Unit 3 Abnormal Psychology

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Chapter 3

Modern classification of Abnormal Behavior


Modern classification of AB

• Clinical assessment is used to determine how and why a


person is behaving abnormally and how that person may
be helped.

• It also enables clinicians to evaluate people’s progress


after they have been in treatment for a while and decide
whether the treatment should be changed.

• The specific tools that are used to do an assessment


depend on the clinician’s theoretical orientation
Modern classification of AB

Purpose of classification
1. Communication

2.Control or prevention

3. Description : identification of presence of a disorder

4.Distinction

5.Psychoeducation

6.Prognosis/ prediction.

• Nosology : The science of classifying abnormal patterns of


behavior and experience.
CLASSIFYING ABNORMAL BEHAVIOR

• Currently, two diagnostic systems for mental disorders are


widely recognized.

• One—the Diagnostic and Statistical Manual (DSM)—is


published by the American Psychiatric Association.

• The other—the International Statistical Classification of


Diseases & Related Health Problems (ICD)—is published by
the World Health Organization.
Difference between ICD & DSM

ICD DSM

1. International classification
1. National classification
2. Several versions and languages
2. Single version & language
3. Alphanumerical coding
3. Numerical coding
4. 10 major categories
4. 17 major categories
5. Single axis
5. Multiaxial evaluation.
CLASSIFYING ABNORMAL BEHAVIOR

• DSM I (1952) 108 disorders


• DSM II (1968) 182 disorders
• Highly psychoanalytic
• Little emphasis on description
• Doubtful validity and reliability
• DSM III (1980) 265 disorders
• DSM III- R (1987)
• DSM IV (1994) & DSM IV-TR (2000) 297 disorders
• This ever increasing number of officially identified
mental disorders reflects
• 1. Over vastly increased knowledge about psychopathology
• 2. Critics argue that the proliferation of new diagnoses reflects
the “Invention” rather than “Discovery” of new disorders.
The DSM A Multiaxial Classification System

• Axis I:
• Clinical Disorders:
• Behaviors that impair functioning and cause the
individual stress
• Includes all mental disorders other than personality
disorders and mental retardation
The DSM-IV-TR: A Multiaxial Classification System

• Axis II
• Personality Disorders
• Overly rigid patterns of behavior and ways of
relating to others
• Mental Retardation
• Delayed/impaired development of intellectual
and/or adaptive abilities
The DSM-IV-TR: A Multiaxial Classification System

• Axis III
• General Medical Conditions
• Is for reporting current medical conditions
that are related to the mental disorder(s)
• Cancer  depression
• Tumors  antisocial tendencies
The DSM-IV-TR: A Multiaxial Classification System

• Axis IV
• Psychosocial & Environmental Problems
• May effect the diagnosis, treatment or prognosis
• Some listings
• Problems with primary support group (death of a loved one,
parental divorce, etc.)
• Problems related to social environment (difficulty with
acculturation, discrimination, loss/death of a friend, etc.)
• Housing and/or economic problems (homeless, unsafe
neighborhood, insufficient welfare support, etc.)
• Problems with access to health care services
The DSM-IV-TR: A Multiaxial Classification System

• Axis V
• Global Assessment of Functioning
• Reports the clinician’s judgment of the individual’s
overall level of functioning
• Allows for the tracking of clinical progress
• Pertains only to psychological, social and
occupational functioning
134 page
182
disorder
Editions of DSM 1968

494 pages
265
disorders
1980

567 pages
265 disorder
1987

886 pages
365 disorders
1994

943 pages
365 disorders
2000

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