DSM-5 DIAGNOSIS AND CASE STUDY OVERVIEW The DSM diagnosis that is selected for the client in week four case study is Schizoid Personality Disorder. Schizoid Personality Disorder, also known as SPD; is considered when an individual’s interest in social relationships is absent. Individuals that are affected by this disorder display an unsociable or sheltered existence, secretive, emotionlessness, and somewhat indifferent (Triebwasser, Chemerinski, Roussos & Siever, 2012). Researchers believe that Personality Disorder, also known as PD, should be esteemed qualitatively and quantitatively, from normal personality (Paris, 2015). Diagnostic criteria from the DSM-5 offer that “A pervasive pattern of detachment from social relationships and restricted …show more content…
Furthermore, in paring the clients expressed feeling and perspectives to the DSM-5, this explanation will be further analyzed. First, the DSM-5 submits a lack of desire for close relationships with no exception to family (APA, 2013). The clients specified that he does not desire a dating relationship, he has no close friends and he do not hold a close relationship with his sibling and father. Second, the manual lists solitary activities being selected most of the time. This speaks to the client choosing to work from home as well as play online internet games within the home, isolated from others. Third the manual lists a small if any interest for sexual experiences with another individual. The client expressed that at his age it is too late to change for a relationship because he likes being alone and he has never cared to be in a dating relationship. Fourth, the manual lists the enjoyment of a small amount of activities. This relates to the client being pleasured by the simple activities that he mentioned: working from home and online gaming. Fifth, the manual submits the absence of close friends or confidants regarding close relatives. The client expressed that he has no close friends, he is not interested in dating and he only agreed to …show more content…
To conclude, the client from week four case study expressed all seven diagnostic criteria from the DSM-5 in regards to Schizoid Personality Disorder (APA, 2013). This is the rationale for SPD being the chosen disorder, the client’s expressed emotion, behavior and perspectives match these diagnostic criteria better than other disorder diagnostic criteria. Preceding a client being diagnosed with SPD, clinicians need to be aware of any existing disorders to ensure accurate diagnosis
DSM-IV TR, which stands for Diagnostic and Statistical Manual of Mental Disorders (4th edition), Text Revision was published by the American Psychiatric Association in 2000 and serves as a guide book for many health professionals to diagnose a patient with a mental disorder. It also helps health professionals to determine what types of treatment could be carried out to help the patient. The latest DSM is widely used, especially in the USA and many European countries.1However, it may not be completely followed by health professionals as they know that there are some weaknesses of the latest version of DSM as well. This essay will discuss the strengths and
While reading over the introduction to the DSM-5 I was impressed. I have never looked at any DSM or really any mental health disorders thus far in my studies. I was mostly impressed with the strive to continue making the DSM more useful and understanding. Some things that are in the introduction to the DSM-5 that caught my attention was that the Task Force was very involved in trying to find a balance between the different disorders without confusing them together (p. 5). Another point that I found important was that the overall goal for the DSM-5 was “the degree to which two clinicians could independently arrive at the same diagnosis for a given patient” (American Psychiatric Association, 2013, p. 7). This is a strong reasoning to improve the DSM and I am actually stocked that it took this long to change things because Robert Spritzer (a psychiatrist of the twentieth century who became have a strong part in developing the DSM-III and the DSM-IIIR), back in 1974 noticed the central issue being the problem of diagnosis and psychiatrists not being able to agree on the same disorders (Spiegel, 2005).
This diversity in the professions that contribute to the criteria found in the DSM-5 can only assist in assuring the validity of the disorders presented within it. The disorders contained in the manual all have a series of specific requirements that an individual must
The controversy and criticism surrounding the DSM -5 models has raised questions about its credibility and has raised concerns from the public on the reliability and effectiveness. Problems with this classification system is the attempt to promote preventive psychiatry by introducing how
The DSM is used as a standard of reference for psychological diagnosis. The DSM was originally published in 1952 containing only 106 diagnoses; today the revised DSM-IV-TR contains 365 diagnoses. Throughout the history of the DSM, individuals in the mental health profession have relied on it for clarification of disorders, facilitating research, improving communication with other professionals and improving the collection of clinical information. With a new DSM-V underway, there has been a lot of issues surrounding the contents and classifications of the new DSM. There are
The diagnostic process for personality disorders currently covers a broad scope of various tests and symptoms, causing a source of frustration for psychiatrists (Aldhous). The symptoms and side effects of several personality disorders can tend to blur together, making diagnosis challenging (Aldhous). Most psychiatric patients are diagnosed with several personality disorders at once, with twenty percent of people with personality disorders simply diagnosed with a “personality disorder not otherwise specified” (Aldhous). Using the Diagnostic and Statistical Manual of Mental Health Disorders, commonly referred to as the DSM, psychiatrists attempt with great difficulty to categorize their patients into a specific disorder, only to diagnose
From time to time we all have periods of sadness, unhappy thoughts. Among the United States population, around eight to ten percent suffer from a form of depression as unipolar depression. Depressive and bipolar disorders show to be a principal cause of disability, without cure a person can have a tough experience with relationships, work, and social activities. Substance abuse disorders are becoming an rampant. The need for instant indulgence has become more and more widespread in the world. The DSM-5 shows the symptoms checklist for diagnosis of substance abuse disorder (see table 1.3 in appendix a), and according to Comer, (2014) “the substances people misuse fall into several categories: depressants, stimulants, hallucinogens, and cannabis”
It is sometimes argued that “the creators of DSM-III and DSM-IV sacrificed validity for the sake of reliability”(Wakefield, 1992, cited in Gray, 2002, p 614). This refers to greater emphasis being placed upon superficial symptoms and less upon underlying symptoms and possible cause which could have an important influence upon individuals (Gray, 2002). Since behavior always involve interaction between the individual and their environment, it can be difficult to assess whether the disorder is within the person or whether it is an environmental influence such as a traumatic experience or related to poverty (Gray, 2002, p.612). This can cause problems when diagnosing is extremely difficult to scientifically distinguish between people’s normal responses or whether it is something more (Gray, 2002).
The Diagnostic and Statistical manual of mental Disorders also known as the DSM is used was published by the American Psychiatric Association as a way to set standard criteria for diagnosis of the different mental health conditions. Social workers, mental health practitioner and even researchers in order to, use this book to help them diagnose client. The book is intended to be used to make an initial assessment of symptoms that a patient might be facing and after the assessment is done then the clinicians can go about finding interventions to help the client overcome their disorder.
The strengths when working with clients on a medical model perspective is that the use of the DSM provides a common language to use in the medical community. The DSM provides reliability and structural guideline to each mental disorder. The structural guidelines in the DSM provide an organized list of criteria and specifiers to help determine the severity of the mental disorder. When diagnosing a client, there are many similar signs and symptoms to each mental disorder; thus, the DSM provides the clinician information about differential diagnosis, prevalence, possible co-morbidity, age of onset, and progressive development of symptoms. Hence, focusing on the medical model and using the DSM can be beneficial to both the client and the clinician providing treatment.
Personality disorders are very defined and recognized in today’s society. The Diagnostic and Statistical Manual of Mental Disorders (DSM) published by the American Psychiatric Association provides common language and standards classifying mental disorders. The DSM is used by many people in varying disciplines in the USA as well as many other countries. In times past, people with disorders may have been outcast from a community or even persecuted. However, in our current culture the pendulum has swung in the other direction. It almost seems that there is a trend to explain all behavior by a mental disorder. This results in needing to disprove that certain people are not displaying a disorder, rather acting within a normal human emotion or
Being able to form a diagnosis properly for a client is a process that is wide-ranging and broad. The Diagnostic and Statistical Manual of Mental Disorders (DSM) (American Psychiatric Association [APA], 2013) supports recommendations and standards for identifying a diagnosis for a client. The procedure of diagnosing is more than skimming for symptoms in the DSM; one must assess, interview and identify issues, as well as refer to the DSM for a diagnosis.
At one point in our lives or another, we have all been to school, we have all been into the lunchroom, and we have all seen those few children that sit by themselves and don’t say anything, don’t look around, and don’t seem even the least bit interested. The greater parts of society looks at these odd children and then brushes them off and say to themselves “Oh they are just weird, I wouldn’t want to be their friend either.” But have you ever stopped and thought maybe its something deeper? Maybe these kids have a mental disorder that causes them to be that way. Maybe, just maybe, its not even their own choice but its forced upon them by abusive and neglectful parents that obliterate their children’s trust so far that they cant even
The Diagnostic and Statistical Manual of Mental Disorders (DSM) has a number of features. First of all, every disorder is identified using a name and a numerical code. In addition, the manual provides the criteria for diagnosing each disorder as well as establishes subtypes of a disorder and examples that would illustrate the disorder. The manual goes further by addressing the typical age of onset, culturally related information, gender-related information, prevalence of a disorder, typical clinical course of a disorder, typical predisposing factors of a disorder and genetic family patterns of a disease (Summers, 2009). The DSM-IV is a tool that is used by mental health practitioners and social service workers. As has been demonstrated
Within the realms of psychology, classification systems are imperative and allow for appropriate organization and proper descriptions of a patient’s psychological diagnosis. (Hunsley, J. & Lee, M. Catherine, 2010). Classification is a central element of all branches of science and social science, and is how clinicians perform their job to diagnose patients. The two, main types of classification systems are the categorical approach and the dimensional approach. In a broad view, the categorical approach is an one in which a person or object is determined to either be a member of a specific category or not, and the dimensional approach is based on the assumption that the object or person being classified differs in the extent to which they possess certain characteristics and properties (Hunsley & Lee, 2010). The controversy over dimensional versus categorical approaches to diagnosis as manifested in the recent development and publication of the DSM-V is a debate that is one to take note of. Numerous limitations and benefits to both the categorical and dimensional approaches exist, and are widely discussed by researchers when speaking of the production of the DSM-V in regards to personality disorders (PDs). This paper will mainly focus on the diagnosing of one with Narcissistic Personality Disorder (NPD), and how the changes from the categorical approach to dimensional approach in the recent