Terrence
End Times
(Spitzer, Gibbon, Skodol, Williams, & First, 1994, pp. 304-308)
DSM-IV-TR classification:
- Axis I:
- 302.9 Paraphilia Not Otherwise Specified: Necrophilia
- history of 302.81 Fetishism
- Axis II
- 301.9 Personality Disorder Not Otherwise Specified
- alternative: 301.22 Schizotypal Personality Disorder
DSM 5 classification:
- 302.89 Other Specified Paraphilic Disorder: Necrophilia
- 301.9 Unspecified Personality Disorder
- history of 302.81 Fetishism or
- 302.89 Other Specified Paraphilic Disorder: Necrophilia; 301.22 Schizotypal Personality Disorder; history of 302.81 Fetishism
The concept of a mental disorder in DSM-IV-TM & DSM-5
DSM-IV (1994) and DSM-IV-TR (2000)
“In DSM-IV, each of the mental disorders is conceptualized as a clinically significant behavioral or psychological syndrome or pattern that occurs in an individual and that is associated with present distress (e.g., a painful symptom) or disability (i.e., impairment in one or more important areas of functioning) or with a significantly increased risk of suffering death, pain, disability, or an important loss of freedom.” (DSM-IV-TR, 2000, p. xxxi)
- clinically significant
- syndrome/pattern
- occurs in an individual
- not expectable & culturally sanctioned response to a particular event
- conflicts between individual and society are not mental disorders, unless the deviance or conflict is a symptom of a dysfunction in the individual
- classified disorders that people have, not people
DSM 5 (2013)
“A mental disorder is a syndrome characterized by clinically significant disturbance in an individual’s cognition, emotion regulation, or behavior that reflects a dysfunction in the psychological, biological, or developmental processes underlying mental functioning. Mental disorders are usually associated with significant distress or disability in social, occupational, or other important activities. An expectable or culturally approved response to a common stressor or loss, such as the death of a loved one, is not a mental disorder. Socially deviant behavior (e.g., political, religious, or sexual) and conflicts that are primarily between the individual and society are not mental disorders unless the deviance or conflict results from a dysfunction in the individual, as described above.” (DSM 5, 2013, p. 20)
- syndrome
- clinically significant
- in an individual’s
- usually assocaited with significant distress or disability
- social, occupational, or other important activities
- expectable or culturally approved response to a common stresor or loss . . . . is not a mental disorder
- socially deviant behavior/conflicts with society are not a mental disorder, unless
- caution about legal judgments, eligibility for disability, competency