1. Special Update For DSM-5
Don H. Hockenbury and Sandra E. Hockenbury
Psychology
Sixth Edition
Special Update For DSM-5
Chapter 14
Psychological Disorders
Copyright © 2014 by Worth Publishers

2. Figure 14.1 Diagnostic Classifications in DSM-5
Each of the more than 260 psychological disorders described in DSM-5 has specific criteria that must be met for a person to be diagnosed with that disorder. Although the DSM has been criticized over the years, it serves several important roles in mental healthcare. For example, anyone who seeks treatment for mental illness and who wishes to have the treatment covered by insurance must receive a DSM diagnosis. Moreover, standardized diagnoses allow clinicians, such as a psychologist and a psychiatrist, to communicate with each other about a patient. Additionally, diagnoses provide a structure that allows researchers to design studies that can be replicated by other people. Shown here is a list of the major diagnostic classifications in DSM-5. Every diagnosis falls in one of these categories.
Figure Diagnostic Classifications in DSM-5
Don H. Hockenbury and Sandra E. Hockenbury: Psychology, Sixth Edition – Special Update For DSM-5 Copyright © 2014 by Worth Publishers

3. The chart on the left shows the median age of onset for common categories of mental disorders in the National Comorbidity Survey Replication (NCS-R). While the onset of anxiety, posttraumatic stress, and obsessive-compulsive disorders or impulse control disorders tends to occur in the preteen years, the onset of depressive and bipolar disorders typically occurs around age 30, well into young adulthood. The chart on the right shows the lifetime prevalence for the same mental disorder categories. The NCS-R reconfirmed that the lifetime prevalence of experiencing a mental disorder is almost one out of two.
Figure Age of Onset and the Lifetime Prevalence of Mental Disorders
Don H. Hockenbury and Sandra E. Hockenbury: Psychology, Sixth Edition – Special Update For DSM-5 Copyright © 2014 by Worth Publishers

4. Table Some Key Diagnostic Categories in DSM-5 Diagnostic Category Core Features Examples of Specific Disorders
Don H. Hockenbury and Sandra E. Hockenbury: Psychology, Sixth Edition – Special Update For DSM-5 Copyright © 2014 by Worth Publishers

5. Table 14.2 Some Unusual Phobias
Don H. Hockenbury and Sandra E. Hockenbury: Psychology, Sixth Edition – Special Update For DSM-5 Copyright © 2014 by Worth Publishers

6. Table 14.3 The Most Common Obsessions and Compulsions
Don H. Hockenbury and Sandra E. Hockenbury: Psychology, Sixth Edition – Special Update For DSM-5 Copyright © 2014 by Worth Publishers

7. Table 14.4 Disorders Involving Intense Anxiety
Don H. Hockenbury and Sandra E. Hockenbury: Psychology, Sixth Edition – Special Update For DSM-5 Copyright © 2014 by Worth Publishers

8. Figure 14.3 The Symptoms of Major Depressive Disorder
The experience of major depressive disorder can permeate every aspect of life. This figure shows some of the most common emotional, behavioral, cognitive, and physical symptoms of that disorder.
Figure The Symptoms of Major Depressive Disorder
Don H. Hockenbury and Sandra E. Hockenbury: Psychology, Sixth Edition – Special Update For DSM-5 Copyright © 2014 by Worth Publishers

9. Table 14.5 Depressive Disorders and Bipolar Disorders
Don H. Hockenbury and Sandra E. Hockenbury: Psychology, Sixth Edition – Special Update For DSM-5 Copyright © 2014 by Worth Publishers

10. Smoking Rates Compared to the Number of Lifetime Mental Disorder Diagnoses
Don H. Hockenbury and Sandra E. Hockenbury: Psychology, Sixth Edition – Special Update For DSM-5 Copyright © 2014 by Worth Publishers

11. Table 14.6 Eating Disorders
Don H. Hockenbury and Sandra E. Hockenbury: Psychology, Sixth Edition – Special Update For DSM-5 Copyright © 2014 by Worth Publishers

12. Table 14.7 Personality Disorders
Don H. Hockenbury and Sandra E. Hockenbury: Psychology, Sixth Edition – Special Update For DSM-5 Copyright © 2014 by Worth Publishers

13. Table 14.8 Dissociative Disorders
Don H. Hockenbury and Sandra E. Hockenbury: Psychology, Sixth Edition – Special Update For DSM-5 Copyright © 2014 by Worth Publishers

14. Schizophrenia-related hallucinations can occur in any sensory modality
Schizophrenia-related hallucinations can occur in any sensory modality. Auditory hallucinations, usually in the form of voices, are the most common type of hallucinations that occur in schizophrenia, followed by visual hallucinations.
Figure Incidence of Different Types of Hallucinations in Schizophrenia
Don H. Hockenbury and Sandra E. Hockenbury: Psychology, Sixth Edition – Special Update For DSM-5 Copyright © 2014 by Worth Publishers

15. Figure 14.5 Presence of Symptoms in Schizophrenia
This graph shows the incidence of positive and negative symptoms in over 100 people at the time they were hospitalized for schizophrenia. Delusions were the most common positive symptom, and avolition, or apathy, was the most common negative symptom.
Figure Presence of Symptoms in Schizophrenia
Don H. Hockenbury and Sandra E. Hockenbury: Psychology, Sixth Edition – Special Update For DSM-5 Copyright © 2014 by Worth Publishers

16. Figure 14.6 The Risk of Developing Schizophrenia Among Blood Relatives
The risk percentages shown here reflect the collective results of about 40 studies investigating the likelihood of developing schizophrenia among blood relatives. As you can see, the greatest risk occurs if you have an identical twin who has schizophrenia (48 percent lifetime risk) or if both of your biological parents have schizophrenia (46 percent lifetime risk). However, environmental factors, as well as genetic ones, are involved in the development of schizophrenia.
Figure The Risk of Developing Schizophrenia Among Blood Relatives
Don H. Hockenbury and Sandra E. Hockenbury: Psychology, Sixth Edition – Special Update For DSM-5 Copyright © 2014 by Worth Publishers

17. Figure 14.7 The Finnish Adoptive Family Study of Schizophrenia
In the Finnish Adoptive Family Study, psychiatrist Pekka Tienari and his colleagues (1994, 2006) tracked the mental health of two groups of adopted individuals: one group with biological mothers who had schizophrenia and a control group whose biological mothers did not have schizophrenia. This graph shows the strong influence of the adoptive family environment on the development of serious mental disorders.
Figure The Finnish Adoptive Family Study of Schizophrenia
Don H. Hockenbury and Sandra E. Hockenbury: Psychology, Sixth Edition – Special Update For DSM-5 Copyright © 2014 by Worth Publishers

18. Photo Credits
Slide 8: Image Source/ SuperStock