DSM5:a
What to Expect and How to Prepare
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Justin K. Hughes, MA, LPC, NCC
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© 2015 a
,
, I. Brief Historyof DSM a a a
• 1840: U.S. Census had a single category to describe mental he
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alth issues: “idiocy/insanity”
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• 1844: American Psychiatric Association (APA) began
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– Part of its focus was to gather stats on mental illness prevalence
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– Formerly called the Association of Medical Superintendents of
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American Institutions for the Insanea a a a
• 1917: first uniform statistical reporting system developed-
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Statistical Manual for the Use of Hospitals for Mental Disea
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ses.
– This was used throughout mental hospitals in the U.S.
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• 1952: expanded into the Diagnostic and Statistical Manual
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(first DSM), revised in 1968 (DSM-II).
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– These were both heavily impacted by psychoanalytic theories.
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• 1980: DSM-III a
• 1994: DSM-IV a
, • Comparatively, World Health Organization’s (WHO) Intern a a a a a
ational Classification of Diseases (ICD) is preparing for the 1
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1th edition, due in 2017.
a
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– This manual is used for ALL medical diagnoses
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– Began circulation in late 1800’s
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• As research and science advances, diagnostic manuals that u
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nify such information is crucial
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• THE CHALLENGE for Psychiatric diagnosis
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– Dr. Dilip Jeste, current President of the APA:
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“The primary criterion for any diagnostic revisions should be strictly scie
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ntific evidence. However, there are sometimes differences of opinion a
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mong scientific experts. At present, most psychiatric disorders lack vali
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dated diagnostic biomarkers, and although considerable advances are
a a a a a a a a
being made in the arena of neurobiology, psychiatric diagnoses are still
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mostly based on clinical assessment” (Jeste, 2012)
a a a a a a
What to Expect and How to Prepare
a a a a a a
Justin K. Hughes, MA, LPC, NCC
a a a a a
© 2015 a
,
, I. Brief Historyof DSM a a a
• 1840: U.S. Census had a single category to describe mental he
a a a a a a a a a a
alth issues: “idiocy/insanity”
a a
• 1844: American Psychiatric Association (APA) began
a a a a a
– Part of its focus was to gather stats on mental illness prevalence
a a a a a a a a a a a
– Formerly called the Association of Medical Superintendents of
a a a a a a a
American Institutions for the Insanea a a a
• 1917: first uniform statistical reporting system developed-
a a a a a a
Statistical Manual for the Use of Hospitals for Mental Disea
a a a a a a a a a a
ses.
– This was used throughout mental hospitals in the U.S.
a a a a a a a a
• 1952: expanded into the Diagnostic and Statistical Manual
a a a a a a a
(first DSM), revised in 1968 (DSM-II).
a a a a a
– These were both heavily impacted by psychoanalytic theories.
a a a a a a a
• 1980: DSM-III a
• 1994: DSM-IV a
, • Comparatively, World Health Organization’s (WHO) Intern a a a a a
ational Classification of Diseases (ICD) is preparing for the 1
a a a a a a a a a
1th edition, due in 2017.
a
a a a
– This manual is used for ALL medical diagnoses
a a a a a a a
– Began circulation in late 1800’s
a a a a
• As research and science advances, diagnostic manuals that u
a a a a a a a a
nify such information is crucial
a a a a
• THE CHALLENGE for Psychiatric diagnosis
a a a a
– Dr. Dilip Jeste, current President of the APA:
a a a a a a a
“The primary criterion for any diagnostic revisions should be strictly scie
a a a a a a a a a a
ntific evidence. However, there are sometimes differences of opinion a
a a a a a a a a a
mong scientific experts. At present, most psychiatric disorders lack vali
a a a a a a a a a
dated diagnostic biomarkers, and although considerable advances are
a a a a a a a a
being made in the arena of neurobiology, psychiatric diagnoses are still
a a a a a a a a a a a
mostly based on clinical assessment” (Jeste, 2012)
a a a a a a
