Classification of mental disorders. Classification of mental Disorders . . All systems of mental disorders and diagnosis stem from the work of Kraepelin. He claimed certain groups of symptoms occur together often, thus allowing us to call them diseases or syndromes .
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Ø Effort to develop a consistent worldwide system of classification that would be compatible with the ICD-10.
Ø Huge review of all research on psychopathology to update the classification system.
Ø Distinction between organically based disorders and psychologically based disorders was eliminated.
Ø Increased considerations of cultural factors.
Ø Previous mental illness
Ø Childhood history
Ø Occupational functioning
Ø Marital and relationship history
Ø Family history
Ø Psychosexual history
Ø Current living situationDiagnostic assessment: Clinical History
·Mental Status Examination
· Projective tests e.g. Rorschach, TAT.
· Objective tests e.g. MMPI
· Organic tests e.g. Blood tests, CAT scan
1. Disorders usually first diagnosed in infancy, childhood or adolescence
2. Delirium, Dementia & amnestic, & other cognitive disorders
3. Mental disorders due to a general medical condition
4. Substance related disorders
5. Schizophrenia & other psychotic disorders
6. Mood disorders
7. Anxiety disorders
9. Somatoform disorders
Ø Tends to be reductionistic.
Ø May lead to stigmatisation, or person taking on the sick role and identifying with the label.
Ø Labels are “sticky”. (Rosenhan study and 2005 Darwin Awards)
Ø Instrument of social control: gives mental health professionals control over people’s lives.
Validity: the degree to which the category reflects the disorder it seeks to describe.