Shifting Approaches to Addiction
INTRODUCTION
In this final unit, we will be exploring and discussing how the diagnostic criteria changed in a variety of ways with the transition from the DSM-IV-TR to the DSM-5. As previously mentioned, we now have in the DSM-5 three basic types of disorders: substance intoxication, substance withdrawal, and what we now call substance use disorder (formerly substance dependence and substance abuse). It is indeed important that we clearly understand and know how to properly use the new diagnostic criteria so that we can properly diagnose an addictive use disorder.
In your first discussion for this unit, you will be asked to discuss one of the three trends of the proposed changes in the clinical transition from the DSM-IV-TR to the DSM-5: the influence of the medical model, the attention to nosology, or lowered thresholds and their potential impact on nondominant populations (Miller & Prosek, 2013). You will be asked to discuss the elimination of the abuse/dependence dichotomy from the DSM-5 and how these changes may affect the strategies for diagnosis, assessment, and treatment of co-occurring mental health issues for diverse populations.
Reference
Miller, R., & Prosek, E. A. (2013). Trends and implications of proposed changes to the DSM-5 for vulnerable populations. Journal of Counseling and Development, 91(3), 359–366.
The DSM-5: Shifting Approaches to Addiction
Readings
Use the Capella library to complete the following:
Read Miller and Prosek’s 2013 article, “Trends and Implications of Proposed Changes to the DSM-5 for Vulnerable Populations,” from Journal of Counseling and Development, volume 91, issue 3, pages 359–366.
Read Meyer’s 2011 article, “A Commentary on ‘Addiction and Dependence in DSM-V’,” from Addiction, volume 106, issue 5, pages 873–874.
Use the Internet to complete the following:
Read the National Alliance on Mental Illness’s “NAMI Comments on the APA’s Draft Revision of the DSM-V: Substance Use Disorders.”
Read Frances’s 2012 article, “DSM-5 Is Guide Not Bible—Ignore Its Ten Worst Changes,” from Psychology Today.
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