Psychiatric+Classification

toc =Reading= Chapter 2, Andreason =Goals=

1. Define psychodynamic psychaitray and compare it with biological psychiatry, and psychoanalysis.
Psychodynamic psychiatry was developed by Freud after treating many women with hysterical symptoms via the hypnotic methods of _____Messiere? Freud looked at mental illnesses as a result of tensions between different inner parts of oneself.

Biological psychiatry works on looking at mental illnesses as the result of abnormalities in brain function, as evidenced by EEG, brain structure abnormalities, or abnormalities in metabolism of various neurotransmitters.

Psychoanalysis

2. Define Psychosis and Neurosis
A psychosis implies a definite weakness in reality testing. All other mental illnesses are considered neuroses.

3. Differentiate between functional and organic disorders
Organic disorders have a known biologial basis. All others are considered functional disorders

5. Define the differences between reliability and validity
Reliability refers to how well different pscyiatrists will diagnose the same person the same way based off a given set of criteria. Validity refers to how well a diagnosis from a set of criteria accurately groups together patients with similar biological pathologies and prognoses

5a. Know the pluses and minuses of the DSM-IV

 * reliable across many illnesses and many therapists
 * aids in legal issues regarding mental illness
 * not necessarily valid

6. Describe the different Axes of the DSM-IV
Axis I: Major Psychiatric illnesses Axis II: Personality Disorders Axis III: underlying medical problems Axis IV: Social interruptions Axis V: Functioning on scale

7. Define 'V code'
I. Overview. In DSM-IV, V Codes are used to describe "other conditions or problems that may be a focus of clinical attention." The V Codes are broadly divided into three groups. Relational Problems (such as marital or parent-child problems) occur when maladaptive patterns of individual behavior within some sort of unit or group cause symptoms in the individuals, or impair function of the unit or group. Problems Related to Abuse or Neglect (such as spouse abuse or child neglect) may involve physically or sexually abusive behavior. The Additional Conditions (such as an occupational problem or spiritual problem) vary from Non-Compliance With Treatment through Bereavement to Phase of Life Problems (eg, Moriarty et al., 1996; Spruijt & de Goede, 1997). The 23 "V Codes" are listed in DSM-IV (1994, pp 680-6). V Codes are recorded on DSM-IV Axis I. V15.81

Noncompliance With Treatment

V61.1

Partner Relational Problem Physical / Sexual Abuse of a Adult

V61.20

Parent-Child Relational Problem

V61.21

Child Neglect Physical / Sexual Abuse of a Child

V61.8

Sibling Relational Problem

V61.9

Relational Problem Related to a Mental Disorder or General Medical Condition

V62.2

Occupational Problem

V62.3

Academic Problem

V62.4

Acculturation Problem

V62.81

Relational Problems

V62.82

Bereavement

V62.89

Borderline Intellectual Functioning Phase of Life Problem Religious or Spiritual Problem

V65.2

Malingering

V71.01

Adult Antisocial Behavior

V71.02

Child or Adolescent Antisocial Behavior

V71.09

No Diagnosis or Condition on Axis I No Diagnosis on Axis II

8. Know which axes supercede which other axes
A physical diagnosis supercedes a psychiatric diagnosis if the physical syndrome can cause the mental abnormalities observed Similarly, an axis 1 mental disorder supercedes an axis II abnormality if it often causes the same type of behaviors--e.g., schizophrenia supercedes schizoform personality disorder