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DSM-IV Problems and diagnosis of personality disorders

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CheckPoint: DSM-IV Problems

The DSM-IV is an important tool for clinicians. It provides a standard for diagnoses to be standardized across psychology; however, the DSM-IV is not as precise for diagnosing personality disorders as some psychologists would like.

Give an example of each of the following problems identified in your readings and explain how these problems could negatively affect a diagnosis.

1. Some criteria used for reaching a diagnosis cannot be observed directly.
2. Personality disorders can be similar to each other.
3. People with different personalities can be given the same diagnosis
4. Do you think that personality disorders are true mental illnesses? Why or why not?

Grading Guide: You answered the following thoroughly and substantively:

1. Some criteria used for reaching a diagnosis cannot be observed directly.

2. Personality disorders can be similar to each other.

3. People with different personalities can be given the same diagnosis.

4. Do you think that personality disorders are true mental illnesses? Why or why not?

Mechanics: 5/5 Points: Spelling and grammar were correct

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The solution addresses DSM-IV problems and diagnoses personality disorders.

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Community Counseling Center: Telephone Intake Report below

Name:
Ricardo S.

Age:
24

Background:
Born in Puerto Rico; moved to the U.S. six months ago. Family still residing in Puerto Rico; client saving money to bring mother and younger brother to U.S. Fluent in both English and Spanish.

Relationships:
Describes self as being gay; one previous long-term relationship (three years); not currently in a relationship. No close friends; reluctant to join in social activities and appears to be somewhat isolated.

Work:
One full-time job and a part-time job on the weekend; reports good attendance at work and good work evaluations.

Living situation:
Describes living in an "unsafe" neighborhood and has been fighting with his landlord to get more locks installed on his windows and doors. Would like to move but does not have a car for transportation to work.

Health:
Headaches; stomach pain (previous ulcers treated by physician in late teens). Has not seen a physician since moving to the U.S.

Life Goals:
Wants to attend college and work in computer field.

Current symptoms/issues:
Fatigue, constant worrying, lonely, feels "jittery."

Reason for seeking therapy:
Supervisor at work recommended he speak with someone about his fears and worries after Ricardo reported late to work three days in a row due to sleeping poorly and having nightmares.

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