DSM IV is the fourth edition of the Diagnostic and Statistical Manual of Mental Disorders. It is also known as DSM-IV-TR. It is a manual published by the American Psychiatric Association (APA) that includes all currently recognized mental health disorders. It is used in the United States and in varying countries around the world. It is used by clinicians, researchers, psychiatric drug regulation agencies, health insurance companies, phameceutical companies, and policy makers.
There have been five revisions since it was first published in 1952. It gradually included more mental disorders although some have been removed and are no longer considered to be mental disorders, most notably homosexuality. The manual …show more content…
The categories are protoypes, and a patient with a close approximation to the prototype is said to have that disorder. The DSM-IV states, “there is no assumption. Each category of mental disorder is a completely discrete entity with absolute boundries.” Qualifiers are sometimes used, for example, mild, moderate or severe forms of a disorder. For nearly half the disorders, symptoms must be sufficient to cause clinically significant distress or impairment in social occupational, or other important areas of functioning. Each category of disorder has a numeric code taken from the ICD coding system used for health service administrative …show more content…
A 2009 experiment told that the attempts to demonstrate natural boundries between related DSM syndromes or between a common DSM syndrome and normality have failed. Some argue that rather than a categorical approach, a fully demensional spectrum or complaint oreiented approach would better reflect the evidence. In addition, they argue that the current approach based on exceeding a threshold of symptoms does not adequately take into account the context a person is living and to what extent there is internal disorder of an individual versus a psychological response to different situations. The DSM doesn't include an Axis for outlining Psychosocial and enviromental factors contributing to the disorder once someone is diagnosed with that disorder. Because someones degree of impairment is often not correlated with symptom counts and can stem from many individual and social factors, the DSM's standard of distress or disability can often priduce false positives. However, on the other hand, people who don't meet symptom counts may experience comparable distress or disability in their life. Some psychiatrists also argue that current diagnostic standards rely on an exaggerated interpretation of neurophysiological finding and so understatt the scientic importance of social-psychological variables. Critics such and Carl