...DSM-IV Evaluation PSY/270 University of Phoenix Case Study 1 – Schizoid Personality Disorder There are several believed causes for schizoid personality disorder. Cognitive theorists believe that individuals have a deficiency in the way they think, causing them to not relate and understand others normally, in turn making them withdrawn from others around them. Another believed cause is from the viewpoint of psychodynamic theorists. They believe people suffer from this disorder because of an unsatisfied need for human contact that they did not receive growing up (Comer, 2011). With these types of individuals being so withdrawn from the public, it can make it rather difficult to treat with therapy. There are several forms of therapy that do help assist in treatment however. Therapists try to have the individual experience more happy thoughts and better interact socially (Comer, 2011). They have individuals think about different emotions and write down memories that were happy ones. Also, they try various role paying techniques to teach individuals how to interact socially with others. Group therapy can also be beneficial in exposing individuals to social interaction (Comer, 2011). Case Study 2 - Narcissistic Personality Disorder Luis in the second case study clearly displays a narcissistic personality disorder, trying to show he is better than others regardless of his current standing in society. There are several proposed causes for this disorder. Psychodynamic theorists...
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...study Narcissistic Personality Disorder, NPD, in the Diagnostic and Statistical Manual of Mental Disorders- Fourth Edition describes that the foundation “lack of empathy” in NPD is entirely based on clinical observation and expert consensus. However, a similar apprehension and empirical, or publicly observed, evaluation of the criterion “lack of empathy” in this disorder are inadequate, making the intent in this study was to empirically determine compassion in patients with narcissism according to the DSM-IV. This disorder is a severe mental disorder with popular rates of up to 6% in general population, unrelenting functional impairment, and high suicide rates. This disorder was established as an individual foundation, criterion 8, in the DSM-III-R (1994), which explains the “inability to recognize and experience how others feel”. It was also affirmed in the DSM-IV and the DSM-IV-TR as criterion seven. More studies that have been based on the DSM-IV also uncovered low diagnostic accuracy of the criterion “lack of empathy”. The hypothesis is: the discrepancy is due to the fact that no theoretical constitute influences the NPD criterion “lack of empathy” in the DSM (1983), and so its assessment may be destitute. Participants Recruited were 47 inpatients that had been diagnosed with NPD by the Department of Psychiatry, Charité — Universitätsmedizin Berlin and contributing German hospitals. 53 year-old, gender-assimilated, healthy corresponding vassals were recruited...
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...this introduction I will discuss three differences in the DSM-IV and DSM-5. I will also discuss the role of the DSM-5 in making diagnosis. I will explain why it is used to make these diagnoses. I then will discuss what important questions I would ask a client when conducting a clinical interview. Finally I will explain how I would make a diagnosis using the DSM-5 if I was a counselor and how I would ensure that there is no misdiagnosis. DSM-5 DSM is short for Diagnostic Systems Manual and is used in the psychology field to diagnose mental health disorders. The DSM-5 has many differences than the DSM-IV, many which are additional information on already known disorders and some are new disorders. One such change is the new re-clustering of the Autism disorders now titled as Autism Spectrum Disorders, where as in the DSM-IV it was broken down into many different categories it is all under one category in the DSM-5. The new re-clustering includes attention-deficit/hyperactivity disorder (ADHD) as well. All of these fall under the Neurodevelopmental disorders section of the DSM-5. Another change is that the mental retardation concept was replaced by intellectual disability (Rodriguez-Testal, 2014). Another change is the phrase “general medical condition” in the DSM-IV is replaced with “another medical condition” where relevant across all disorders in the DSM-5 (American Psychiatric Association, 2013). The DSM plays a huge role in diagnosing individuals with intellectual...
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...Proper diagnosis is consistently a popular topic for debate and discussion in the field of psychology. An adequate mental health assessment takes multiple steps and should include a combination of a variety of factors such as a physical exam, lab tests, comprehensive mental health history, personal history, mental evaluation, and cognitive evaluation (Macleod, 2017). Physical exams and lab test include things like blood-work, urine test, and brain scans, to help find out if other factors such as drugs, alcohol, or even other underlying health issues that might be causing symptoms that suggest psychological disorders (Macleod, 2017). Once the above factors are ruled out, patients typically are referred to a mental health specialist for a more...
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...Axia College Material Appendix G The DSM-IV The DSM-IV is an important tool for clinicians. It provides a standard for diagnoses to be standardized across psychology; however, the DSM-IV is not as precise for diagnosing personality disorders as some psychologists would like. Give an example of each of the following problems identified in your readings and explain how these problems could negatively affect a diagnosis. 1. Some criteria used for reaching a diagnosis cannot be observed directly. This statement is true; some measures used to reach a diagnosis cannot be witnessed completely. Personality disorders can be hard to diagnosis with no knowledge of the unseen symptoms. Some of the criteria must be gained by analyzing each individual one by one. The complexity of diagnosing is associated with having accuracy and consistency. Furthermore, without observing these symptoms directly may cause a misdiagnosis. According to Comer (2005), “A related problem is that clinicians differ widely in their judgments about when a normal personality style crosses the line and deserves to be called a disorder (Clark, 2002). Some even believe that it is wrong ever to think of personality styles as mental disorders, however troublesome they may be “(Kendell, 2002). The information required for the diagnosis is a person’s behavior, character, and responses to proceedings or state of affairs. Another factor to consider may include environment relations. An individual with...
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...social service fields. The book's title is often shortened to DSM , or an abbreviation that also indicates edition, such as DSM-IV-TR, which indicates fourth edition, text revision of the manual, published in 2000. The DSM-IV-TR provides a classification of mental disorders, criteria sets to guide the process of differentialdiagnosis , and numerical codes for each disorder to facilitate medical record keeping. The stated purpose of the DSM is threefold: to provide "a helpful guide to clinical practice"; "to facilitate research and improve communication among clinicians and researchers"; and to serve as "an educational tool for teaching psychopathology." The multi-axial system The third edition of DSM , or DSM-III , which was published in 1980, introduced a system of five axes or dimensions for assessing all aspects of a patient's mental and emotional health. The multi-axial system is designed to provide a more comprehensive picture of complex or concurrent mental disorders. According to the DSM-IVTR, the system is also intended to "promote the application of the biopsychosocial model in clinical, educational and research settings." The reference to the biopsychosocial model is significant, because it indicates that the DSM-IV-TR does not reflect the view of any specific "school" or tradition within psychiatry regarding the cause or origin (also known as "etiology") of mental disorders. In other words, the DSM-IV-TR is atheoretical in its approach to diagnosis and classification—...
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...Abstract Throughout history, people have recognized that exposure to combat situations can negatively impact the mental health of those involved in these situations. In fact, the diagnosis of PTSD historically originates from observations of the effect of combat on soldiers. Since the 1800’s grouping of symptoms that we now refer to as PTSD has been described in the past as "combat fatigue," "shell shock," or "war neurosis." Combat veterans often return from deployment having experienced a wide range of exposures, symptoms and medical conditions. The Department of Veterans Affairs established war related illness and injury study centers to serve combat veterans with unexplained illnesses. History Although many coexisting disorders have been reported with post-traumatic stress disorder (PTSD), little reference has been made to the presence of psychotic symptoms. Post-traumatic stress disorder is commonly described among victims of severe trauma outside of normal human experience, in this case the combat veterans returning from deployment. Traumatic events can lead to reevaluation of life and its meaning; a reconsideration of what is truly important which often changes one’s set of priorities. Trauma often causes abrupt cessation of continuity in coherence in sense of one’s self (Barlow, 2002). In the early 1800’s military doctors began diagnosing soldiers with "exhaustion" following the stress of battle. This "exhaustion" was characterized by mental shutdown...
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...temperament is a key component of a person’s developing personality, along with the shaping and molding influences of family, caretakers, and environmental experiences. Personality disorders are diagnosed by a classical system of descriptive psychopathology within a framework adopted by the American Psychiatric Association (APA) and published in its Diagnostic and Statistical Manual of Mental Disorders (DSM) (). The DSM has had many revisions with the latest revision being published in 2000. The Diagnostic and Statistical Manual of Mental Disorders, 4th edition (DSM-IV-TR) is used to diagnose psychiatric illness. The DSM-IV TR has a multiaxial approach that includes five dimensions. Axis I: Clinical Syndromes, Axis II: Personality and Mental Retardation, Axis III: Medical Conditions, Axis IV: Psychosocial and Environmental Problems, and Axis V: Global Assessment of Functioning (PsychiatryOnline.org). Oldham places personality disorders on Axis II and this is also a general consensus in the United States. Oldham stated that any comprehensive clinical evaluation of a patient should include Axis II personality disorder pathology. However, he mentions that before a systematic exploration of a possible personality disorder categorical diagnoses is...
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...and Statistical Manual (DSM-IV-TR) says “There are two components of Gender Identity Disorder, both of which must be present too make the diagnosis. There must be evidence of a strong and persistent cross- gender identification, which is the desire to be, or the insistence that one is, of the other sex. There must also be evidence of persistent discomfort about one's assigned sex or sense of inappropriateness in the gender role of that sex. To make the diagnosis, there must be evidence of clinically significant distress or impairment in social, occupational, or other important areas of functioning (American Psychiatric Association [DSM-IV-TR], 2000). There are several diagnosis mentioned in the DSM. Transvestic Fetishism is when heterosexual men cross dress for sexual excitement. These people don't necessarily have childhood cross gender behaviors. Schizophrenia patients may demonstrate Gender Identity Disorder behaviors. The DSM is used by many mental health workers to officially diagnosis a patient, most insurance companies won't pay for treatment if proper diagnosis hasn't been made. Kenneth Zucker PH.D. is a well known psychologist and sexologist, and head of the child and adolescent gender identity clinic at Toronto's Centre for Addiction and Mental Health. Zucker supports GID being listed as a disorder in the DSM. He has also been chosen to by the APA to be chair of the Sexual and Gender Identity Disorder work group in revising the DSM fifth edition. According...
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...Assignment Each student will present a written case study of a selected patient with schizophrenia and provide a critical evaluation of the assessment, treatment and management of the patient utilizing relevant research evidence. The work should include the following areas: 1. A critical analysis of the assessment and diagnostic process 2. A critical analysis of the management/ rehabilitation-medical, nursing and other management 3. Appropriate referencing Methodology A random method was used to select the patient for this study. The patient was chosen from a cohort of patients on a psychiatric ward. The aim was to critique the assessment, treatment and management of a patient medically diagnosed with Schizophrenia. Various sources of information were utilized in the collection of information for this project. A research of this caliber demands that sources of information are peer reviewed current and of scholarly sources. Therefore it was with this in mind that the information was collected using internet medical portals, journal article and appropriate text books with a wide variety of information on the topic of choice. The patient’s docket was also used because it is a primary source of information about the management of the condition. Introduction Schizophrenia is a serious psychiatric disorder characterized by impaired communication with loss of contact with reality and deterioration from previous level of functioning at work, social...
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...Shelia Ward Psych/ 270 ABNORMAL PSYCHOLOGY: ABUSE, ADDICTION, & DISORDERS (AXIA) Clinical Assessment April 24, 2011 Assignment: Clinical Assessment Pre-consultation is the first initial contact with the potential clients, the documents of Clara’s medical history must be submitted for review, along with a documentation from her teachers at the pre-school pertaining to their observations with Clara. At this point any other documentation obtained prior to the adoption that may give further insight to evaluating Clara. In meeting with Clara and her adoptive parents the issue of Clara’s age and environment is the beginning process in evaluating the issues surrounding Clara. I recognize that questioning a four- year old child could appear to be very intimidating and frightening; therefore, the interview will be addressed in several phases to avoid overwhelming Clara. The first phase will initiate Clara be taken to a playroom, and observed by my associate and recorded while playing with dolls...
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...The Disease of Drug Addiction Joanne Frye HSER 340 Abstract Addiction is a chronic, often relapsing brain disease that causes compulsive seeking and use of addictive substances despite harmful consequences to the addicted individual and to those around him or her. Introduction Dramatic advances in science over the past 20 years have shown that drug addiction is a chronic relapsing disease that results from the prolonged effects of drugs on the brain. (Leshner, 1997) It is considered a brain disease because drugs change the brain structure and how the brain works. (Volkow and Schelbert, 2007) As with many other brain diseases, addiction has embedded behavioral and social-context aspects that are important parts of the disorder itself. Therefore, the most effective treatment approaches will include biological, behavioral, and social-context components. Recognizing addiction as a chronic, relapsing brain disorder characterized by compulsive drug seeking and use can impact society’s overall health and social policy strategies and help diminish the health and social costs associated with drug abuse and addiction (Leshner, 1997). Addiction as a Disease For decades, the orthodox view in neuroscience and psychiatry has been that addiction is a psychiatric disease (Jellinek, 1960). In 1968 it was included in the second revision of the Diagnostic and Statistical Manual of Mental Disorders, positioning it explicitly as a mental illness for the purpose diagnosis and treatment...
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...Abnormal Psychology LAQs 1. Discuss validity and reliability of diagnosis. Paragraph 1 (Introduction): ● Classification system is said to be reliable when it is possible for 4 different clinicians, using the same system, to arrive at same diagnosis for same individual ● Examples: DSM-4, CCMD, ICD-10 ● Though diagnosis systems use more standardized assessment techniques and more specific diagnostic criteria than in the past, classification system is far from perfect ● Classification system said to be valid when it is able to classify a real pattern of symptoms, which can lead to an effective treatment ● However, problem with this is that the classification system is descriptive and doesn’t identify any specific causes for disorders Paragraph 2 (Study 1): Sane or Insane-Rosenhan (1973) Aim: test reliability of psychiatric diagnosis Procedure: field experiment Part 1 ● 8 healthy people (5 men, 3 women) gained admission to 12 different psychiatric hospitals ● Complained of hearing unclear, unfamiliar voices of same sex repeating words “thud” and “empty” ● Participants said they felt fine after admission to hospital (no more symptoms) Part 2 ● Rosenhan told staff at psychiatric hospital that pseudopatients will try to get admitted ● No pseudopatients were actually sent Results: Part 1 ● 7 diagnosed with schizophrenia ● Took average 19 days for discharge and were classified as “schizophrenia in...
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...psychological stressors, food deprivation or restriction (eg, dieting), patterns of emotional eating, and the restriction or abstinence from, and then reintroduction of, highly palatable foods.2 Unsurprisingly, individuals who binge most often do so on high-fat, high-carbohydrate foods.2 The clinical manifestation of frequent binge-eating behavior results in a diagnosis of BED. While not formally defined as a psychiatric disorder like anorexia nervosa and bulimia nervosa, BED is included as a provisional diagnosis in the current edition of the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) under “eating disorders not otherwise specified” (EDNOS). However, experts are seriously considering including BED as a formal diagnosis in the fifth edition of the DSM that will be published in May 2013.2,3,5 The DSM-IV states that to qualify as a BED diagnosis, binge-eating episodes should occur at least twice per week for six months, noting that further study is necessary to determine a frequency threshold for binging behaviors should the...
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...© 2012 American Psychiatric Association. All Rights Reserved. See Terms & Conditions of Use for more information. DSM-IV and DSM-5 Criteria for the Personality Disorders General Criteria for a Personality Disorder DSM-IV General Criteria for a Personality Disorder DSM-5 Criteria - Revised June 2011 The essential features of a personality disorder are impairments in personality (self and interpersonal) functioning and the presence of pathological personality traits. To diagnose a personality disorder, the following criteria must be met: A. An enduring pattern of inner experience and behavior the deviates markedly from the expectations of the individual's culture. This pattern is manifested in two (or more) of the following areas: 1. Cognition (i.e., ways of perceiving and interpreting self, other people and events) 2. Affectivity (i.e., the range, intensity, liability, and appropriateness of emotional response) 3. Interpersonal functioning 4. Impulse control B. The enduring pattern is inflexible and pervasive across a broad range of personal and social situations. C. The enduring pattern leads to clinically significant distress or impairment in social, occupational, or other important areas of functioning. D. The pattern is stable and of long duration, and its onset can be traced back at least to adolescence or early adulthood. E. The enduring pattern is not better accounted for as a manifestation or consequence of another mental disorder. F. The enduring pattern is not...
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