Oxford Text pg 262-268

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23 Terms

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Diagnostic and Statistical Manual (DSM)

classification system for abnormality

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DSM-I

1952-1974 edition of DSM grounded in psychoanalysis (homosexuality is a mental disorder)

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DSM-II

edition published in 1968 - criticized psychiatric practices and use of unobservable constructs but retained psychoanalysis roots

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DSM-III

edition published 1980 - used the multi-axial system, shifted from explaining disorders to describing them (abandons psychoanalysis)

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DSM-IV

published 1994 - added clinical significance criterion, each diagnosis was described in terms of five dimensions (axes)

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clinical significance criterion

to be diagnosed with a disorder an individual had to exhibit symptoms that created clinically significant distress or impairment of daily functioning

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international classification of diseases (ICD)

classification system for all diseases, including medical

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chinese classification of mental disorders (ccmd)

similar to DSM and ICD, but better suited to Chinese culture

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explanation description

a challenge faced by the DSM: Dsm moves towards less ___________ and more _______ to make diagnoses more consistent between clinicians

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reliability validity

a challenge faced by the DSM: having diagnoses be more consistent means higher _________ but the diagnosis might become less accurate meaning lower ___________

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deliniation

a challenge faced by the DSM: the symptoms by which disorders are diagnoses overlap so finding a behavior’s category is not easy

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changing social norms

a challenge faced by the DSM: behaviours, such as homosexuality, become normalized

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degrees of abnormality

a challenge faced by the DSM: establishing the severity of a symptom is more difficult than simply establishing its presence

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cross-cultural applicability

a challenge faced by the DSM: should be equally applicable to people of different cultural backgrounds

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medicalization

a challenge faced by the DSM: how categories of mental illnesses are defined have a direct influence on the percentage of a population that can be categorized as mentally ill

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point prevalence rate

the proportion of people in the population currently diagnosed with the disorder

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period prevelance

the proportion of a population that has the disorder at the same point in time during a given period

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onset age

the average age when individuals in a given population first develop the disorder

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classification system

diagnoses are made of the basis of a list of symptoms and diagnostic criteria

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clinical bias in diagnosis

there are biases surrounding how consistently a classification system is applied across psychiatrists and across populations

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Furnham and Malik (1994)

a study which attempted to explain why British Asians were rarely diagnoses with depression

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expression of symptoms

symptoms are expressed differently due to cultural, gender, and age variation

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Payne (2012)

study that demonstrated that African-American and Caucasian clients often express their symptoms differently