PSY 3100 Lecture Notes - Lecture 7: Thematic Apperception Test, Hypomania, Pervasive Developmental Disorder
Document Summary
Purposes and evolution of the dsm: diagnostic and statistical manual of mental disorders, published by the apa, dsm-i (1952) and dsm-ii (1968): both relied on unproven theories and were unreliable, dsm-iii (1980), dsm-iiir (1987), dsm_iv (1994), dsm-5 (2013( Problems include low reliability for some disorders and reliance on committee consensus: the modern dsm. Paradigm shift from dsm-ii to dsm-iii (1980) From vague, psychoanalytic model to atheoretical, symptom checklist. This shift was not precipitated by advances in scientific understanding of mental disorders. 1962 law: drugs must be safe and efficacious for specific disorders. Atheoretical diagnosis: diagnostic criteria focus on symptoms, not on their presumed underlying cause. New for dsm-5: obsessive-compulsive and related disorders: Criteria are polythetic (defined in terms of a broad set of criteria that are neither necessary nor sufficient) Diagnosis supplies description of patient"s problem and prescription prediction of future course: five axes. Axis ii - stable, enduring problems (personality disorders, intellectual disorders)