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DSM-I
Heavily focused on psychoanalytical tradition - clinicians looked for abnormal behavior in childhood traumas
-Homosexuality was a disorder said to be caused by a fear of the opposite gender, stemming from a traumatic relationship with parents -
DSM-II
Still grounded in a psychoanalytical approach.
Pushed by behaviorists criticizing the use of unobservable things like "trauma"
Primary change was that it gave possible origins for disorders. -
DSM-III
265 diagnostic categories organized into 5 groups(axes)
-Clinical Disorders: depression, anxiety, etc
-Personality Disorders: paranoid, narcissism, etc
-General Medical Disorders: brain injuries
-Psychosocial and Environmental Disorders: family problems, etc
-Global Assessment of Function: looking at behavior impacts persons social, work, and personal life -
DSM-IV
Created the clinical significance criterion: required patients to exhibit symptoms significant enough to cause distress or impairment of their life(attempt to reduce overmedication)
Expounded on the five axes -
DSM-V
Removal of multi-axial system
-Helped account for the fluidity of mental disorders
Aimed to make a "living" document that could be changed and give clinicians more flexibility