Chapter 7

Question 1

What is abnormality

Answer 1

A significant disturbance in cognition, emotional regulation, or behavior that indicates a dysfunction in mental functioning

Question 2

Who is involved in the creation of the diagnostic categories in the DSM?

Answer 2

Task force
Published by the APA
Follows a medical model of psychopathology

Question 3

What is a medical model

Answer 3

Each disorder is defined categorically and features a list of specific symptoms

Question 4

What is a task force

Answer 4

Mental health professionals- mostly psychiatrics
Fairly homogeneous

Question 5

Jerome Wakefield’s view of psychopathology

Answer 5

mental disorders are harmful mental dysfunctions. This is presented as a hybrid account, i.e., as incorporating both a value component (harm) and a factual component (dysfunction).

Question 6

How the task force defines each disorder

Answer 6

Impacts reach search, clinicians, clients

Question 7

DSM-1 and DSM-11

Answer 7

Similar in content
3 categories of disorders
Psychoanalytic in orientation
No specfic diagnosis criteria
Not empirically based

Question 8

Three broad categories of disorders in the DSM-1&11

Answer 8

Psychoses- schizophrenia
Neurosis- depression, bipolar, anxiety
Character disorders- personality disorders

Question 9

DSM-111

Answer 9

Relied on empirical data
Specific diagnostic criteria
Atheorethical
More extensive-265 new disorders

Question 10

DSM-111 multiracial assessment system

Answer 10

Axis 1- episodic, short term
Axis 2- stable or long lasting
Axis 3- general medical conditions
Axis 4- environmental problems
Axis 5- global assessment of functioning scale
Dropped in the DSM 5

Question 11

What are work groups

Answer 11

Composed of experts, each group focused on a particular area of mental disorders

Question 12

Scientific review committee

Answer 12

Involved experts separate from the work group

Question 13

International classification of organization

Answer 13

ICD primary way diseases are classified outside the US
Communication with the World Health Organization (WHO)

Question 14

DSM-5 not DSM-V

Answer 14

Enables more frequent minor updates
DSM-5.1, DSM-5.2

Question 15

Premenstrual dysphoric disorder (PMDD)

Answer 15

Severe version of premenstrual syndrome (PMS)
Symptoms include affective lability, irritability or anger, depressed mood, anxiety/tension

Question 16

Disruptive mood dysregulation disorder (DMDD)

Answer 16

Frequent temper tantrums in children 6-18 years old
3 tantrums per week
Blow level of expected maturity

Question 17

Binge eating disorder (BED)

Answer 17

Overindulges in food, but does not engage in compensatory behaviors
Once per week for three months

Question 18

Hoarding disorder

Answer 18

Continual difficulty discarding possessions no matter how objectively worthless they are
Impairment in important areas

Question 19

Major revisions in DSM-5

Answer 19

Slides 100 and 101

Question 20

Changes made to the DSM-5-TR

Answer 20

Test revision
Prolonged Grief Disorder was added as a diagnosis
Suicidal Behavior and Nonsuicidal Self-Injury were added to the proposed criteria sets/conditions for further study section

Question 21

Diagnostic Overexpansion

Answer 21

Concern that labeling difficult life experiences as mental illness

Question 22

Criticisms of DSM-5 & DSM-5-TR

Answer 22

Diagnostic over expansion
Transparency of revision process
Membership of the work groups
Price

Question 23

General Criticism of the DSM

Answer 23

Controversial Cutoffs- certain numbers
Cultural Issues- white men
Gender bias- some only one gender
Nonempirical influences- political and public influence

Question 24

Categorical approach

Answer 24

Current approach
Individual has or does not have a given disorder
Certain disorder are categorical

Question 25

Dimensional approach

Answer 25

The issue is not the presence or absence of symptoms, but where does an individual’s symptoms fall along a continuum?