Psychosis Flashcards
Basis of DSM-I
Adolf Meyer’s classifications of “various reactions to stressors”
Basis of DSM-II
Perspective based on pyschodynamic theory “neuroses”
DSM-I and II lacked
diagnostic criteria and assessment instruments
Basis of DSM-III
research-based, empirical, atheoretical
Basis of DSM-IV
Multi-axial, biological approach to diagnoses
Axis I
Clinical Disorders (All except personality and MR)
Axis II
Personality Disorders and Mental Retardation (long standing pattern deviated form normal)
Axis III
General Medical Conditions
Axis IV
Psychosocial and Environmental Problems (Housing, occupational, support, social, economic, education, legal)
Axis V
(GAF) Global Functioning (higher number = higher functioning)
CGAF
Children’s GAF to supplement DSM
Basis of DSM-V
Uses Axes and categorical system as a continuum for disorders.
Changes to DSM-V
Continuum, Assessment scales, Risk Syndromes, Restructuring of personality and psychotic disorders
How has Schizophrenic been changed by DSM5?
Subtypes eliminated, 2 A symptoms, and 1 B symptom
How has Schizoaffective disorder been changed by DSM5?
Must have major mood disorder present majority of the time
How has Delusional disorder been changed by DSM5?
“Non-bizarre” type no longer requires delusions
Dementia praecox
premature loss of mind
Dementia praecox symptoms
catatonia (immobility), Hebephrenia ( silly or immature emotions or perceptions), Paranoia (delusions of grandeur)
Schizophrenia
splitting of basic functions of personality (cognition, emotion, perception)
Kurt Schneider - Pathognomic symptoms
Hallucinations and delusions
Adolf Meyer
emphasized a process-reaction dimension
