Title Details

SOPHIA F. DZIEGIELEWSKI is Professor and Associate Director for Research in the School of Social Work at the University of Central Florida, where she also serves as Chair of the University Institutional Review Board. She is also the Editor of the Journal of Social Service Research. She is the recipient of numerous awards, and supports her research and practice activity with over 120 publications, including seven textbooks, seventy-nine articles, numerous book chapters, and over 400 workshops and community presentations. Her research focuses on the areas of health and mental health. As a licensed social worker, she also remains active in clinical practice.

Acknowledgments xv

Quick Reference List xvii

SECTION I Utilizing the DSM-IV-TR: Assessment, Planning, and Practice Strategy

Chapter 1 Getting Started 3

Introduction 3

Beginning the Process 3

Making the Diagnostic Assessment: Tools that Facilitate the Assessment Process 4

Role of Social Workers and Other Mental Health Professionals 4

Development of the DSM Classification System: History and Reservations 6

Diagnostic Labels 13

Another Mental Health Assessment Measure 15

Professional Training in the Professional Counseling Fields 16

Summary 17

Questions for Further Thought 19

Chapter 2 Basics and Application 21

Utilizing the DSM-IV-TR in the Practice Setting 21

Working as Part of a Team: Multidisciplinary and Interdisciplinary Teams 22

Diagnosis and Assessment: Is There a Difference? 24

A Combination Approach: The Diagnostic Assessment 29

Completing the Diagnostic Assessment Process 32

DSM-IV-TR Alone Is Not Enough 35

Important Sections in the DSM-IV-TR 37

Culture, Age, and Gender-Related Information 38

Culture-Bound Syndromes 41

Diagnostic Assessment Factors Related to Age 44

Diagnostic Assessment Factors Related to Gender 46

Subtypes and Course Specifiers 49

Use of the Principal and Provisional Diagnosis 50

Use of Not Otherwise Specified 51

Summary 53

Questions for Further Thought 54

Chapter 3 Documentation and the Multiaxial Diagnostic Assessment 55

Introduction to the Multiaxial Assessment System 55

Axis I and Axis II: Multiaxial Assessment System 59

Axis II: Application of the Defense Mechanisms 71

Axis III: The Multiaxial Assessment System 78

Axis IV: The Multiaxial Assessment System 86

Axis V: The Multiaxial Assessment System 87

Ethical and Legal Considerations 96

Pulling It All Together: Use of the Multiaxial System 96

Summary 98

Questions for Further Thought 99

Chapter 4 Applications: Beyond the Diagnostic Assessment 101
Sophia F. Dziegielewski and RuthAnne Van Loon

Documentation, Treatment Planning, and Practice Strategy 101

Treatment and Intervention Planning 110

Developing the Treatment Plan 113

Selecting an Intervention Framework 117

Practice Strategy and Application 120

Types of Time-Limited Therapy in Mental Health Practice 124

Summary 132

Questions for Further Thought 135

SECTION II Applications: Selected DSM-IV-TR Disorders

Chapter 5 Overview of Selected Childhood Disorders: The Disruptive Behavior Disorders 139
Sophia F. Dziegielewski and Shirleyann Amos

Children Are Not Little Adults 139

Childhood and Adolescent Disorders: Assessing Mental

Health Factors 143

Attention-Deficit Hyperactivity Disorder 145

Oppositional Defiant Disorder and Conduct Disorder 150

Conduct Disorder 151

Summary and Future Directions 173

Chapter 6 Selected Eating Disorders in Children and Adults 177
Sophia F. Dziegielewski, Janice L. Ricks, and Janet D. Murray

Eating Disorders in Children: Brief Overview and Criteria 177

Selected Childhood Eating Disorders: Assessment and Diagnosis 178

Eating Disorders in Adults 181

Summary and Future Directions 205

Chapter 7 Substance-Related Disorders: Alcohol and Other Drugs 207
Carmen P. Chang-Arratia and Sophia F. Dziegielewski

Introduction to Diagnostic Classification and Definitions for Substance-Related

Disorders 209

Theories and Etiology of Alcohol Use Disorders 216

Risk Factors and Characteristics 220

Completion of the Diagnostic Assessment 221

Treatment Planning, Implementation, and Evaluation 229

Intervention Strategies: Models and Treatment Modalities 233

Integrated Motivational Enhancement Therapy and Motivational Enhancement Catalyst: Brief Interventions 238

Integrated Approach: Implications for Practice 241

Misuse of Prescription Medications and Psychotherapeutic Drugs: An Emerging

Problem 244

Summary and Future Directions 249

Chapter 8 Schizophrenia and the Psychotic Disorders 251
Sophia F. Dziegielewski, Shirleyann Amos, and George Jacinto

Introduction 251

Schizophrenia and the Psychotic Disorders 251

Understanding Individuals Who Suffer from the Psychotic Disorders 252

Overview of Schizophrenia and the Primary Psychotic Disorders 253

Differentiating among Brief Psychotic Disorder, Schizophreniform, and

Schizophrenia 259

Factors Related to Schizophrenia 261

DSM-IV-TR and the Definition of Schizophrenia 266

Differential Diagnostic Considerations 266

Schizophrenia and Factors for Consideration in the

Diagnostic Assessment 267

Application of the Multiaxial Diagnostic System 268

Treatment Planning and Intervention Strategy 273

Summary and Future Directions 283

Chapter 9 Selected Mood Disorders 285

Introduction 285

Overview of Mood Disorders 286

Clinical Depression and the Unipolar Disorders 289

The Depressive Disorders and the Diagnostic Assessment 289

Endogenous and Exogenous Depression: Making a Distinction 291

Completing the Diagnostic Assessment for the Unipolar Mood

Disorders 292

Treatment for the Unipolar Disorders 296

DSM-IV-TR and the Definition of Bipolar Disorders 299

Diagnostic Assessment in Adults with Bipolar Disorder 303

Bipolar Disorder in Childhood and Adolescence 313

Treatment Strategy for the Bipolar Disorders 322

Summary and Future Directions 326

Chapter 10 Anxiety Disorders 329
Carmen P. Chang-Arratia and Sophia F. Dziegielewski

Introduction 329

DSM-IV-TR Classification and Definition for the Anxiety

Disorders 330

Theories and Etiology of Anxiety Disorders 336

Obsessive-Compulsive Disorder 338

Posttraumatic Stress Disorder 350

Intervention Strategies 357

Models to Treat Anxiety Disorders 360

Integrated Approach 362

Summary and Future Directions 362

Chapter 11 Delirium, Dementia, and Amnestic and Other Cognitive Disorders 365
Carmen P. Chang-Arratia

Introduction to Diagnostic Classification and Definitions for

Cognitive Disorders 366

Theories and Etiology of Cognitive Disorders 370

DSM-IV-TR: Definition of Delirium 373

Completion of the Diagnostic Assessment 376

Delirium: Treatment Planning, Implementation, and

Evaluation 383

DSM-IV-TR: Definition of Dementia 384

Completion of the Diagnostic Assessment 387

Dementia: Treatment Planning, Implementation, and Evaluation 393

Intervention Strategies 397

Integrated Approach 403

Summary and Future Directions 404

Chapter 12 Selected Sexual Disorders 407
Gary Dick and Sophia F. Dziegielewski

Introduction 407

Overview of the Sexual Dysfunctions: Orgasmic and Sexual Desire–Related Disorders 408

Orgasmic Disorders 409

Assessment and Treatment of the Female and Male Orgasmic Disorder 412

Sexual Desire and Arousal Disorders 420

Assessment and Treatment of the Sexual Desire and Arousal Disorders 425

Completing the Diagnostic Assessment 426

Selected Assessment Scales and Methods for Treating the Sexual Disorders 430

Overview of Treatment Methods for the Sexual Disorders 436

Summary and Future Directions 437

Chapter 13 Personality Disorders 439
Sophia F. Dziegielewski and George Jacinto

Overview 439

Personality Disorders as Defined within the DSM 439

What Is a Personality Disorder? 440

Borderline Personality Disorder 459

Summary and Future Directions 473

Chapter 14 DSM-5TM Update 475

Introduction 475

The DSM and the ICD: The Bibles of Mental Health 475

So What About Billing? 477

DSM-5: Supporting the Changes 478

DSM-5: Three Sections 479

Overview: Section I 480

Overview: Section II 486

Delirium, Dementia, and the Cognitive Disorders 508

Selected Sexual Disorders 510

Personality Disorders 510

Section III 513

Conclusion 514

Appendix Quick References: Criteria and Treatment Plans Utilizing DSM-IV-TR 515

References 537

About the Author 575

Author Index 577

Subject Index 589