DSM-5 in Action

611 Pages·2014·3.11 MB·English

by  Sophia F. Dziegielewski

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DSM-5TM in Action
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DSM-5TM in
Action
SOPHIA F. DZIEGIELEWSKI
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I.Title.
[DNLM:1. Diagnosticandstatisticalmanualofmentaldisorders.5thed. 2. MentalDisorders—diagnosis.
3. MentalDisorders—classification. 4. PatientCarePlanning.WM141]
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3GFFIRS 09/12/2014 10:2:16 Pagev
A Tribute to Dr. Cheryl Green
I have come to believe that intelligence consists of the knowledge that one acquires over
a lifetime. Wisdom, however, is far greater. Wisdom requires having intelligence, but
realizing it means nothing if it is not shared. In wisdom, there is a natural sense of
giving where there is no fear of loss. It means realizing that the knowledge is
measured purely by what we can teach and share with others.
For Dr. Cheryl Green, her intelligence made her a social work scholar. It was her
wisdom, however, that touched my soul and made her one of my colleagues and
“ ” fl
dearest friends. Her sense of humor and Cherylisms made the time y by. Cheryl
passed on before the formulation of this book. Through her teaching and writing, the
hearts of so many social workers like me will never be the same. Although not a day
goes by that I do not miss my dearest friend, I remain comforted by the time we
shared together.
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Contents
Preface xiii
Acknowledgments xvii
QuickReferenceList xix
SECTIONI
UtilizingtheDSM-5:Assessment,Planning,andPracticeStrategy
Chapter1 GettingStarted 3
Introduction 3
BeginningtheProcess 3
MakingtheDiagnosticAssessment:ToolsThatFacilitatetheAssessment
Process 4
RoleofSocialWorkersandOtherMentalHealthProfessionals 4
DevelopmentoftheDSMClassificationSystem:HistoryandReservations 6
DiagnosticLabels 14
AnotherMentalHealthAssessmentMeasure 16
ProfessionalTrainingintheProfessionalCounselingFields 18
Summary 19
QuestionsforFurtherThought 20
References 20
Chapter2 BasicsandApplication 23
UtilizingtheDSM-5inthePracticeSetting 23
WorkingasPartofaTeam:ConnectionsandCollaborations 25
DiagnosisandAssessment:IsThereaDifference? 28
ACombinationApproach:TheDiagnosticAssessment 33
DSM-5UpdatesandStructuralChanges 35
DSM-5:SectionsandAppendices 39
ImportantSectionsintheDSM-5 45
Culture,Age,andGender-RelatedInformation 47
ConceptsofDistress 53
CultureandOtherDiagnosticAssessmentFactorsRelatedtoAge 57
CultureandOtherDiagnosticAssessmentFactorsRelatedtoGender 59
vii
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viii CONTENTS
Summary 66
QuestionsforFurtherThought 67
References 67
Chapter3 CompletingtheDiagnosticAssessment 70
BasicsforCompletingaComprehensiveDiagnosticAssessment 70
DSM-5andCompletingtheDiagnosticAssessment 74
ThePrincipalDiagnosis 76
SubtypesandCourseSpecifiers 86
EthicalandLegalConsiderations 101
PullingItAllTogether 102
Summary 104
QuestionsforFurtherThought 105
References 105
Chapter4 Applications 107
Documentation,TreatmentPlanning,andPracticeStrategy 107
TreatmentandInterventionPlanning 116
DevelopingtheTreatmentPlan 120
SelectinganInterventionFramework 123
PracticeStrategyandApplication 127
TypesofTime-LimitedTherapyinMentalHealthPractice 131
Summary 140
QuestionsforFurtherThought 143
References 143
SECTIONII
DiagnosticandTreatmentApplications
Chapter5 SchizophreniaSpectrumandtheOther
PsychoticDisorders 149
SophiaF.Dziegielewski
Introduction 149
TowardaBasicUnderstandingoftheConditions 150
UnderstandingIndividualsWhoSufferFromthePsychoticDisorders 151
ImportantFeaturesRelatedtothePsychoticDisorders 153
DSM-5:AssessmentofSymptomsMeasurement 157
OverviewofSchizophreniaSpectrumandOtherPsychoticDisorders 160
Schizophrenia 167
BeginningtheDiagnosticAssessment 173