Request PDF on ResearchGate | On May 1, , Rachel A Davis and others published DSM-5 Handbook of Differential Diagnosis. Chapter 1. Differential Diagnosis Step by Step. Chapter 2. Differential Diagnosis by the Trees. Chapter 3. Differential Diagnosis by the Tables. Appendix DSM "DSM-5 Handbook of Differential Diagnosis." American Journal of Psychiatry, (5), pp. – Figures; References; Cited by; Details. Cited By. None.
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The DSM-5® Handbook of Differential Diagnosis is the preeminent guide to differential diagnosis for both clinicians and students learning psychiatric diagnosis. Get this from a library! DSM-5 handbook of differential diagnosis. [Michael B First; American Psychiatric Association,] -- "The Handbook helps. Physical description, 1 online resource: illustrations. Series, PsychiatryOnline. Bibliography, Includes bibliographical references and indexes. Contents.
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Change Password. Old Password. New Password. Password Changed Successfully Your password has been changed. Returning user. Forget yout Password? The article focuses on the abovementioned claim of having made DSM-5 more sensitive to cultural issues.
The article also explores the reviews and statements made by the cultural expertise, focusing on both their critique and suggested revisions, and on their own conceptualizations of culture. The analysis tackles three cases in point. First, I look at the conceptualization of culture. Here I compare and point to discrepancies between how culture is defined and how it is then subsequently used. Secondly, I analyse the way psychiatric distress is, or is not, culturally contextualized. Here, I take criteria for Panic Anxiety as an illustrative example of how the manual continues to construct some symptoms of psychiatric distress as universal, whereas others are construed of as linked only to particular groups of people.
In the third part of my analysis, I address the issue of context and its relation to symptoms in the manual more generally by discussing the Cultural Formulation Interview, which is a DSM-5 interview guide designed to be used in clinical practice.
I conclude the article by considering how my analytical points relate to current trends in bio psyhicatry and mental health diagnosing. Before pursuing my analysis, however, I will first situate DSM in a larger context and present the cultural perspectives of the manuals in more detail.
DSM and the hegemony of biological psychiatry At first glance, the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders provides a neat impression where disorders are listed chapter by chapter in a menu-like format that contributes to a sense of overview.
To keep track of what becomes endless choices of paths, clinicians might turn to the vast number of references that accompany the manual: books presenting clinical cases Barnhill ; trees of diagnostic differences delineating disorders with similar symptoms from each other First ; diagnostic examination tools Nussbaum ; and in-depth knowledge on special disorders or phenomena of interest. Add to this the numerous experts who have been appointed in the revision process, and it is easy to see that the DSM is an industry in and of itself Cosgrove and Wheeler Critics have also pointed to ties between some DSM panel members and the pharmaceutical industry that may have compromised the otherwise relatively open and transparent revision process Cosgrove and Wheeler ; Angell The manual is meant to serve both as a guide for clinical assessment and a classificatory system of different mental disorders.
It makes use of a phenomenological or categorical approach where criteria for a disorder consist of a number of symptoms that need to be met in order to acquire a diagnosis.
The categorical approach thus implies that symptoms are described and ordered but not linked to any particular etiology. It represented a break with previous diagnostic systems that were based on Freudian psychoanalytic understandings and categorizations Horwitz and Wakefield The aim was to avoid hypothetical theories of etiology Kupfer et al.
However, even if DSM-III is presented as nonaligned to any particular philosophy, it has yet been looked upon as a benchmark in the history of biological psychiatry. As several critics have argued, a key reason for installing the categorical approach was to reinstate more credibility to psychiatry in response to the anti-psychiatric movements that flourished at the time Shorter That Feighner et al.
Biocapital plays a central role in biomedicalization, as do dominant discourses of consumerism and individualization, and the technoscientific development. Using standardized diagnostic criteria enabled comparisons of disorder prevalence and incidence i.
With DSM-5, the advantage of bio-psychiatry is no longer a hidden endeavour. DSM-5 had an explicit aim to break this trend. From the very beginning of the revision process, the DSM-5 Task Force emphasised how the developments in cognitive neuroscience, brain imagining, epidemiology, and genetics bring new light to psychiatry and that such knowledge should impact the revised manual.
The goal was to increase validity of psychiatric diagnoses and break with the categorical system of previous editions Whooley ; A dimensional model, they argue, is more in line with the rest of medicine Kupfer et al. To follow this through, all work groups assigned to suggest revisions of different disorders by the DSM-5 Task Force were initially instructed to look for biomedical evidence and, if possible, revise the manual in line with such thinking Kupfer et al.
However, the field trials showed that while the psychometrics of a dimensional model may be valuable for research, it does not carry the same weight in clinical practice.
Also, as Owen Whooley has shown by interviewing leading experts of the revision, the process was circumscribed by the way the Task Force gave the different subcommittees to much freedom in designing severity scales , Adjusting the manual to a neuroscientific framework thus turned out to be easier said than done cf. Pickersgill ; Cooper In , when the manual was published, there was still a lack of strong evidence to justify a complete make-over.
Save for some exceptions such as organizing the manual according to developmental and lifespan considerations, and limited changes towards a dimensional model for some disorders, the new manual largely remains symptom-based and descriptive in its approach.
It offers a solution to differential diagnosis that recognizes the complexity of human personality and the structural utility of the DSM-5[tm] classification"--publisher description.
Notes Description based on online resource; title from resource home page Psychiatry Online, viewed on February 7, Other author American Psychiatric Association, issuing body. Subject Mental illness -- Diagnosis -- Handbooks, manuals, etc.
Diagnosis, Differential -- Handbooks, manuals, etc. Handbooks, manuals, etc. ISBN electronic bk. First, Michael B.
Arlington, Va. Physical description.