DSM Brief History

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DSM Brief History

• D. Schreier, Psy. D.

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1952

• DSM-I was published containing about 60
  different disorders.

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1968

• DSM-II was published.
• Both edition I II were strongly influenced by
  the psychodynamic approach. There was no sharp
  distinction between normal and abnormal, and all
  disorders were considered reactions to
  environmental events. Mental disorders existed on
  a continuum of behavior. This way, everyone is
  more or less abnormal. The people with more
  severe abnormalities have more severe
  difficulties with functioning.
• The early editions of the DSM distinguished
  between a psychosis and a neurosis. A psychosis
  is a severe mental disorder characterized by a
  break with reality. Psychoses typically involve
  hallucinations, delusions, and illogical
  thinking. A neurosis is a milder mental disorder
  characterized by distortions of reality, but not
  a complete break with reality. Neuroses typically
  involve anxiety and depression.

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1980

• DSM-III The psychodynamic view was abandoned and
  the medical model became the primary approach,
  introducing a clear distinction between normal
  and abnormal. The DSM became "atheoretical",
  since it had no preferred etiology for mental
  disorders.

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1987

• DSM-III-R appeared as a revision of DSM-III.
• .

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1994

• DSM-III TR evolved into DSM-IV.
• The most recent version is the 'Text Revision' of
  the DSM-IV, also known as the DSM-IV-TR,
  published in 2000.
• DSM-V, is not scheduled for publication until
  2010. The APA Division of Research does not
  expect to begin forming DSM development
  workgroups until 2005 or later.

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Why all this revisions?

• What do they reflect?
• How does it relate/ or not relate to the
  discussed ADDRESSING MODEL