Diagnostic and Statistical Manual of Mental Disorders DSM-IV-TR

by American Psychiatric Association

This Text Revision incorporates information culled from a comprehensive literature review of research about mental disorders published since the DSM-IV(R) of 1994. Updated information is included about the associated features, culture, age & gender features, prevalence, course & familial pattern of mental disorders. The DSM-IV-TR(R) brings this essential diagnostic tool to-date, to promote effective diagnosis, treatment & quality of care. One can get all the essential diagnostic information from the DSM-IV(R) along with important updates not in the '94 edition. Benefit from new research into Schizophrenia, Asperger's Disorder & other conditions. Utilize additional information about the epidemiology & other facets of DSM conditions. Update ICD-9-CM codes implemented since 1994 including Conduct Disorder, Dementia, Somatoform Disorders.
Use of the manual
DSM-IV-TR classification
Multiaxial assessment
Disorders usually 1st diagnosed in infancy, childhood or adolescence
Delirium, dementia & amnestic & other cognitive disorders
Mental disorders due to a general medical condition
Substance-related disorders
Schizophrenia & other psychotic disorders
Mood disorders
Anxiety disorders
Somatoform disorders
Factitious disorders
Dissociative disorders
Sexual & gender identity disorders
Eating disorders
Sleep disorders
Impulse-control disorders not elsewhere classified
Adjustment disorders
Personality disorders
Other conditions that may be a focus of clinical attention
Additional codes
Appendix A: Decision trees for differential diagnosis
Appendix B: Criteria sets & axes provided for further study
Appendix C: Glossary of technical terms
Appendix D: Highlights of changes in DSM-IV text revision
Appendix E: Alphabetical listing of DSM-IV-TR diagnoses & codes
Appendix F: Numerical listing of DSM-IV-TR diagnoses & codes
Appendix G: ICD-9-CM codes for selected general medical conditions & medication-induced disorders
Appendix H: DSM-IV classification with ICD-10 codes
Appendix I: Outline for cultural formulation & glossary of culture-bound syndromes
Appendix J: DSM-IV contributors
Appendix K: DSM-IV text revision advisers

Genres: Psychology, Nonfiction, Reference, Mental Health, Science, Counselling, Social Work

943 pages, Paperback

First published January 1, 1952

About the author

APA is an organization of psychiatrists working together to ensure humane care and effective treatment for all persons with mental illness, including substance use disorders.

Reviews

[Billie Rain · Rating 1 out of 5]

know your enemy

[Marvin · Rating 4 out of 5]

My three cats Maslow, Ashley and Fanci were browsing my book shelf again. Ashley's gray paw caught on a big silver book that crashed to the floor.

"Ashley, what did I tell you about helping yourself to the books"

"Sorry." Ashley looked a little peeved. "Frankly I would rather help myself to the tuna cans."

Maslow looked the book over. "What's a Dasm Fourster?"

I checked it out. "Oh, you mean the DSM-IV-TR also known as the Diagnostic and Statistical Manual of Mental Disorders-Fourth Edition Revised."

Maslow and Ashley were interested but I noticed Fanci had fallen asleep by the time I got to "Statistical". Having read the DSM-IV, I knew the feeling.

"So?" Maslow persisted. "What the heck is it?"

"It is a book that categorizes the various forms of mental disorders that humans experience. Its main purpose is for the billing for insurances, giving doctors a label to place their diagnoses but barring that somewhat cynical outlook, I've found it helpful in my career as a clinical social worker for identifying groups of symptoms and designing treatments."

Now Ashley's eyes started to glaze over. I knew I've gone on too long for felines. If you want to have a decent conversation with most cats, you have to mention food every three or four words.

However Maslow was intrigued. "Have you read the entire book?"

"It's mainly for reference. But I've used it so much that it feels like I've read the entire book."

"Do you mean I can use this book to analyze Ashley and Fanci?

"Well, I wouldn't recommend you do that but..."

"Or analyze you?"

"Well.."

"Is there an Internet Addiction Disorder?"

"Not Yet, but it is being considered for the fifth edition."

"So now you're normal but you might be neurotic next year?"

Now I was starting to get nervous. Time to change the tone of the conversation.

"Actually, Maslow. It's not in the book but I've noticed that certain animals show traits of some human disorders. Like most dogs fit into Dependent Personality Disorder and most parrots are Paranoid Schizophrenic"

"Yeah. I remember that blue-crowned conure you had. Always talking to himself. But what about cats?"

"Easy. Cats are Narcissistic Personalities."

"Meaning?"

"They think they're the center of the universe."

Maslow thought about that. "And that is a bad thing?"

"Maslow, old buddy. If you're going to be Wonder Cat and take up reading, maybe you should start with something a little easier.'

Maslow perused the book shelf. "How about this one?"

I read the title. The Origin of Consciousness in the Breakdown of the Bicameral Mind.

Now this should be interesting.

[Tucker Almengor · Rating 4 out of 5]

This is one of my favorite books that deals with mental illness! To see the others and to here me ramble about my brain, watch my video, A Brief Trip Inside My Mind!


************

[11/16/2019] - i finally bought a copy!!

************

[10/18/2019] - i can't wait to buy my own copy of this so i don't have to borrow the library's. the only thing is... this B*tch is expensive... (like $100 expensive)

************

[9/18/2019] - I should really stop re-reading this....

but i won't

************

Read this in Inpatient! Very enjoyable. I have now self-diagnosed myself with at least twenty disorders. Thanks, book, for fueling my OCD

| Goodreads | Blog | Pinterest | LinkedIn | YouTube | Instagram

[Reina · Rating 4 out of 5]

I feel the need to use the DSM to psychoanalyze the reviewers of this book. Whoa. It seems like people are personally offended by the existence of the DSM. Well, I for one, as a mental health professional, am quite glad that it exists because without it, I would be left to my own devices. There are many crazy therapists out there who would be diagnosing people with the most outlandish things possible if there weren't some guidelines in place. The DSM is not any of the following and if you're going to review it, keep this in mind: 1. Lite summer reading for by the pool. 2. Interesting to anyone who doesn't work in the field or 3. Speaking about you personally. I was just surprised to see how fired up people get about this. I certainly don't put much stock in some of the diagnoses and I'm looking forward to the DSM V update but I find it to at the very least be a necessary evil. It's kinda like if people were to complain that the dictionary didn't entertain them, is too rigid, or that words should not be defined by letters. Everything--including mental illness--has to have some language associated with it to better allow people to talk about it and address problems. What people chose to do with the labels within the DSM is the bigger problem. Diagnosis is one tool of many that the clinician works with. It shouldn't be the only consideration and it certainly doesn't define the totality of a person. For those of you who left scathing reviews of this book, I ask you to consider the alternative. If there was no DSM, diagnosing wouldn't disappear. As others mentioned, it's a requirement of the insurance companies. So would you rather have people pulling names of made up illnesses out of a hat? At least there are some guidelines in place.

[Jeffrey Guterman · Rating 1 out of 5]

Where do I begin? It's hard to say that this is a "good" book or that this is a "bad" book. This is a diagnostic manual used to diagnose mental disorders. But maybe I should not be so quick to conclude that this is all the DSM is. The DSM is also a cultural artifact. It is the product of a so-called scientific community, largely the psychiatric profession, that for better and/or worse, has powerful effects. One of the biggest shortcomings of the DSM is that it fails to understand the ethical imperative to recognize the necessary connection between observer and observed. To see that its mental disorders say more about the diagnosticians than the so-called patients that they are diagnosing. Except for a handful of the mental disorders in the DSM (e.g., schizophrenia) which may some day be more clearly understood as brain disorders, most of the diagnoses in this manual are social constructions. I teach psychopathology in Masters level courses for a counseling program and encourage students to challenge taken-for-granted assumptions about diagnosis, pathology, and traditional hierarchical relationships between clinicians and clients. I also suggest, however, that in a society where a medical model prevails, there are good reasons to use the DSM, including insurance reimbursement. I say, what's all the fuss? The DSM, itself, points out that its manual does not diagnose people but, rather, conditions. Moreover, I recommend that one view any given diagnosis as a set of if-then criteria. If you accept that an individual meets such criteria, then they have that diagnosis. Simple, right? Well, not really. Our biases, assumptions influences what we do and do not observe; hence, some clinicians will look for and observe some criteria, whereas others will observe other criteria. Mental health counseling is not like drawing blood for a medical test. Inter-rater reliability, from my experience, is not very good when it comes to the DSM. It could be said that a mental health diagnostic interview is often a projective test--for the therapist!

[Shu-ning · Rating 2 out of 5]

Bottom line, this is a diagnostic manual used to diagnose mental disorders, which in my opinion cannot be measured and is largely affected, or I should say "manipulated," by various variables such as the interviewee's culture background, ethnicity, communication, perception, in the moment emotions, etc, to name a few and the interviewer's interviewing skills, cultural sensitivity, personal bias and ingrained assumptions, etc, to name a few. Because of its unmeasurability, the constantly changing social constructions and numerous variables that cannot be controlled, DSM-IV is NOT scientifically based. It may provide a platform for mental health professionals to exchange psychiatric jargons but it should be the least tool to be used to label a person, or worst, justify pharmacological treatment. What a person presents is their "symptoms," as DSM-VI would call it; what a person doesn't tell is their "story," a story that needs to be heard.

BTW, if you take out the criteria "the symptoms must cause marked distress or significant impairment in daily functioning" listed in every disorder, you will find that you have a little bit flavor of most disorders.

[Lesley · Rating 4 out of 5]

In my experience, seasoned, sensitive, forward-thinking clinicians - the ones mostly interested in, like, helping people with their problems and, like, listening without judgment - claim to be kinda down on the DSM. It's an insurance company handbook, they say. It's a pharmaceutical company catalog. It's subjectivity masquerading as objective medical fact. Good points. I mean if you've ever had any doubt at all about the cultural impact on perceptions of mental illness, you need only compare DSM-I (1952, roughly 100ish pages long) to DSM-IV-TR (2000, roughly 900 pages long).

That said, I'm totally into the DSM-IV-TR and totally excited about DSM-V (slated for release around 2010, I think). New pathologies are fun! Personally, I'd like to see another Personality Disorder or two in DSM-V. Granted I'm less interested in using the DSM to diagnose clients as I am in using it to diagnose friends, family, acquaintances, and strangers in the supermarket for my own personal amusement.

[Morgan Blackledge · Rating 5 out of 5]

I gave it 5 stars just to be a dick. But really! It's just a fucking book. Relax already. I know managed care sucks. But try to imagine what the fields of psychiatry and clinical psychology were like before diagnostic criteria and strict licensure standards. Running with scissors anyone? P.S. check out Nicole's review. She has read it "front to back several times"?Wow! That's hard core. I love nerding out on this stuff as much as the next guy, but dangalang, reading (and re-reading) a reference manual? Cover to cover? Its like 900 pages. Why would anyone willingly do that?

[Sarah]

i learned that it is possible to diagnose friends, loved ones, and myself with many disorders. I also learned that it is probable that there's nothing wrong with any of us. Still waiting for the DSM to focus on what's right!

[Brian · Rating 1 out of 5]

I am not a believer is DSM manuals. Each one of us is unique; no one comes with bullet points.

[Sarah · Rating 4 out of 5]

If you keep this on your coffee table, it will certainly freak out your friends and family. It can also be used to liven up dull cocktail parties.

[Tony · Rating 4 out of 5]

DSM IV is the latest installment of a series that has captured the hearts of readers. Brimming with erotic excitement and plot turns that keep you guessing until the last page, this is an instant classic for fans of the statistical-diagnostic-spy-thriller genre.

[Zoe Saine · Rating 1 out of 5]

Low key boring and overly reductionist

[Amy M. Strasburger · Rating 4 out of 5]

Well this is a mental heath therapist's "bible", so I use it all of the time!:)

[Sonia Duma]

An unfortunate read for my exams

[Shannon · Rating 2 out of 5]

My views on the DSM have changed over time and I have some mixed feelings on the manual. I understand that providing diagnoses are a way to help people have services covered that they want and/or need by insurance companies. This is not ideal, but how the broken system works. A label can provide some form of explanation for experiences that can be freeing for some. And I do see the need for being able to categorize research on effective techniques.

On the other hand, labeling human beings can be dangerous and destructive. The DSM, built on the medical model of disease, pathologizes human beings based on abnormality. Who is to say what is normal and abnormal? Some disorders are pathological in my opinion, such as Pedophilia. However, I think the DSM in general over pathologizes human behavior. Until 1973, the DSM II categorized homosexuality as a mental disorder and there are similar mistakes in thinking in the current DSM-5. I'm more in favor of viewing people through a growth model in therapy vs. the disease model.

[Olivestarr · Rating 1 out of 5]

As a forensic psychology major, this is my bible. That being said, this is the most terrifying book I've ever read!! No worries though the DSM-5 is slated to come out soon and it promises to be even more horrifying!! Lolli lolli lolli get your labels here!!

[Nicole · Rating 4 out of 5]

Of course I didn't read the whole thing! C'mon!
I have read a lot of it though.

[Mark · Rating 1 out of 5]

This book is a political document. As science, it is a fraud.

[Stephanie Allen · Rating 5 out of 5]

Loved this book! Very educational and informative. Now reading the DSM V, which is an updated version based on newest research!! I am using the DSM V for the research base for my new book.

[Taylor Brown · Rating 3 out of 5]

The plot was kinda lacking…

[kenna · Rating 3 out of 5]

too personal imo 3/5

[Escapisme404 · Rating 2 out of 5]

I give it two stars...because it hasn´t dragons or swordfighting in it

[Shari · Rating 3 out of 5]

Better if you already know psychiatry, so maybe I'm lucky. Not a user friendly tome. Coding is bunched into lists in random areas, and in other areas you'll have to flip back and forth to figure out which code applies. Coding doesn't really matter anyway, and the authors clearly didn't try to make it coherent, so it reads like a billing manual. The organization is whimsical and random, not intrinsic or organic, and the section on dementia will make you feel as if you have dementia. Please get a REAL writer to help with the next DSM.

Just try to look something up in the index. Just try. I dare you.

[Danell]

I can't give a rating to a diagnostic manual - it just doesn't seem right...
This book is kind of a double-edged sword but I won't take the time to get on my soap box about that right now. However, it's a necessary "tool" and offers some helpful guidelines for mental health professionals BUT the new edition is coming out this summer with many revisions (some BIG changes, some minor). So although I gained the basic foundation from this book, I'll will be waiting for the new edition before I really dive into the manual.

[Leonardo]

Seligman noted that psychologists had created an enormous manual, known as the “DSM” (the Diagnostic and Statistical Manual of Mental Disorders), to diagnose every possible mental illness and behavioral annoyance, but psychology didn't even have a language with which to talk about the upper reaches of human health, talent, and possibility.

The Happiness Hypothesis Pág.167

[Dereck · Rating 4 out of 5]

For some reason, I thought I'd be the only nerd to put this on his list. It's a great reference, and handy to have for any psychology major or for any reference geek. It's pretty easy to find what you need. It's well organized, and very informative. The DSM books are also regularly updated, which is good because you get the most current information on psychological disorders.

[izziee · Rating 5 out of 5]

loving how comprehensive the DSM-V is!!!!

[Lauren Slanker · Rating 3 out of 5]

mid

[alexis · Rating 1 out of 5]

know thy enemy