DSM-5 and Abnormal Psychology: Teaching a dimensional approach
May 15, 2015
Presenter: Christopher A. Kearney, University of Nevada, Las Vegas
The recent changes to the DSM system include some movement toward a more dimensional way of viewing mental disorders. How do you make sure your abnormal course is up-to-date? How do you help your students understand the dimensional nature of mental disorders? This dimensional approach to mental disorders is well represented Abnormal Psychology and Life, 2e, by Chris Kearney (University of Nevada-Las Vegas). Fully equipped with the changes evident in DSM-5, the new edition continues to emphasize the conceptualization of mental disorders along a continuum and helps you embrace and employ the dimensional approach in your course. This webinar will outline key changes in the DSM-5, including diagnostic criteria, cultural formulations, and alternative ways of viewing certain problems such as personality disorders. New changes to APL 2e that further advance its main themes, such as diversity and stigma, will be discussed as well.
The recent changes to the DSM system include some movement toward a more dimensional way of viewing mental disorders. How do you make sure your abnormal course is up-to-date? How do you help your students understand the dimensional nature of mental disorders? This dimensional approach to mental disorders is well represented Abnormal Psychology and Life, 2e, by Chris Kearney (University of Nevada-Las Vegas). Fully equipped with the changes evident in DSM-5, the new edition continues to emphasize the conceptualization of mental disorders along a continuum and helps you embrace and employ the dimensional approach in your course. This webinar will outline key changes in the DSM-5, including diagnostic criteria, cultural formulations, and alternative ways of viewing certain problems such as personality disorders. New changes to APL 2e that further advance its main themes, such as diversity and stigma, will be discussed as well.
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Transcript
DSM-5 and Abnormal Psychology and Life, 2e
Key themes of this webinar• Important DSM-5 changes related to the
categorical and dimensional nature of mental disorders
• How these and other DSM-5 changes are fully integrated into APL, 2e
• How APL, 2e expands on approaches from the first edition, including diversity and stigma
DSM-5 and Abnormal Psychology and Life, 2e
Categorical approach to mental disorders• Divides into types• Based upon criteria sets• Defining, essential features• Homogeneous types• Defined boundaries• Mutually exclusive categories
DSM-5 and Abnormal Psychology and Life, 2e
Dimensional approach to mental disorders• Overlapping characteristics• Few clear boundaries• Heterogeneous types• Provides flexibility• Symptoms along a continuum• Sharing of symptoms and risk factors
DSM-5 and Abnormal Psychology and Life, 2e
Concerns about DSM-IV• Overuse of NOS diagnoses (most frequent)• Comorbidity studies• Overly narrow categories to avoid false
positive results• Clustering of disorders (e.g., internalizing and
externalizing) where symptoms such as depression overlap
• Multiaxial system less useful than anticipated
DSM-5 and Abnormal Psychology and Life, 2e
Key statements in DSM-5• Page 12: “narrow diagnostic categories do not
capture clinical reality”• Page 13: “Despite the problem posed by
categorical diagnoses, the (task force) recognized that it is premature … to propose alternative definitions for most disorders”
• Meant to serve as a “bridge” to later systems
DSM-5 and Abnormal Psychology and Life, 2e
Integration of DSM-5 categorical aspects into APL, 2e: Examples
• Inclusion of all DSM-5 criteria• Integration of previous category names with
DSM-5 terminology• Renaming of some chapters, but with an eye
toward a seamless transition from 1e, including maintaining a 15-chapter format
DSM-5 and Abnormal Psychology and Life, 2e
Integration of DSM-5 dimensional aspects into APL, 2e: Examples re: disorders
• Chapter 10 – personality disorders: elements of personality functioning and pathological traits
• Chapter 12 – psychotic disorders: dimensions of disorganized speech, impaired cognition, negative symptoms, mania, etc.
• Chapter 14 – mild to major neurocognitive disorder
DSM-5 and Abnormal Psychology and Life, 2e
Integration of DSM-5 dimensional aspects into APL, 2e: developmental aspects and specifiers
• Developmental aspects: e.g., varying age-based criteria for posttraumatic stress disorder
• Specifying information: e.g., BMI for anorexia, compensatory behaviors for bulimia, number of symptoms in alcohol use disorder, severity levels for several disorders (e.g., sexual dysfunctions, autism spectrum disorder)
DSM-5 and Abnormal Psychology and Life, 2e
Integration of DSM-5 dimensional aspects into APL, 2e: Cultural information
• Cultural identity of the client• Cultural ideas of distress• Cultural factors related to the social
environment• Cultural influences on the relationship between
the client and the mental health professional
Abnormal Psychology and Life, 2e: Themes
• Dimensional perspective• Continua of key emotions, cognitions, and
behaviors for a certain group of mental disorders ranging from normal to mild to moderate to less severe to more severe
• Continuum figures throughout (e.g., worry, anxiety, and fear; suicidality)
Abnormal Psychology and Life, 2e: Themes
• Integrative perspective and focus on risk factors
• Consumer-oriented perspective• Prevention perspective• Cultural diversity• Stigma• Clinical cases and personal narratives• Expansion of cultural diversity and stigma
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