DSM V

As diferentes correntes e modelos teóricos. Novas abordagens e novos contextos de intervenção. A teoria e a prática, os conceitos e as estratégias. Preocupações éticas e deontológicas. etc.

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vectrapc
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DSM V

Mensagempor vectrapc » terça ago 16, 2011 4:34 pm

E heis que está previsto sair no ano que vem um novo manual de DSM.
Estruturalmente mais "evidence based", com critérios mais flexíveis e, como não podia deixar de faltar, novas categorias.

http://www.dsm5.org/Pages/Default.aspx

Estrutura:
Neurodevelopmental Disorders
Schizophrenia Spectrum and Other Psychotic Disorders
Bipolar and Related Disorders
Depressive Disorders
Anxiety Disorders
Obsessive-Compulsive and Related Disorders
Trauma and Stressor Related Disorders
Dissociative Disorders
Somatic Symptom Disorders
Feeding and Eating Disorders
Elimination Disorders
Sleep-Wake Disorders
Sexual Dysfunctions
Gender Dysphoria
Disruptive, Impulse Control, and Conduct Disorders
Substance Use and Addictive Disorders
Neurocognitive Disorders
Personality Disorders
Paraphilias
Other Disorders

Nova definição de perturbação mental:

The Stein et al. proposed definition of a mental disorder is as follows:

Features

A. A behavioral or psychological syndrome or pattern that occurs in an individual
B. That reflects an underlying psychobiological dysfunction
C. The consequences of which are clinically significant distress (e.g., a painful symptom) or disability (i.e., impairment in one or more important areas of functioning)
D. Must not be merely an expectable response to common stressors and losses (for example, the loss of a loved one) or a culturally sanctioned response to a particular event (for example, trance states in religious rituals)
E. That is not primarily a result of social deviance or conflicts with society

Other Considerations

F. That has diagnostic validity on the basis of various diagnostic validators (e.g., prognostic significance, psychobiological disruption, response to treatment)
G. That has clinical utility (for example, contributes to better conceptualization of diagnoses, or to better assessment and treatment)
H. No definition perfectly specifies precise boundaries for the concept of either “medical disorder” or "mental/psychiatric disorder”
I. Diagnostic validators and clinical utility should help differentiate a disorder from diagnostic “nearest neighbors”
J. When considering whether to add a mental/psychiatric condition to the nomenclature, or delete a mental/psychiatric condition from the nomenclature, potential benefits (for example, provide better patient care, stimulate new research) should outweigh potential harms (for example, hurt particular individuals, be subject to misuse)

The DSM-5 Study Group on Impairment and Disability Assessment proposed definition of a mental disorder is as follows:

Core Features

A. A behavioral or psychological syndrome or pattern that occurs in an individual,
B. that is based in a decrement or problem in one or more aspects of mental functioning, including but not limited to global functioning (e.g., consciousness, orientation, intellect, or temperament) or specific functioning (e.g., attention, memory, emotion, psychomotor, perception, thought),
C. that is not be merely an expectable response to common stressors and losses (for example, the loss of a loved one) or a culturally sanctioned response to a particular event (for example, trance states in religious rituals)
D. that is not primarily a consequence of social deviance or conflict with society

Other Considerations

E. that has diagnostic validity on the basis of various diagnostic validators (e.g., prognostic significance, psychobiological disruption, response to treatment), and
F. that is helpful in diagnostic conceptualization, assessment, and/or treatment-related decisions.
G. No definition of “medical disorder” or "mental (psychiatric, psychological) disorder” perfectly specifies precise boundaries for the concepts or can provide consistent operationalizations that cover all situations.


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