1. Mani Rafiee Ph.D. student of general psychology Allameh Tabatabaiee university

2.  Shared language  Atheorithical view  Based on fact  Accurate criteria  Eliminate ethiological view

3.  DSM I 52  DSM II 68  DSM III 80  DSM III – R 87  DSM IV 94  DSM IV TR 2000  DSM 5 2013

4. Development started with 1999 meeting Task force recruited in 2006  Work Groups to consider  dimensional measures. e.g. severity scales  culture/gender issues.  Evolutional view

5. 947 pp 3 sections “5” instead of “V” Anticipates change e.g. DSM 5.1 … 5.2 …

6. 1) Structural changes. 2) Shifting criteria. 3) New diagnoses. 4) Reclassification of diagnoses. 5) Deleted diagnoses. 6) Code #s 6

7. Discontinued 5-Axis system  [No more denials for “Axis 2” or GAF?]  NOS replaced by "Other Specified” or “Unspecified”  “Another Medical Condition" instead of “General Medical Condition”

8.  Axis 4 gone might use Other Conditions that may be a Focus of Clinical Attention & (Z in ICD 10) codes  Axis 5 gone; might use WHODAS from Section III  List multiple diagnoses in order of attention or concern and it may change during of treatment

9.  Section I: Intro to updates, how to use.  Section II: The diagnoses (22 chapters)  Section III: Conditions requiring further research; cultural formulations; glossary. 9 RO

10.  Orientation  Historical back ground  Development of DSM-5  How to use it

11.  Diagnostic Criteria and codes  “Other Conditions That May be a Focus of Clinical Attention.”

12.  Emerging Measures and Models  Assessment measures  Cultural formulation  Alternative DSM-5 model for personality disorders  “Criteria Sets for Conditions for Further Study”

13.  Highlights of changes from DSM-IV to DSM-5  Glossary of technical terms  Glossary of cultural terms  Alpha & numeric listings of diagnoses and codes  List of advisors and contributors

14. Diagnositic Criteria  Subtypes and/or specifiers  Severity  Codes and recording procedures  Explanatory text (new or expanded)

15. Diagnostic and associated features  Prevalence  Development and course  Risk and prognosis  Culture- and gender-related factors

16. Diagnostic and associated features  Diagnostic markers  Functional consequences  Differential diagnosis  Comorbidity