Differences Between Categorical And Dimensional Approaches From Science And Social Science

This paper will aim to define narcissistic personality disorder as a whole. The document will cover the topics of symptoms, prevalence, and contributing factor. In addition to covering the general description of the disorder the paper will present a case study to provide a clearer image of the parameters of NPD. 2 scientific studies will be presented in order to offer empirical data regarding NPD and to add knowledge recently acquired through experimentation.

The fourth edition of the Diagnostic and Statistics Manual describes personality disorders as being a pattern of enduring behavior and internal experiences that tends to digress a significant amount from the individual’s cultural and societal standards (Sadock, Kaplan & Sadock, 2015). This personality disorder is diagnosed in the presence of grandiosity and the need to be admired and appreciated. There is a chronic lack of empathy as well as inflated self-esteem and the belief that one is entitled to the adoration of others. Narcissistic Personality Disorder is classified under Cluster B, showcasing more erratic and emotional behavior which can be seen in the film American Psycho.

The episode of the Jim portrayed in the case falls in the dimension of Axis II. The present edition of DSM-IV published in 1994, offers virtually 400 disorders (Crowe, 2000). The advantage of this is that it enhances diagnostic impartiality by adding decision trees demarcating significant characteristics of disorders, which makes clinicians by collections of questions concerning the presence or the absence of the symptoms. The present DSM-IV manual comprises of extensive anthology of information organized into portions for easier reference (Purse, 2009). The first section encompasses instructions on the way to use the tools contained in the DSM-IV, while following section contains comprehensive classification systems catalog of the official codes for each single diagnosis. The fourth section comprises of the manual detailing the diagnostic criteria accompanied by a description for each disorder. Despite the advantages highlighted above, there are some disadvantages in the manual compilation. First, the DSM-IV compilation lacks the exactitude in diagnostic criterion to evidently, differentiate one diagnosis from the other as well as the distinguishing mental disorder, from the situation, such as mental distress. DSM is not visibly clear on how experiences and behaviors cited within the diagnostic criterion justifiably can consider as substantiation of mental disorder as distinctive from rejoinders to life events (Crowe,

The Diagnostic and Statistical Manual of Mental Disorders (DSM) is currently the most frequently used way of standardizing and defining psychological disorders. However, the classification systems such as DSM have advantages and disadvantages. The major weakness of DSM is that it judges symptoms superficially and ignores other possible important factors. The major strength of DSM is that it enables categorization of psychological disorders.

Personality disorders have a sex prevalence rate and there has been some suggestion that those rates reflect gender bias. The bias concerns derived from the “conceptualization of personality disorders, the wording of diagnostic criteria, the application of diagnostic criteria, thresholds for diagnosis, clinical presentation, researching sampling, the self-awareness and openness of patients and the items included within self-report inventories” (Butcher, 2009, p. 356). Studies have failed to prove that there is significant gender bias in the DSM. However, research has showed there is gender bias within clinical judgments. For example, gender related items would be included within self-report inventories (Butcher, 2009). Clinicians tend to judge female patients as being mentally ill more readily than male patients, even when the symptoms are the same. Moreover, women are more likely to be cast as overly emotional, have a need for mood-altering medication and require ongoing monitoring/treatment (Zur and Nordmarken, 2010).

Personality disorders are included as mental disorders on Axis II of the diagnostic manual of the American Psychiatric Association and in the mental and behavioral disorders section of the ICD manual of the World Health Organization Personality disorders are conditions in which an individual differs significantly from an average person, in terms of how they think, perceive, feel or relate to others. Changes in how a person feels and distorted beliefs about other people can lead to odd behavior, which can be distressing and may upset others There are three recognized personality disorder clusters, cluster A odd and eccentric, Paranoid Personality Disorder Schizoid Personality Disorder Schizotypal Personality Disorder dramatic and emotional, Borderline Personality Disorder Histrionic Personality Disorder Narcissistic Personality Disorder and anxious and fearful Avoidant Personality Disorder Dependent Personality Disorder Obsessive-Compulsive Personality Disorder Personality Disorders: Management

Explain how individuals experience discrimination due to misinformation, assumptions and stereotypes about mental ill health.

The first major controversy concerning classifications of mental disorders is the debate over dimensions vs. categories. According to the APA (2000), DSM–IV is a categorical classification that divides mental disorders into types based on criterion sets with defining features. Categories have been utilized in the past DSMs, however there has been much debate on changing to the dimensional model. The debate stems from the notion that in order for a categorical diagnosis to relate specifically to a disorder, the pathology would have to have been largely resilient to the influence of many other genetic and environmental influences (Widiger & Sankis, 2000). On the contrast, utilizing the dimensional model for a diagnosis would utilize a wide variety of neurochemical, interpersonal, cognitive, and other mediating and moderating variables that help to develop, shape, and form a particular individual’s psychopathology profile (Andreasen, 1997).

The DSM is a classified system used by psychiatrist and other clinical professions in order to diagnose clients and patients who show signs of some type of disorder. The two advantages of using this model or classification system ranges from the validity of an assessment used by clinicians and other health care professionals. Build around the concepts and purposes for the DSM model is that it supports a number of standard assessments of diagnosing different treatment providers. Furthermore, (Comer, J. 2016) suggest that the DSM-5 requires clinicians to provide both categorical and dimensional information which is part of being consistent in diagnosing. From a categorical perspective this refers to the name of a particular category of a disorder which is indicated on behalf of the client’s symptoms. From the dimensional perspective it is a rating of how the client symptoms and the severity of the dysfunction through various dimensions.

Someone with narcissistic personality disorder would show an exaggerated sense of self-importance, a preoccupation with being admired, and a lack of empathy for the feelings of others (Hooley, p.349). Many studies support the fact that narcissism has two sub types: grandiose and vulnerable narcissism (cain et al.,2008; Ronningstam, 2005, 2012). The grandiose sub-type is manifested by traits related to grandiosity, aggression, and dominance. They usually overestimate their abilities and accomplishments and underestimate the abilities and accomplishments of others. They feel entitled, behave in stereotypical ways, and often think they can only be understood by those of

In Conclusion, they began by examining two of the major approaches to psychopathology research and theory: the medical model and the biopsychosocial model. The latter has clear advantages over the former: a more sophisticated and comprehensive understanding of psychological disorder is possible. Such a biopsychosocial is really a call for interdisciplinary cooperation in the study of psychopathology, a cooperation that has not historically been a reality. Nevertheless, as they have seen, there are some criticisms that can be leveled at both the medical and biopsychosocial models. If they do indeed embody assumptions of weakness and deficits, then there may be undesirable implications for how we conceptualize and treat people with (so called?) psychological disorders.

The diagnostic process for personality disorders currently covers a broad scope of various tests and symptoms, causing a source of frustration for psychiatrists (Aldhous). The symptoms and side effects of several personality disorders can tend to blur together, making diagnosis challenging (Aldhous). Most psychiatric patients are diagnosed with several personality disorders at once, with twenty percent of people with personality disorders simply diagnosed with a “personality disorder not otherwise specified” (Aldhous). Using the Diagnostic and Statistical Manual of Mental Health Disorders, commonly referred to as the DSM, psychiatrists attempt with great difficulty to categorize their patients into a specific disorder, only to diagnose

Dombeck, M., Hoermann, S., Zupanick, E.C. (2011). Personality Disorders: Problems with current diagnostic system. MentalHelp. Retrieved on 14th March, 2013, from http://www.mentalhelp.net/poc/view_doc.php?type=doc&id=569

Personality disorders are very defined and recognized in today’s society. The Diagnostic and Statistical Manual of Mental Disorders (DSM) published by the American Psychiatric Association provides common language and standards classifying mental disorders. The DSM is used by many people in varying disciplines in the USA as well as many other countries. In times past, people with disorders may have been outcast from a community or even persecuted. However, in our current culture the pendulum has swung in the other direction. It almost seems that there is a trend to explain all behavior by a mental disorder. This results in needing to disprove that certain people are not displaying a disorder, rather acting within a normal human emotion or

Chapter 3 During the Middle Ages some “authorities” classified abnormal behaviors into two groups, those that resulted from demonic possession and those due to natural causes. The 19th-century German psychiatrist Emil Kraepelin was the first modern theorist to develop a comprehensive model of classification based on the distinctive features, or symptoms, associated with abnormal behavior patterns (see Chapter 1). The most commonly used classification system today is largely an outgrowth and extension of Kraepelin’s work: the Diagnostic and Statistical Manual of Mental Disorders (DSM), published by the American Psychiatric Association. Why is it important to classify abnormal behavior? For one thing, classification is the core of science. Without labeling and organizing patterns of abnormal behavior, researchers could not communicate their findings to one another, and progress toward understanding these disorders would come to a halt. Moreover, important decisions are made on the basis of classification. Certain psychological disorders respond better to one therapy than another or to one drug than another.