INTRODUCTION TO THE DSM

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INTRODUCTION TOTHE DSM

• Diagnostic and Statistical Manual of Mental
  Disorders

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HISTORY OF THE DSM

• DSM I 1952 (ICD-6)
• DSM II 1968 (ICD-8)
• DSM III 1980 (ICD-9)
• DSM IIIR 1987
• DSM IV 1994 (ICD-10 mostly)
• DSM IV TR 2000 (ICD-10 Codes in appendix)

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VALUE OF THE DSM

• Improved Communication
• Reduced Information Variance
• Clarified Criterion Variance
• Technical Information by Diagnosis
• Treatment
• Prognosis

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VALUE OF THE DSM

• Reference Technical Terms Culture-Bound
  Syndromes
• Research
• Forensically
• Insurance Reimbursement

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CRITICISM OF DSM

• The Problem of Labeling
• Political Influences
• Sexism
• Cultural Bias
• Dominance of Behavior and Symptoms
  (Positivistic not Systemic)
• Medical Model of Disease
• Standardized Treatment

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MULTIAXIAL SYSTEM

• AXIS I Clinical Disorders Other Conditions
• AXIS II Personality Disorders Mental
  Retardation
• AXIS III General Medical Conditions

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AXIS V Global Assessment of Functioning (GAF)

• 10 Persistent danger of severely hurting self
  or others
• 30 In ability to function in almost all areas
  of life
• 50 Serious symptoms
• 70 Some mild symptoms
• 90absent or minimal symptoms

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