DSMIV Codes and Diagnostic Criteria required for Quiz I

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DSM-IV Codes and Diagnostic Criteria required for
Quiz I

• D. Schreier, Psy.D.
• Human Health Dysfunction

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DSM-IV TR Multiaxial System

• Axis I
• Axis II
• Axis III
• Axis IV
• Axis V
• Unofficial Axis VI Multicultural Assessment

• Clinical Disorders
• Personality Disorders and Mental Retardation
• General Medical Condition
• Psychosocial and Environmental Factors
• Global Assessment of Functioning (GAF)
• HAYS ADDRESSING MODEL

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Feminist-Multicultural Concepts (Brown, 1994
Kaschak, 1992 Root 1992)

• Culture may be defined as a framework of values
  and beliefs, a means to organize experience. It
  includes the rules by which interpersonal events
  are perceived. Even private thought is conducted
  in socially constructed language, and thus,
  cannot be purely personal and self-contained. The
  culture of the society in which one is raised and
  lives defines what can and cannot be conscious
  or, viewed slightly different, what must remain
  unconscious. (Kaschak, 1992, p. 30)

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Multicultural Assessment Model Axis VI (Adopted
from Hays, 2001, p. 16)

• Cultural Influences
• Age generational influences
• Developmental and
• acquired disabilities
• Religion spiritual
• Orientation
• Ethnicity
• Socioeconomic status (SES)

• Target Groups
• Child, Adolescent, Elders
• People with
• Developmental/ acquired
• disabilities
• Religious target groups
• Ethnic target groups
• People of lower status, class,
• education, occupation,
• income, rural or urban
• habitat, family name

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Multicultural Assessment Model (Adopted from
Hays, 2001, p. 16)

• Cultural Influences
• Sexual Orientation
• Indigenous heritage
• National origin
• Gender
• Added
• Bi-cultural Identity
• College Education

• Target Groups
• Gay, lesbian, bisexual
• people
• Indigenous people
• Refugees, immigrants
• (legal/illegal), inter. students
• Women, transgender
• people
• Bicultural people (Assess
• language spoken at home)
• 1st, 1.5 or 2nd generation
• American- Self-identified
• 1st, 2nd generation in college
• or high school

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Multicultural Assessment Model (Adopted from
Hays, 2001, p. 16)

• If you are a member of more than one group
• you have a double, triple,fourfold, jeopardy,
• then the additive negative effect of
• oppression may manifest in your life,
• relationships, and self-perception or you may
• have developed resistance to parts or all of
• it

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General diagnostic criteria for a Personality
Disorder 

• A. An enduring pattern of inner experience and
  behavior that deviates markedly from the
  expectations of the individual's culture. This
  pattern is manifested in two (or more) of the
  following areas 
• (1) cognition (i.e., ways of perceiving and
  interpreting self, other people, and events) (2)
  affectivity (i.e., the range, intensity,
  lability, and appropriateness of emotional
  response) (3) interpersonal functioning (4)
  impulse control 

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General diagnostic criteria for a Personality
Disorder 

• B. The enduring pattern is inflexible and
  pervasive across a broad range of personal and
  social situations. 
• C. The enduring pattern leads to clinically
  significant distress or impairment in social,, or
  other important areas of functioning. 
• D. The pattern is stable and of long duration and
  its onset can be traced back at least to
  adolescence or early adulthood. 
• E. The enduring pattern is not better accounted
  for as a manifestation or consequence of another
  mental disorder. 
• F. The enduring pattern is not due to the direct
  physiological effects of a substance (e.g., a
  drug of abuse, a medication) or a general medical
  condition (e.g., head trauma).

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DSM-IV Codes

• 799.9. Diagnosis Deferred on Axis I / or Axis II
• V71.09 No Diagnosis on Axis I / or Axis II

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Axis II Codes

• What is again coded on Axis II
• Personality Disorders
• Mental Retardation

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Axis II Codes Mental Retardation

• 317 Mild Mental Retardation
• 318 Moderate Mental Retardation
• 318.1 Severe Mental Retardation
• 318.2 Profound Mental Retardation
• 319 Mental Retardation, Severity Unspecified
• (see IQ level in DSM-IV TR!)

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Personality Disorders Cluster A

• 301.0 Paranoid Personality Disorder
• 4 or more of DSM-IV TR criteria
• Mnemonic Suspect

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Cluster AOdd, Eccentric Group

•  Paranoid personality disorder SUSPECT (4
  criteria).
• S Spouse fidelity suspectedU Unforgiving
  (bears grudges)S Suspicious of othersP
  Perceives attacks (and reacts quickly)E "Enemy
  or friend" (suspects associates, friends)C
  Confiding in others fearedT Threats perceived
  in benign events

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Cluster A

• 301.20 Schizoid Personality Disorder
• 4 or more of DSM-IV TR criteria
• Mneumonic Suspect

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Cluster AOdd, Eccentric Group

• Schizoid personality disorder DISTANT (4
  criteria).
• D Detached (or flattened) affectI Indifferent
  to criticism and praiseS Sexual experiences of
  little interestT Tasks (activities) done
  solitarilyA Absence of close friendsN Neither
  desires nor enjoys close relationsT Takes
  pleasure in few activities

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PD Cluster A

• 301.22 Schizotypal Personality Disorder
• 5 or more of DSM-IV criteria
• Mneumonic Me Peculiar

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Cluster AOdd, Eccentric Group

• Schizotypal personality disorder ME PECULIAR (5
  criteria).
• M Magical thinking or odd beliefsE Experiences
  unusual perceptions
• P Paranoid ideationE Eccentric behavior or
  appearanceC Constricted (or inappropriate)
  affectU Unusual (odd) thinking and speechL
  Lacks close friendsI Ideas of referenceA
  Anxiety in social situationsR Rule out
  psychotic disorders and pervasive developmental
  disorder