DSM-5 and Abnormal Psychology: Teaching a dimensional approach

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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.

Transcript of DSM-5 and Abnormal Psychology: Teaching a dimensional approach

  • 1. 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

2. 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 3. 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 4. 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 5. 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 6. 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 7. 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 8. 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) 9. 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 10. 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) 11. 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 12. www.cengage.com