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【正文】 e unreliable ? DSMIII (1980) and DSMIIIR ? Were atheoretical, emphasizing clinical description ? Multiaxial system with detailed criterion sets for disorders ? Problems included low reliability, and reliance on mittee consensus Abnormal Psychology: An Integrative Approach, 4th Edition, David H. Barlow Chapter 3: Clinical Assessment and Diagnosis ? Basic Characteristics ? Five axes describing full clinical presentation ? Clear inclusion and exclusion criteria for disorders ? Disorders are categorized under broad headings ? Empircally grounded prototypic approach to classification ? The Five DSMIV Axes ? Axis I – Most major disorders ? Axis II – Stable, enduring problems (., personality disorders, mental retardation) ? Axis III – Medical conditions related to abnormal behavior ? Axis IV – Psychosocial problems ? Axis V – Global clinician rating of adaptive functioning ? Other Unique Features of the DSMIV The DSMIV Abnormal Psychology: An Integrative Approach, 4th Edition, David H. Barlow Chapter 3: Clinical Assessment and Diagnosis Unresolved Issues in the DSMIV ? What Are the Optimal Thresholds for Diagnosis? ? Examples include level or distress, impairment, number of required symptoms ? Arbitrary Time Periods in the Definitions of Diagnoses ? Should Other Axes Be Included? ? Examples include premorbid history, treatment response, family functioning ? Is the DSMIV System Optimal for Treatment or Research? ? The Problem of Comorbidity ? Defined as two or more disorders for the same person ? High orbidity is the rule clinically ? Comorbidity threatens the validity of separate diagnoses Abnormal Psychology: An Integrative Approach, 4th Edition, David H. Barlow Chapter 3: Clinical Assessment and Diagnosis Summary of Clinical Assessment and Diagnosis ? Clinical Assessment and Diagnosis ? To provide a plete picture of the client ? To aid understanding and ameliorating human suffering ? Require reliable, valid, and standardized information ? Dangers of Diagnosis ? Problem of reification ? Problem of stigmatization ? Assessment and Diagnosis ? The core of abnormal psychology ? Requires a multidimensional perspective
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