Unit 12: Understand Mental Health Problems
1.1 Describe the main types of mental ill health according to the psychiatric (DSM/ICD)
classification system: mood disorders, personality disorders, anxiety disorders, psychotic disorders,substance-related disorders, eating disorders, cognitive 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.
• He regarded each mental illness as distinct from all others with its own origins, symptoms, course and outcomes.
• He originally classified two major groups:
• Dementia praecox (Schizophrenia)
• Manic-depressive psychosis (faulty metabolism).
• This helped to establish the organic nature of mental disorders and formed the basis of the Diagnostic statistical manual of mental disorders (DSM).
• This helped to establish the organic nature of mental disorders and formed the basis of the:
• Diagnostic statistical manual of mental disorders (DSM).
• The International classification Of Diseases (ICD).
• His classification is also embodied in the Mental health Act (1983). The act contains three major categories of mental disturbances.
Mental illness, personality Disorder, and Mental impairment
DSM-IV-TR & ICD-10
• DSM-IV-TR
• Larger number of discrete categories.
• Uses a multi-axial system.
• Uses term psychotic.
ICD-10
• More general categories.
• Generally single axis.
• But uses broad aetiology.
Uses term neurotic
• The inclusion of the axes reflect the assumption that most disorders are caused by the interaction of:
• Biological
• Sociological
• Psychological factors.
The patient is assessed more broadly giving a more global in depth picture
1.2 Explain the key strengths and limitations of the psychiatric classification system
The main strength of the DSM is that it is in such wide use and is commonly agreed upon. This allows for a...