Friday, October 3, 2014

The DSM-5 is composed of three parts: Part I, II and III (see box). In Part I looks at a number of


On Wednesday, May 22, 2013 was presented at the annual conference of the American Psychiatric Association (APA), the fifth edition of the "Diagnostic and Statistical Manual of Mental down syndrome Disorders" in San Francisco, the DSM-5. down syndrome The first edition was already sold out quickly. This new version of the DSM, the book forward to it was seen, also revealed the book that was most criticized, even before down syndrome it was actually published. Anyway, on Moeilijkemensen.nl may according to the editorial discussion not lacking: But how critical you should be? And how critical we stay?
The concrete descriptions of criteria oriented approach down syndrome of mental disorders in the DSM-III (1980), DSM-III-R (1987) and DSM-IV (1994) has brought us an unambiguous classification down syndrome system: a common slang for mutual communication, higher reliability of our instruments and a wealth of scientific information about mental disorders. down syndrome The desired validity regarding causal factors and the course of the disorder, however, remained largely out. In the run up to the DSM-5, the criticism of the classification system also swelled still further: psychopathology can not be captured in separate categories, but requires an underlying dimensional approach that does justice to the complex clinical reality. A further increase in the number of diagnostic categories down syndrome as unnecessarily stigmatizing and medicalize office was rejected.
Purpose of the DSM-5 was up-to-date to make partly based on increased knowledge about causes, heredity, biological markers, neuroimaging and other modern scientific insights to the classification system, "carving nature at its joints'. In the DSM-5, primarily for the usual daily clinical practice, the strict categorical approach should make for a dimensional approach instead; the introduction of severity measures would increase the predictive value; no further explosive growth in the number of disorders; and exit to the meaningless residual category NOS (not otherwise specified). The DSM-5 would have to be a living system in which relatively small changes can be braided down syndrome (DSM-5.1, DSM-5.2, etc.) in the interim. But all these promises were fulfilled?
On this new version a long process preceded it. When in 2002 the research agenda for the DSM-5 was established in collaboration with the World Health Organization (WHO), the National down syndrome Institute of Mental Health (NIMH) and the World Psychiatric Association (WPA) were in 13 groups based on literature reviews the again scanners criteria for all disorders and weighed and revised as necessary. Moreover, were crosscutting dimensions, symptom domains across all disorders it, operationalized and examined. Interim published the proposed changes to the APA website, work in progress, so that they could be adjusted further. Based on global feedback But this criticism down syndrome was not tender.
The DSM-5 is composed of three parts: Part I, II and III (see box). In Part I looks at a number of general conditions for the use of the DSM-5, and the general definition of a mental disorder before one or more of the specific diagnostic categories of application can be considered. This first step is often neglected. Moreover warned for improper use of the DSM-5, especially in forensic psychiatry. A DSM-5 classification is primarily intended for the daily clinical practice of care to a patient with a clear request for help, after a thorough diagnostic examination, rather than for example determining mental competence.
The most notable change in Part II is the disappearance of the our now familiar five-axis system as we know it since the introduction of the DSM-III. By contrast, in the DSM-5 diagnostic categories in a series of chapters classified and described a format as we also know the ICD-9 and ICD-10 WHO. Also missing, as in the DSM-IV, a separate section for the disorders in childhood and adolescence. These are in the DSM-5 combined with the disorders for adults. The categorical classification of disorders is maintained, however, a number of disorders grouped differently. So are the anxiety disorders in the DSM-IV can be found in three separate DSM-5 chapters back: anxiety disorders, obsessive-compulsive disorders and the related post-traumatic stress disorder. For most DSM-5 disorders has tinkered with the diagnostic criteria. This has led to some marginal changes, but also sometimes to great changes. A number down syndrome of new disorders was introduced as the Hoarding disorder (collective disorder), the Binge eating down syndrome disorder (

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