DSM-IV: Diagnostic and Statistical Manual of Mental Disorders
Language: English
Pages: 886
ISBN: 0890420610
Format: PDF / Kindle (mobi) / ePub
Known as "DSM-IV", the latest version of this mental health manual features a new coding system compatible with the ICD-10. Based on the results of field trials, a number of criteria sets are simplified for use in clinical settings: somatisation disorder; schizophrenia; generalised anxiety disorder; and antisocial personality disorder. The "DSM-IV" text is expanded to maximise clinical utility and educational value. Additional subsections of text are: "Associated Laboratory Findings" to note lab tests that may be relevant to a particular diagnosis; an "Age-Related Features" section, added to most disorders to note how the disorder presents differently throughout the life cycle; a "Gender-Related Features" section including presentations that vary by gender; a "Culture-Related Features" section for each disorder, to discuss how the disorder presents differently in different cultural settings; and the "DSM-IV Substance Use" section discussing each substance in great detail, describing patterns of use and substance-induced conditions.
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instrumental in facilitating a mutually productive interchange between the American Psychiatric Association and the World Health Organization that has improved both DSM-IV and ICD-10, and increased their compatibility. We are grateful to Robert Israel, Sue Meads, and Amy Blum at the National Center for Health Statistics and Andrea Albaum-Feinstein at the American Health Information Management Association for suggestions on the DSM-IV coding system. Denis Prager, Peter Nathan, and David Kupfer
the major innovation of DSM-IV lies not in any of its specific content changes but rather in the systematic and explicit process by which it was constructed and documented. More than any other nomenclature of mental disorders, DSM-IV is grounded in empirical evidence. Historical Background The need for a classification of mental disorders has been clear throughout the history of medicine, but there has been little agreement on which disorders should be included and the optimal method for their
interaction develops later) (4) appearance of poorly coordinated gait or trunk movements (5) severely impaired expressive and receptive language development with severe psychomotor retardation 299.10 Childhood Disintegrative Disorder Diagnostic Features The essential feature of Childhood Disintegrative Disorder is a marked regression in multiple areas of functioning following a period of at least 2 years of apparently normal development (Criterion A). Apparently normal development is reflected
language, inability to initiate or sustain a conversation, stereotyped and repetitive use of language, lack of varied makebelieve play) (3) restricted, repetitive, and stereotyped patterns of behavior, interests, and activities, including motor stereotypies and mannerisms D. The disturbance is not better accounted for by another specific Pervasive Developmental Disorder or by Schizophrenia. 299.80 Asperger's Disorder Diagnostic Features The essential features of Asperger's Disorder are severe
co-occurs with Attention-Deficit/Hyperactivity Disorder, each should be diagnosed. Attention-Deficit/Hyperactivity Disorder is not diagnosed if the symptoms of inattention and hyperactivity occur exclusively during the course of a Pervasive Developmental Disorder or a Psychotic Disorder. Symptoms of inattention, hyperactivity, or impulsivity related to the use of medication (e.g., bronchodilators, isoniazid, akathisia from neuroleptics) in children before age 7 years are not diagnosed as