chapter 3 classification of mental disorders

8/14/2019 Chapter 3 Classification of Mental Disorders

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Classification of Abnormal Psychology


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Outline

Introduction

History

ICD and DSM Multiaxial Evaluation in DSM-IV

Chinese Classification of Mental Disorders

Appendix: ICD-10 and DSM-IV


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Introduction Advances in scientific psychiatry are to a great

extent shaped by its system of classification.

Systems of classification are fundamental to allsciences, containing the concepts upon whichtheory is based, and influencing what can andcan not be seen

The classification of illnesses (nosology) hasalways been an integral part of the theory andpractice of medicine.


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Introduction


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Introduction

Classification is necessary to provide a

conceptual framework within which to place

what is observed, to communicate efficiently

about illness states, to allow decisions to be

made regarding treatment, to predict outcomes

to measure change, and to keep records


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:


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SARS severe acute respiratory syndrome

XX


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History and two system of the world

History

Chinese medicine

West:Hippocrates(-460-377)

Pinel(1745-1826)

Kraepelin(1856-1926)

E.Bleuler(1911)

Freud(1856-1939)


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Hippocrates

( ) ( ) ( )

( ) ( ) ( )

Pinel


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Kraepelin

E.BleulerFreud


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ICD ICD-10

DSM

DSM-

CCMD

CCMD-3


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History and two system of the world International Statistical

Classification of Diseases ad Related Health

Problems, ICD


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Diagnostic and Statistical Manual ofMental Disorders, DSM


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Chinese Classification and Diagnostic

Criteria of Mental Disorder ,CCMD


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ICDICD-6(1948

ICD-8 1968)ICD-9(1977)

ICD-10(1992)


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ICD

1948

ICD-6 ICD-7 ICD-8 ICD-9 1992 ICD-10 DSM-


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ICD

List of Core Chapters of ICD-10 I Certain infectious and parasitic diseases

II Neoplasms

III Diseases of the blood and blood-forming organs and certain

disorders involving the immune mechanism IV Endocrine, nutritional, and metabolic diseases

V Mental and behavioral disorders

VI Diseases of the nervous system

VII Diseases of the eye and adnexa VIII Diseases of the ear and mastoid process

IX Diseases of the circulatory system

X Diseases of the respiratory system

XI Diseases of the digestive system


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ICD-101. 5

2. 3. 4.


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ICD-10


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DSM In 1952, the American Psychiatric Association's

Committee on Nomenclature and Statistics

published the first edition of DSM (DSM-I).

Four editions have been published since then:

DSM-II (1968);

DSM-III (1980);

A revised DSM-III, DSM-III-R (1987);

DSM-IV (1994).


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DSM


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Multiaxial Evaluation in DSM-IV Axis I : consists of all mental disorders except those listed

under Axis II, and other conditions that may be a focus ofclinical attention (Table 3-2 )

Axis II: consists of personality disorders and mental

retardation (Table 3-3 ) Axis III: lists any physical disorder or general medical

condition that is present in addition to the mental disorder. Axis IV: is used to code psychosocial and environmental

problems that contribute significantly to the developmentor the exacerbation of the current disorder

Axis V: is the Global Assessment of Functioning (GAF)scale with which the clinician judges the patient's overall

level of functioning during a particular time period


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DSM-IV I 5 II III IV V


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DSM-IV

I II

III

IV

4 V GAF:44 GAF 55


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CCMD-3 ICD-10


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CCMD-3 . (organic mental disorders) .

(mental disorders due to psychoactive

substances or nonaddictive substances

. (schizophrenia and other psychotic disorders)


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. (mood disorder) affective disorder . (hysteria,stressrelated disorders, neurosis)

. (physiologicaldisorders Related to psychological factors)

. (personality disorders, habit andimpulse disorders, Psychosexual disorders)


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. (mental retardation, and disorders of psychological

Development with onset usually occurring in

childhood and adolescence)

(hyperkinetic, conduct and emotional disorders with

onset usually occurring in childhood and adolescence)

(other mentaldisorders and psychological health conditions)


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CCMD-3


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chapter 3 classification of mental disorders

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