DSM-5 diagnostic and statistical manual of mental disorders we
finally got the 5th Edition.
The 5th Edition's come about and it's going to change some of the content
of this particular section
of material. I'll point out where that occurs,
where would be changes from notes you have to some
additions and some subtractions and the way that these are covered.
By and large all the disorders that we're going to talk about are in there.
They have changed categorizations. Sometimes they have mildly changed
criteria for diagnoses.
But like I said, we're not going to the level of diagnostics here where you should
be able to
diagnose somebody.In fact, I would warn you against diagnosing anybody
with anything including yourselves. Don't get medical students disease
where you read a bunch of symptoms and you think oh my god I have that, alright.
I've got some rare tropical disorder
because I got a headache. I've had a headache, I've had that and I've had this.
Probably you don't have these things, but you might,
to be real about it. You might know someone in your family, in fact you are
likely to know somebody that's affected by
some of these issues we'll talk about but don't diagnose people.
You're not qualified and your not qualified to diagnose yourself.
If you think there might be an issue, this is the place you find out whether
or not you qualify
to meet criteria for a diagnostic category.
So for your test, you can know it as DSM-5.
But it means diagnostic and statistical manual of mental disorders
and as such it is the go-to book
that defines all mental disorders. That's the place that you go.
Many people don't go there when they make their diagnosis.
They don't double check the criteria which could be very extensive.
And you have to be exhaustive and make sure that it's not better accounted for by some
other issue.
And we'll find out that misdiagnosis is
rather easy to make in the realm of mental disorders, especially with
some types of disorders,
because some types of disorder categories share symptomatology.
And if you're not very well trained on differential diagnosis,
you may not realize that this is better accounted for the symptom presentation
that I'm being faced with
is better accounted for by somebody else, excuse me, some other category
disease or disorder.
And sometimes it could be a disorder. Now you don't need to know this
for your test. Aren't you glad you came to class? And, thank you all for coming.
I appreciate you coming. This is the new general definition. I just thought it would
be nice for you to see it.
"...a syndrome characterized by clinically significant disturbance in an individual's
cognition,
thinking, emotion, affect, regulation,
behavior, that reflects a dysfunction in the psychological,
biological, or developmental processes, or all of the above,
underlying mental functioning... usually associated with significant distress
or disability in social, occupational or other important activities."
It's not just anything. It has to be serious.
Having some symptoms, we might all have some symptoms of some of these things,
doesn't mean that we rise to the level of a diagnosis,
A mental disorder per se. "Further, an expectable
or culturally approved response to a common stressor or loss,
such as the death of a loved one, is not a mental disorder. Socially deviant
behavior (e.g. political, religious or sexual)
Politically deviant behavior. Some people get locked up
in some countries for voicing opinions that are not in line with
dictatorial governments. And what do you think they oftentimes say about those
people?
They are insane, they're crazy, they are unhinged.
We need to up lock 'em up for the good of society because there's something
fundamentally wrong with them. No. Having different political opinions when the
prevailing government's wishes
for you to have certain opinions is not a disorder. Religious issues:
We have religious freedom in this country. Any
expression or any manifestation of religious or spiritual
significance for you
should be honored as just that, your religious freedom.
To do as you wish or not do as you wish.
Sexual activity: As long as it's between consenting
adults is not necessarily problematic just because it's
unusual statistically. And conflicts that are primarily between the individual and society
are not mental disorders, unless
it results from a dysfunction in the individual as described above.
So, that's pretty exhaustive.
And it should give us all pause to think that, Wow, I ought to be really careful.