DSM (1952): created to have standardized diagnosisNumberYearDisordersPagesI195260130II1968150134III1980250494III-R1987300+567IV1994400+886V2013400+?*1968 Homosexuality was a disorder in the DSM, eventually removed in 1980.New additions to the DSM-VObsessive-compulsive & related disordersOCDHoarding disorderBody dysmorphic disorder (negative perception of one’s body)Trichotillomania (need to pull one’s own hair from body)Skin Picking DisorderHypochondriasis is now termed Illness anxiety disorderPedophilla is now termed Pedohebephillic disorderDementia is now major neurocognitive disorderAutism spectrum disorder combines autism, asperger’s disorder and pervasive personality disorder (PDD)Feeding and eating disordersDisruptive, impulse control & conduct disordersSubstance abuse and addictive disordersNeurocognitive disordersPersonality disordersParaphillic disordersMajor disorder categories in the DSM-VNeurodevelopmental disordersSchizophrenic spectrum and other psychotic disordersBipolar and related mood disordersDepressive disordersAnxiety disordersObsessive-compulsive disordersSomatic symptom disordersTrauma & stressor related disordersDissociative disordersSleep-wake disordersSexual dysfunctionsGender dysphoriaPreparatory remarksBiogenic-psychogenic dichotomyProblems of DiagnosisFred McKinney-Sara J.Sara J worked in the clinic and incorrectly labeled/diagnosed disordersADHD- single most over diagnosed disorderBipolar Disorder -2nd most over diagnosed disorderTwo Opinions- 2 different perceptions of the same symptomsToo often the eye of the beholder- based on human opinionHuman errorDo we need diagnostic systems at all?Yes, although very flawed in the method of diagnosis, it is the only system available to practionersThe diagnostic systems lack or don’t imply a method of treatmentState supported treatment programs1965- Texas department of health2004 –Texas department of mental health and mental retardationNow DSHS/DADS-serves:254 texas counties10 Mental Hospitals13 state supported living centers41 community mental health/mental retardation centerspurpose:(1) try to keep people out of mental hospitals and supported living centers(2) provide follow up treatment after patient is releasedState tax money is the major source of funding for DSHS systems (80%)Cost per patient a year is $15,325Department of state health services (DSHS)Austin state hospitalBig spring state hospitalEl Paso Psychiatric centerKerrville state hospitalNorth Texas state hospitalRio Grande state centerSan Antonio state hospitalTerrell State hospitalWaco Center for youth (ages 13-17)Texas department of aging and disability services (DADS)Responsible for services to aging and mentally retarded citizens of Texas13 state supported living centers (known as state schools until 2010)Abilene: opened as Texas state epileptic colony, 1904Austin: originally state colony for feebleminded, 1915Brenham: becoming a youth facilityCorpus Christi: destroyed by hurricane one week after openingDenton: LeUnes’ 1st state school tourEl PasoLubbock: Famous abuse case; 60 minutesLufkinMexia: German POW camp during WWIILecture 1 Outline of Last Lecture I. Review of SyllabusOutline of Current Lecture II. Diagnostic and Statistical Manual (DSM)a. Versionsb. Amendments in the DSM-Vc. DSM-V DisordersIII. Preparatory Remarksa. Problems of DiagnosisIV. State Tax Supported Treatment ProgramsV. Department of State Health Services (DSHS)VI. Texas Department of Aging and Disability Services (DADS)Current Lecture DSM (1952): created to have standardized diagnosis Number  Year  Disorders  Pages I 1952 60 130II 1968 150 134III 1980 250 494III-R 1987 300+ 567IV 1994 400+ 886V 2013 400+ ?- *1968 Homosexuality was a disorder in the DSM, eventually removed in 1980. New additions to the DSM-V- Obsessive-compulsive & related disorderso OCDo Hoarding disordero Body dysmorphic disorder (negative perception of one’s body)o Trichotillomania (need to pull one’s own hair from body)o Skin Picking Disorder PSYC 306 1st Edition- Hypochondriasis is now termed Illness anxiety disorder - Pedophilla is now termed Pedohebephillic disorder- Dementia is now major neurocognitive disorder- Autism spectrum disorder combines autism, asperger’s disorder and pervasive personality disorder (PDD)- Feeding and eating disorders- Disruptive, impulse control & conduct disorders - Substance abuse and addictive disorders- Neurocognitive disorders- Personality disorders- Paraphillic disorders Major disorder categories in the DSM-V- Neurodevelopmental disorders- Schizophrenic spectrum and other psychotic disorders- Bipolar and related mood disorders- Depressive disorders- Anxiety disorders- Obsessive-compulsive disorders- Somatic symptom disorders - Trauma & stressor related disorders- Dissociative disorders- Sleep-wake disorders- Sexual dysfunctions- Gender dysphoria Preparatory remarks- Biogenic-psychogenic dichotomy- Problems of Diagnosiso Fred McKinney-Sara J. Sara J worked in the clinic and incorrectly labeled/diagnosed disorderso ADHD- single most over diagnosed disordero Bipolar Disorder -2nd most over diagnosed disordero Two Opinions- 2 different perceptions of the same symptomso Too often the eye of the beholder- based on human opinion o Human error  Do we need diagnostic systems at all?- Yes, although very flawed in the method of diagnosis, it is the only system available to practioners o The diagnostic systems lack or don’t imply a method of treatment State supported treatment programs - 1965- Texas department of health- 2004 –Texas department of mental health and mental retardation  Now DSHS/DADS-serves:- 254 texas counties - 10 Mental Hospitals- 13 state supported living centers- 41 community mental health/mental retardation centers o purpose:  (1) try to keep people out of mental hospitals and supported living centers (2) provide follow up treatment after patient is released- State tax money is the major source of funding for DSHS systems (80%)o Cost per patient a year is $15,325 Department of state health services (DSHS)- Austin state hospital- Big spring state hospital- El Paso Psychiatric center- Kerrville state hospital- North Texas state hospital- Rio Grande state center- San Antonio state hospital- Terrell State hospital- Waco Center for youth (ages 13-17)Texas department of aging and disability