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Abraham M. Nussbaum, M.D., is Director of the Denver Health Adult Inpatient Psychiatry Service, and Assistant Professor in the Department of Psychiatry at the University of Colorado School of Medicine.
1. "Symptoms" are subjective, "signs" are objective; MH issue as “existential threat”, we admit people to the “sick role”, we often can’t be precise, collaterals are important re culture, offer hope
2. Alliance is heart of treatment, just listen for first 2-3 min., people don’t come to us to see if they meet criteria (we do rudimentary therapy during assessment)
3. 30 min. diagnostic interview: 1 min. intro, 2-4 listen, 5-12 history present illness, 12-17 review systems (other psychological functioning), 18-23 medical/family/developmental/social history, 24-28 Mental Status Exam (partly from first 2-3 min.), 29-30 other/diagnosis/treatment/thanks; we should practice presenting cases (including differentials)
4. Cultural assessments especially important if there is a problem in the usual process
5. An odd belief less likely to be psychosis if grounded in reality, linked to external stimuli, coherent/goal-directed, communicated properly; must have impairment in self & interpersonal functioning to have a Personality Disorder
6. DSM-5 Diagnostic Interview: if there is no substantial impairment (or distress) you can stop asking about that issue since its not a disorder; this section includes some nice screening questions
7. Includes a nice brief version DSM-5
8. Stepwise Approach to Differential Diagnosis about signs/symptoms. Is it... a. intentional, b. substance, c. another medical (if abnormal presentation/age onset/course), d. developmental conflict/stage, e. mental disorder, or maybe f. not a mental disorder
9. illusion is misperception of actual stimuli vs. hallucination as perception of absent stimuli
13. Alternatives to DSM: ICD (for epidemiologists), Psychodynamic Diagnostic Manuel (includes internal experience), McHugh’s Clusters (what a person has, who a person is, what a person does, what a person encounters), & Research Domain Criteria
این کتاب نخستین بار توسط انتشارات ارجمند به فارسی ترجمه شده است. انتشارات ارجمند، ناشر انحصاری راهنمای تشخیصی و آماری اختلال های روانی، ویرایش پنجم (2013) به زبان فارسی جهن توزیع در سراسر جهان است.
Nussbaum presents a concise, but effective summary of DSM diagnostic criteria along with a thorough semi-structured clinical interview. While reading through this, I actually made significant edits to my typical evaluation process based upon recommendations in this book.
I thought this book was comparable to the earlier pocket guide versions of the DSM, but I was wrong. This is just a simplistic version of diagnosis using the DSM-5 codes. In my professional opinion, it is too simplistic to use for diagnosis and not useful for differentiation between the codes. Waste of my money....