An Overview of the<i>DSM-5</i>: Changes, Controversy, and Implications for Psychiatric Nursing

Halter, Margaret Jordan; Rolin-Kenny, Donna; Dzurec, Laura Cox

doi:10.3928/02793695-20130226-02

Cited by 10 publications

(4 citation statements)

References 24 publications

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“…3 ASD is an umbrella term that includes low-functioning (IQ < 70) to high-functioning individuals (IQ > 70), and that ranges over the broad DSM-IV categories of autistic disorder, Asperger’s syndrome, and pervasive developmental disorder not otherwise specified. 2,4 It is more prevalent in males than females; 1 in 54 boys and 1 in 252 girls were identified as having ASD in a 2008 study.…”

Section: Introductionmentioning

confidence: 99%

Connectivity in Autism

Rane

Cochran

Hodge

et al. 2015

Harvard Review of Psychiatry

200

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Autism Spectrum Disorder (ASD) affects 1 in 50 children between the ages of 6–17 years as per a 2012 CDC survey of parents. The etiology of ASD is not precisely known. ASD is an umbrella term, which includes low (IQ<70) to high functioning (IQ>70) individuals. A better understanding of the disorder, and how it manifests in an individual subject can lead to more effective intervention plans to fulfill the individual’s treatment needs. Magnetic resonance imaging (MRI) is a non-invasive investigational tool that can help study the ways in which the brain develops and/or deviates from the typical developmental trajectory. MRI offers insights into the structure, function, and metabolism of the brain. In this article, we review published studies on brain connectivity changes in ASD using either resting state functional MRI or diffusion tensor imaging. The general findings of decreases in white matter integrity and long-range neural coherence are prevalent in ASD literature. However, there is somewhat less of a consensus in the detailed localization of these findings. There are even fewer studies linking these connectivity alterations with the behavioral phenotype of the disorder. Nevertheless, with the help of data sharing and large-scale analytic efforts, the field is advancing towards several convergent themes. These include reduced functional coherence of long-range intra-hemispheric cortico-cortical default mode circuitry, impaired inter-hemispheric regulation, and an associated, perhaps compensatory, increase in local and short-range cortico-subcortical coherence.

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Section: Introductionmentioning

confidence: 99%

Connectivity in Autism

Rane

Cochran

Hodge

et al. 2015

Harvard Review of Psychiatry

200

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“…It attracts public attentionmost recently from controversies about the latest version of the Diagnostic and Statistical Manual or DSM (Halter, Rolin-Kenny, & Dzurec, 2013), possible overdosing of children with Attention Deficit Disorder (Stubbe, 2000), school violence (Brener, Simon, Krug, & Lowry, 1999), veterans' posttraumatic stress disorder (Mayo, MacGregor, Dougherty, & Galameau, 2013), and recent increases in suicide rates. The Mental Health Conference convened by President Obama on June 3, 2013 to launch a new program, the Brain Initiative, demonstrates how important public health issues, mental health and illness are (Normann, 2013).…”

Section: The American Academy Of Psychoanalysis and Dynamic Psychiatrymentioning

confidence: 99%

The American Academy of Psychoanalysis and Dynamic Psychiatry

Pardes¹

2014

Psychodynamic Psychiatry

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“…Notably for children and young people, the former chapter 'Disorders Usually Diagnosed in Infancy, Childhood, or Adolescence' in DSM-IV-TR has been removed, and DSM-5 now has a chapter on neurodevelopmental disorders (Halter, Rolin-Kenny, & Dzurec, 2013). 175 DSM-5 has also arguably instilled child and adolescent depression with extreme agitation.…”

Section: Introductionmentioning

confidence: 99%

Leaving Melancholia: Disruptive Mood Dysregulation Disorder

Harwood

2015

The Palgrave Handbook of Child Mental Health

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This chapter outlines the importance of critically reflecting on the diagnos-tic criteria for DMDD now included in DSM-5. In so doing, it mounts the argument that DMDD is a new and problematic inclusion to the 'Depressive Disorders' in an extremely influential manual of psychiatric disorders. Sig-nificantly, the inclusion of this new 'disruptive' and 'energetic' disorder as a form of 'depression' has yet to meet with substantive critique. DMDD crite-ria include 'tantrums', a point that has been hotly debated. For instance, as Wakefield (2013) pointed out, 'Children tend to outgrow these temper tantrum problems, so treatment and stigma may be applied unnecessarily to large num-bers of children ' (2013, p. 150). It is unknown how this new child disorder will impact, positively or negatively or even if it will afford the clarity that it is hoped to deliver. As Gitlin and Miklowitz (2014) concluded, 'whether this new category will advance diagnostic clarity and/or more appropriate treat-ment is unknown ' (2014, p. 89). The chapter demonstrates how historically informed analysis can be drawn upon to reflect on how interpretations and representations of melancholia and depression are very much connected to the political, the discursive, and, in the 21st century, to the authors of one manual of mental disorders. For a simple summary of the implications for practice, see Table 10.1.

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An Overview of theDSM-5: Changes, Controversy, and Implications for Psychiatric Nursing

Cited by 10 publications

References 24 publications

Connectivity in Autism

Connectivity in Autism

The American Academy of Psychoanalysis and Dynamic Psychiatry

Leaving Melancholia: Disruptive Mood Dysregulation Disorder

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