Yes. This also talks about the secure attachment and references Sroufe and Ainsworth. There is a reference to Batson but I think it is an error and it refers to Mary Catherine Bateson the daughter of Margaret Mead who did work on mothers a d their interactions with responses to their infants. I wish I could cite some of her work but I cannot find it.
She talks about how if a mother is not responding to an infant in ways that make sense, the child learns dysfunction. Very interesting .
The psychopathy piece is interesting and it seems like there could be intervention early if only it was identified that parenting was not going to teach empathy because of inappropriate parental responses.
Hi human! Your "safe" I ran thro spellcheck !!
The new "bible" of the field came out after I retired, and there have been modifications but basically how it works is there are two "things we look at". One is basically internal a disease depression anxiety disorder bulimia etc. Then (this s what you were referencing ) then external factors that impact how an individual responds to the world around - Iran,child abuse loss of leg etc.
Very separate entities. There called Axis 1 2 3 4 5. Each axis is for a different area. Axis 1 is only for the internal stuff (neurotransmitters etc)s. Think PTSD it has a lot of correlation in terms of symptoms as many other disorders (sleep, concentration, anxiety,lack of energy,eating BUT the causation of similar symptom is cause by an external event-
Axis 2 is for the personality disorders (borderline personality disorder, narcissistic) and retardation . All the personality disorders are related to what you were saying, parenting, sibling interaction family dynamics. etc. Many do not have symptoms that qualify for an Axis 2 diagnosis.
Axis 3 is for "regular! medical , heart attack stroke etc etc which most certainly impact behaviors
Axis 4 goes back out to external issues that are typically major life events , getting fired, child dies ,,bankruptcy divorce - major life events that would impact most people
Axis 5 is basically a "grade" from 1-100 that is like a summary of the entire picture..
Money always comes into everything. In order to get paid one must make a diagnosis after the first hour admission. I always found that ludicrous -1 hour.
You can revise it at any time but most put Rule Outs " (R/O). to try to give everyone involved in treatment is made aware of other issues you might think may emerge as you learn more about the person and their situation. It looks like this:
Axis 1: Bipolar Disorder (*advertiser censored*.xx) the code for bipolar, chronic. R/O Major Major Depression (XXXX).
Axis 2 Narcissistic personality disorder , R/O Borderline personality disorder.
Axis :3 Heart attack one year ago, COPD.
Axis 4 Foreclosure 10 months ago,contemplating divorce.
Axis 5: Overall Functioning 75.
In order to have a diagnosis the individual must meet certain "criteria "
In order to have a diagnosis the indivdual must meet certain "criteria "
For major depression diagnosis
DSM-IV Criteria for Major Depressive Disorder (MDD) Depressed mood or a loss of interest or pleasure in daily activities for more than two weeks.
Mood represents a change from the person's baseline.
Impaired function: social, occupational, educational.
Specific symptoms, at least 5 of these 9, present nearly every day:1. Depressed mood or irritable most of the day, nearly every day, as indicated by either subjective report(e.g., feels sad or empty) or observation made by others (e.g., appears tearful).
2. Decreased interest or pleasure in most activities, most of each day
3. Significant weight change (5%) or change in appetite
4. Change in sleep: Insomnia or hypersomnia
5. Change in activity: Psychomotor agitation or retardation
6. Fatigue or loss of energy
7. Guilt/worthlessness: Feelings of worthlessness or excessive or inappropriate guilt
8. Concentration: diminished ability to think or concentrate, or more indecisiveness9. Suicidality: Thoughts of death or suicide, or has suicide planDSM V proposed (not yet adopted) anxiety symptoms that may indicate depression: irrational worry,preoccupation with unpleasant worries, trouble relaxing, feeling tense, fear that something awful might happen.
Screen for conditions that may mimic or co exist with Major Depressive Disorder: Substance abuse causing depressed mood (eg. drugs, alcohol, medications) Medical illness causing depressed mood Other psychiatric disorders: mania, hypomania, bipolar, schizoaffective, schizophrenia, etc. Bereavement unless sx persist for > two months or show marked functional impairment, morbid preoccupation withworthlessness, suicidal ideation, psychotic symptoms, or psychomotor retardation.Depressive Episode Criteria (may be part of Major Depressive Disorder ..
Finally, hope I am not boring you!!!
This is not %10 copyright stuff!
[h=1]APA Diagnostic Classification DSM-IV-TR[/h]
Numeric codes appear on linked pages and in parentheses following diagnoses which are not linked.
Complete Numerical Listing of Codes and Diagnoses: DSM-IV-TR
DSM-IV-TR Diagnoses with changed criteria
The listing below is intended only to provide organized access to disorder pages. It is not intended to be complete, or to take the place of the manual published by the American Psychiatric Press.
[h=4]Axis I: Clinical Disorders; Other Conditions That May Be a Focus of Clinical Attention[/h][h=4]Disorders Usually First Diagnosed in Infancy, Childhood, or Adolescence[/h]
[h=5]Delirium, Dementia, and Amnestic and Other Cognitive Disorders[/h]
[h=5]Mental Disorders Due to a General Medical Condition[/h]
[h=5]Substance-Related Disorders[/h]
[h=5]Schizophrenia and Other Psychotic Disorders[/h]
[h=5]Mood Disorders[/h]
[h=5]Anxiety Disorders[/h]Acute Stress Disorder | Agoraphobia Without History of Panic Disorder | Anxiety Disorder Due to General Medical Condition |Generalized Anxiety Disorder | Obsessive-Compulsive Disorder |Panic Disorder With Agoraphobia | Panic Disorder Without Agoraphobia | Posttraumatic Stress Disorder | Specific Phobia |Social Phobia | Substance-Induced Anxiety Disorder | Anxiety Disorder NOS (300.00)
[h=5]Somatoform Disorders:[/h]Body Dysmorphic Disorder | Conversion Disorder | Hypochondriasis| Pain Disorder | Somatization Disorder | Undifferentiated Somatoform Disorder | Somatoform Disorder NOS (300.81)
[h=5]Factitious Disorders:[/h]Psychological | Physical | Combined | Factitious Disorder NOS(300.19)
[h=5]Dissociative Disorders:[/h]Dissociative Amnesia | Depersonalization Disorder | Dissociative Fugue | Dissociative Identity Disorder | Dissociative Disorder NOS(300.15)
[h=5]Sexual and Gender Identity Disorders[/h]
[h=5]Eating Disorders:[/h]Anorexia Nervosa | Bulimia Nervosa | Eating Disorder NOS (307.50)
[h=5]Sleep Disorders:[/h]
[h=5]Impulse-Control Disorders Not Elsewhere Classified:[/h]Intermittent Explosive Disorder | Kleptomania | Pathological Gambling | Pyromania | Trichotillomania | Impulse-Control DisorderNOS (312.30)
[h=5]Adjustment Disorders (with):[/h]Depressed Mood (309.0) | Anxiety (309.24) | Disturbance of Conduct (309.3) | Mixed Anxiety and Depressed Mood (309.28) | Mixed Disturbance of Emotions and Conduct (309.4) | Unspecified (309.9)
[h=4]Axis II: Personality Disorders | NOS[/h]Cluster A: Paranoid | Schizoid | Schizotypal
Cluster B: Antisocial | Borderline | Histrionic | Narcissistic
Cluster C: Avoidant | Dependent | Obsessive-Compulsive
Personality Disorder NOS (301.9)
[h=4]Other Conditions That May Be a Focus of Clinical Attention[/h]
Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision. Copyright 2000American Psychiatric Association
