Discuss the strengths and weaknesses of DSM-IV TR, as well as new changes for DSM-V. DSM-IV TR, which stands for Diagnostic and Statistical Manual of Mental Disorders (4th edition), Text Revision was published by the American Psychiatric Association in 2000 and serves as a guide book for many health professionals to diagnose a patient with a mental disorder. It also helps health professionals to determine what types of treatment could be carried out to help the patient. The latest DSM is widely used, especially in the USA and many European countries.1However, it may not be completely followed by health professionals as they know that there are some weaknesses of the latest version of DSM as well. This essay will discuss the strengths and …show more content…
This problem have improved but it is still a problem caused by the DSM. DSM-IV TR also does not consider patients subjective experience of a disorder. That is, the approach is not a dimensional approach as there is no first-person report but rather, observations are usually carried out which may neglect the more somatic and psychological processes that underlie the symptoms (Flanagan, Davidson & Strauss, 2007).3 Also, DSM causes most clinicians to be primarily concerned with the signs and symptoms of a disorder rather than the underlying cause by giving a list of certain criteria for diagnosis. Another weakness and debate about the DSM is that it is an unscientific system and it is the opinion of a few powerful psychiatrists. This has raised a lot of questions and have caused people to question the validity and reliability of the diagnostic categories as well. The validity and reliability were especially questioned after the Rosenhan experiment in the 1970s in which it was concluded that the sane could not be distinguished from the insane in psychiatric hospitals. Thus, even though the reliability and validity has improved now when compared to the 1970s, it is still a weakness which I believe could not be entirely fixed. However, validity problems of the diagnostic criteria especially arise when children or adolescents are involved. For
The DSM IV-TR, published by the American Psychiatric Association, is the authoritative book for clinicians, psychiatrists, therapists and other healthcare professionals who diagnose mental disorders. It lists the diagnostic criteria and features, differential diagnoses, course and prevalence of the disease. It is the go-t
The DSM-5 is a highly regarded compendium of diagnostic criteria for mental disorders. While many cognate professions have input and contribute data to the various disorder criteria, the various sources from which the changes are suggested can cause a conflict among the different professions that use it. Social work values can especially clash with the DSM-5 due to the high regard the profession has for the dignity and worth of its clients.
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.
The strengths when working with clients on a medical model perspective is that the use of the DSM provides a common language to use in the medical community. The DSM provides reliability and structural guideline to each mental disorder. The structural guidelines in the DSM provide an organized list of criteria and specifiers to help determine the severity of the mental disorder. When diagnosing a client, there are many similar signs and symptoms to each mental disorder; thus, the DSM provides the clinician information about differential diagnosis, prevalence, possible co-morbidity, age of onset, and progressive development of symptoms. Hence, focusing on the medical model and using the DSM can be beneficial to both the client and the clinician providing treatment.
The Diagnostic and Statistical Manual of Mental Disorders (DSM) has a number of features. First of all, every disorder is identified using a name and a numerical code. In addition, the manual provides the criteria for diagnosing each disorder as well as establishes subtypes of a disorder and examples that would illustrate the disorder. The manual goes further by addressing the typical age of onset, culturally related information, gender-related information, prevalence of a disorder, typical clinical course of a disorder, typical predisposing factors of a disorder and genetic family patterns of a disease (Summers, 2009). The DSM-IV is a tool that is used by mental health practitioners and social service workers. As has been demonstrated
While reading over the introduction to the DSM-5 I was impressed. I have never looked at any DSM or really any mental health disorders thus far in my studies. I was mostly impressed with the strive to continue making the DSM more useful and understanding. Some things that are in the introduction to the DSM-5 that caught my attention was that the Task Force was very involved in trying to find a balance between the different disorders without confusing them together (p. 5). Another point that I found important was that the overall goal for the DSM-5 was “the degree to which two clinicians could independently arrive at the same diagnosis for a given patient” (American Psychiatric Association, 2013, p. 7). This is a strong reasoning to improve the DSM and I am actually stocked that it took this long to change things because Robert Spritzer (a psychiatrist of the twentieth century who became have a strong part in developing the DSM-III and the DSM-IIIR), back in 1974 noticed the central issue being the problem of diagnosis and psychiatrists not being able to agree on the same disorders (Spiegel, 2005).
According to the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM-IV-TR), “the essential feature of
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.
Being able to form a diagnosis properly for a client is a process that is wide-ranging and broad. The Diagnostic and Statistical Manual of Mental Disorders (DSM) (American Psychiatric Association [APA], 2013) supports recommendations and standards for identifying a diagnosis for a client. The procedure of diagnosing is more than skimming for symptoms in the DSM; one must assess, interview and identify issues, as well as refer to the DSM for a diagnosis.
The Diagnostic and Statistical manual of mental Disorders also known as the DSM is used was published by the American Psychiatric Association as a way to set standard criteria for diagnosis of the different mental health conditions. Social workers, mental health practitioner and even researchers in order to, use this book to help them diagnose client. The book is intended to be used to make an initial assessment of symptoms that a patient might be facing and after the assessment is done then the clinicians can go about finding interventions to help the client overcome their disorder.
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
DSM-IV manages the problems by allowing professionals to put patients into broad categories such as the Not Otherwise Specified categories to allow for co-existence of various diagnoses in the same patient (Vieta & Phillips, 2007). However, there is still the problem of comorbidity, where a patient has two disorders (Vieta & Phillips, 2007). In addition, the validity of
This source is a valid source because Barlow and Durand (2015) presented their ideas, claims, and arguments thoroughly and are accompanied by both primary and secondary sources; they also conducted quantitative and qualitative researches which are all accompanied by statistics. Moreover, Barlow has published more than 500 scholarly journals and has written 65 books and clinical manuals. He was also accountable for his participation of the DSM-IV and continued on to be an advisor to the DSM-5 task force. His research interests include the nature and
Prior to DSM-5, the American Psychiatric Association was very clear that the DSM “is a categorical classification that divides mental disorders into types based on criterion sets with defining features,” (APA, 2000). Specifically, the developers of the DSM conceptualized mental health disorders as polythetic, meaning there are specific features that comprise each disorder, but these features are neither necessary nor sufficient (Carragher, Krueger, Eaton, & Slade, 2015; Widiger, & Trull, 2007). The underlying assumptions are that a mental health disorder is caused by a specific pathology, and a category, or prototype can represent a qualitative distinction between normality and abnormality. It is intended that clinicians use the DSM to determine which disorder best explains a patient’s symptoms based on the given diagnostic criteria, which represent an operational
Psychopathology is a term, which refers to either the study of mental illness, mental distress or the manifestation of behaviors and experiences, which may be indicators to mental illness, or psychological impairment (Psychopathology, n.d.) Within clinical counseling, the use tends to be in the treatment of mental disorders, the origins or the development of mental disorder. Technologies are being used, as well as have been, developed that require an accurate model, which is always being advanced within the Diagnostic and Statistical Manual of Mental Health Disorders, or the DSM. (American Psychiatric Association, 2000). For example, recent technology includes molecular genetics and mature statistical models. Which will in term assist in attempts to better understand where psychological disorders originate form. Currently, most psychopathology research follows the guidelines based in the fourth edition of the DSM, which assumes that mental disorders