms.hhs.gov

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In the United States, health insurance typically
will not pay for psychological or psychiatric
services unless a DSM-IV mental disease diagnosis
accompanies the insurance claim.
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Special features

• The number one special feature about this book is
  all the support you can find on how to use
  it-there are many books published about the
  DSM-IV-TR
• There are many books published as companions to
  the DSM-IV-TR
• The book comes in handy desk, quick and
  electronic editions
• Appendix A includes decision trees for
  differential diagnosis
• Appendix C includes a glossary of technical
  terms
• Appendix D highlights the changes in DSM-IV-TR

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Personal impression

• I feel fortunate to study the books I have
  been. Though this book was recommended, I would
  have picked it out for myself. I have been
  hearing about this book for years in my travels
  through pop culture. It was a difficult book to
  report on because it is not a simple book,
  probably because its an official and important
  manual. To pick it up and open to any page
  finds something interesting to read. I definitely
  want to get a copy for myself when the DSM-V
  comes out, and believe me I am not the only one
  eagerly awaiting publication. I like how the
  book brings up strong opinions about who should
  have access to it, its potential
  dangerousness, its controversy and over the
  topness. It is hard to believe this book is
  referring to real life possibles in these modern
  times.
• Who knew there was such a thing as
  caffeine-related disorders?

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typifying reference uses

• I had a discussion with the librarian who
  recommended this book about its reference uses.
  This is what he had to say
• Most patrons ask for it by name because they know
  what theyre looking for. This can sometimes
  occur after a discussion with their doctor.
• Patrons are quite shy when they ask for it
• Its rare to get phone calls, but if they do its
  along the lines of
• What is this code?
• What does it stand for?
• Its not often that a patron will ask for
  something to be read to them
• Someone may have been assigned a code in the
  1980s and theyre still undergoing treatment and
  they will check with the book for an update
• My impression is that this book provides a
  service for patrons and its important that its
  available as a reference.
• Its interesting he didnt mention any mental
  health professionals or students asking about it!

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complementary sources

• http//www.psychnet-uk.com/dsm_iv/dsm_iv_index.htm
  l
• http//psyweb.com/Mdisord/DSM_IV/jsp/dsm_iv.jsp
• http//www.behavenet.com/capsules/disorders/dsm4TR
  classification.html
• http//www.who.int/classifications/icd/en/bluebook
  .pdf
• DSM-IV Made Easy The Clinician's Guide to
  Diagnosis by James Morrison MD
• The mental disorders section of the International
  Statistical Classification of Diseases and
  Related Health Problems (ICD) is another
  commonly-used guide, used more often in some
  parts of the world

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http//www.dsmivtr.org