Diagnostic and Statistical Manual of Mental Disorders, 5th Edition: DSM-5 – May 27, 2013

Diagnostic and Statistical Manual of Mental Disorders, 5th Edition: DSM-5 Paperback – May 27, 2013

Author: American Psychiatric Association | Language: English | ISBN: 0890425558 | Format: PDF, EPUB

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Diagnostic and Statistical Manual of Mental Disorders, 5th Edition: DSM-5 – May 27, 2013
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• Series: Diagnostic and Statistical Manual of Mental Disorders
• Paperback: 991 pages
• Publisher: American Psychiatric Publishing; 5 edition (May 27, 2013)
• Language: English
• ISBN-10: 0890425558
• ISBN-13: 978-0890425558
• Product Dimensions: 10.2 x 7.2 x 1.5 inches
• Shipping Weight: 2 pounds (View shipping rates and policies)
• Amazon Best Sellers Rank: #49 in Books (See Top 100 in Books)
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  • #1 in Books > Textbooks > Medicine & Health Sciences > Medicine > Clinical > Psychiatry
  • #1 in Books > Medical Books > Psychology > Mental Illness

There are a few minor and almost no major changes in DSM-5 that the patients and professional need to be aware of.

1. The most remarkable structural change of the Fifth Edition is getting rid of 5-axial system. Good riddance!
The old classification grouped diagnoses down into independent dimensions called axes:
Axis I: all diagnoses except mental retardation and personality disorder
Axis II: personality disorders and mental retardation
Axis III: acute medical conditions
Axis IV: psychosocial and environmental factors making things worse
Axis V: Global Assessment of Functioning (GAF), or a number between 0 and 100 that reflects patients' well-being.
The new classification combines the axes together and let them rate the disorders by severity. In addition the NOS (not otherwise specified) label is changed to NED (not elsewhere defined).
2. The diagnosis Mental Retardation is changed to intellectual disability (intellectual developmental disorder)
3. Autism Spectrum Disorder is the new name and a single category for autistic disorder, Asperger disorder, childhood disintegrative disorder, and pervasive developmental disorder not otherwise specified (PDD-NOS). Probably a bad idea, in my opinion, as the same diagnosis will be given to a child with mild social deficit and severely autistic, nonverbal, and not functional one. In addition, it would be impossible to find out that there might be more than one disorder in this group, as all of them will carry the same name.
4. Binge Eating Disorder is a newcomer to the group - anorexia nervosa, bulimia nervosa, and eating disorder NOS - three different conditions which ended up in the Eating Disorders group only because they have something to do with food.

Ok, I have taken some time to actually read through DSM 5. While DSM has often been scrutinized--both for what it includes, as well as what it doesn't--the back-lash against the newest edition has been particularly pronounced these past few months. Part of this stems from the micro-analysis that happens with many things in our modern world, though we have to admit that ego, resentment, and a misunderstanding of the process also plays a part. In addition, historical debate over DSM typically took place in-house; that is, by clinicians. With DSM 5, this has broadened to people who have little- to no understanding of the diagnostic process, its purpose, and its strengths/limitations. Thus, there has been a lot of negative press about DSM 5 in Huffington Post, NY Times, and other sources, often by people with practically no understanding of mental health.

Why 5 stars, you might ask? Because my review is based on DSM 5 as a book, not anything else having to do with DSM as a concept or tool. This particular edition 'reads' well, in that the text and lay-out is clear. In contrast to previous editions, the reader will be given more orientation to the book and how to use it. The diagnostic criteria is familiar and through the Table of Contents, Index, and quick-view pages, it is easy to find the diagnosis or category you're looking for. Yes, it's bulky and expensive, but you should have the large edition in your library for now; later, when you're more familiar with the changes, you can buy the quick-reference guide.

As a child psychologist who conducts psychological and neuropsychological evaluations--for social service agencies, schools, the courts, and for families--DSM plays a prominent role in my work.

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