DIAGNOSTIC STATISTICAL MANUEL IV DSMIV

PURPOSE 1. GUIDE TO CLINICAL PRACTICE 2. ASSISTING TREATMENT PROCESS 3. CLINICAL RESEARCH 4. EDUCATIONAL TOOL

EXTENSIVE RESEARCH DOCUMENT SUPPORTED BY AN EXTENSIVE EMPIRICAL FOUNDATION USED ACROSS SETTINGS, DISCIPLINES AND CULTURES

PROCESS PRODUCT OF 13 WORK GROUPS,TASK FORCES AND SCHOLARS IN THE FIELD CRITIQUED BY ADVISERS, SOLICITED OPINIONS, REPRESENTING DIVERSITY LIASEN WITH 60 ORGANIZATIONS, SUCH AS APA (American Psychological Association)

HISTORY FIRST OFFICIAL ATTEMPT WAS IN 1840 NEED TO COLLECT STATISTICAL INFORMATION 1880, SEVEN CATEGORIES OF MENTAL ILLNESS PRIMARILY USED FOR DIAGNOSING THE VETERAN’S ADMINISTRATION ADOPTS THE MANUEL

1952 ADDED A GLOSSARY OF DESCRIPTIONS AND CATEGORIES, FIRST OFFICAL MANUAL OF MENTAL DISORDERS FOCUSED ON CLINICAL USE WORD “REACTION” WAS USED: MENTAL DISORDERS REPRESENT REACTIONS OF THE PERSONALITY TO VARIOUS PSYCHOLOGICAL, SOCIAL & BIOLOGICAL FACTORS

ASSOCIATED WITH THE ICD (INTERNATIONAL CLASSIFICATION OF DISEASES) 10 th Edition, 1992 REVIEWED EXTENSIVELY TO PROVIDE COMPREHENSIVE, UNBIASED INFORMATION SO THE DSM-IV RELFECTS THE BEST AVAILABLE CLINICAL AND RESEARCH LITERATURE.

CLASSIFICATION SYSTEM CLASSIFIES DISORDERS THAT PEOPLE HAVE, NOT PEOPLE THEMSELVES AN INDIVIDUAL WITH….. INSTEAD OF WORDS LIKE SCIZOPHRENIC OR ALCOHOLIC

LIMITATIONS EACH CATEGORY IS NOT A COMPLETE DISCRETE ENTITY WITH ABSOLUTE BOUNDARIES NOT ALL INDIVIDUALS ARE ALIKE NEED FLEXIBILITY IN USING THE DSM SYSTEM

LAW & PSYCHOLOGY AN IMPERFECT FIT CLINICAL DIAGNOSIS IS NOT SUFFICIENT TO ESTABLISH THE LEGAL PURPOSES OF “MENTAL DISORDER” “MENTAL DISEASE” “MENTAL DISABILITY” ADDITIONAL INFORMATION NEEDED TO ESTABLISH MENTAL COMPETENCE AND CRIMINAL RESPONSIBILITY

ETHNIC VARIATIONS MANUEL USED IN CULTURALLY DIVERSE POPULATIONS IN U.S. AND OTHER COUNTRIES SPECIAL LIST OF CULTURAL BOUND SYNDROMES INCLUDED IN CURRENT MANUEL