Using Dsm-Iv / Edition 1

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DSM-IV is here, and mental health professionals—whether they applaud its rigor or decry its rigidity—will have to know how to use it. Like its predecessor, DSM-III, DSM-IV is empirically based and atheoretical. The psychodynamics of mental disorders and their etiologies are not considered. Its principal advantage is that it provides a reliable system of diagnosis. Its principal flaw is that it can lead the clinician to focus too exclusively on categorizing symptom clusters rather then on empathically understanding the person who is suffering the symptoms. In Using DSM-IV: A Clinician's Guide to Psychiatric Diagnosis, LaBruzza and Mendez-Villarrubia offer the needed supplement to the DSM-IV. Their book, a veritable road map for DSM-IV, explains the technical language and hierarchical classifications of DSM-IV while it demonstrates how the system can be adapted to a clinical approach.

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Editorial Reviews

Theodore J. Ellenhorn
This book will be welcomed by many with both gratitude and relief: an engaging, thoughtful, moral, and humanistically responsible guide to the DSM-IV. This erudite and thoroughly readable work should be used generously as an indispensable and required text for psychopathology courses in all training institutions for mental health professionals. The explicit focus on issues of diversity in culture, gender, ethnicity, and sexual orientation is not only laudable for its presence, but for its clarity of exposition.
Malcolm B. Bowers
LaBruzza and Méndez-Villarrubia have written a highly readable companion book to DSM-IV. The unique chapter dealing with mental illness in Hispanic cultures is particularly informative. This volume will be very useful for a wide range of mental health professionals.
Peter Kramer
Dr. LaBruzza goes beyond making DSM-IV user friendly. He brings a descriptive manual to life by placing it in the context of the broad scope of Western thought about the form and nature of mental illness.
Stephen Fleck
A real lodestar for mental health professionals that explains the whys, wheres, and whens of our latest diagnostic bible and its development. This book, less than half the size of the DSM-IV, is a gem of information and erudition that should be within reach of any colleague involved in patient evaluation.
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Product Details

  • ISBN-13: 9780765700537
  • Publisher: Aronson, Jason Inc.
  • Publication date: 1/1/1997
  • Edition description: REV
  • Edition number: 1
  • Pages: 460
  • Product dimensions: 5.85 (w) x 9.10 (h) x 1.41 (d)

Meet the Author

Anthony L. LaBruzza, M.D., a psychiatrist, is chief of medicine and medical director of the Community Services Division at the Greater Bridgeport Community Mental Health Center in Bridgeport, Connecticut. José M. Méndez-Villarrubia, M.A., is a doctoral candidate in clinical psychology. He is currently on the clinical staff at the Greater Bridgeport Community Mental Health Center.

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Table of Contents

1 The Sun, the Moon, and Psychiatric Diagnosis: DSM-IV in Mythological Perspective 1
2 Precursors of DSM-IV in Nineteenth- and Twentieth-Century Psychiatry in the United States 7
3 DSM-III and the Remedicalization of American Psychiatry 17
4 The Goals of DSM-III 31
5 From DSM-III to DSM-III-R to DSM-IV 37
6 An Overview of DSM-IV 45
7 Diagnostic Codes in DSM-IV 59
8 Multiaxial Assessment 69
9 The DSM-IV Diagnostic Interview 85
10 The Mental Status Examination 103
11 Issues in the Assessment of Puerto Rican and Other Hispanic Clients, Including Ataques de Nervios (Attacks of Nerves) 141
12 Disorders Usually First Diagnosed in Infancy, Childhood, or Adolescence 197
13 Delirium, Dementia, Amnestic, and Other Cognitive Disorders 221
14 Mental Disorders Due to a General Medical Condition Not Elsewhere Classified 231
15 Substance-Related Disorders 235
16 Schizophrenia and Other Psychotic Disorders 257
17 Mood Disorders 275
18 Anxiety Disorders 297
19 Somatoform Disorders 313
20 Factitious Disorders 323
21 Dissociative Disorders 329
22 Sexual and Gender Identity Disorders 339
23 Eating Disorders 361
24 Sleep Disorders 365
25 Impulse Control Disorders Not Elsewhere Classified 381
26 Adjustment Disorders 387
27 Personality Disorders 391
28 Other Conditions That May Be a Focus of Clinical Attention 409
References 427
Credits 439
Index 441
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