Diagnostic and Statistical Manual of Mental Disorders DSM-IV-TR (Text Revision) [Hardcover]

American Psychiatric Association (Author)

Book Description

ISBN-10: 0890420246 | ISBN-13: 978-0890420249 | Publication Date: June 2000 | Edition: 4 Sub

Since the DSM-IV® was published in 1994, weÂve seen many advances in our knowledge of psychiatric illness. This Text Revision incorporates information culled from a comprehensive literature review of research about mental disorders published since DSM-IV® was completed in 1994. Updated information is included about the associated features, culture, age, and gender features, prevalence, course, and familial pattern of mental disorders. The DSM-IV-TR® brings this essential diagnostic tool up-to-date, to promote effective diagnosis, treatment, and quality of care. Now you can get all the essential diagnostic information you rely on from the DSM-IV® along with important updates not found in the 1994 edition. Stay current with important updates to the DSM-IV-TR®: -Benefit from new research into Schizophrenia, AspergerÂs Disorder, and other conditions -Utilize additional information about the epidemiology and other facets of DSM conditions -Update ICD-9-CM codes implemented since 1994 (including Conduct Disorder, Dementia, Somatoform Disorders)

Product Details

• Hardcover: 943 pages
• Publisher: Amer Psychiatric Pub; 4 Sub edition (June 2000)
• Language: English
• ISBN-10: 0890420246
• ISBN-13: 978-0890420249
• Product Dimensions: 10.2 x 7.4 x 2.2 inches
• Shipping Weight: 4.1 pounds (View shipping rates and policies)
• Average Customer Review: 3.9 out of 5 stars  See all reviews (243 customer reviews)
• Amazon Best Sellers Rank: #18,202 in Books (See Top 100 in Books)

Customer Reviews

Most Helpful Customer Reviews

71 of 74 people found the following review helpful:

4.0 out of 5 stars specific value only, February 27, 2003

By 

R. Metzger (Springfield, MO United States) - See all my reviews
(REAL NAME)   

This review is from: Diagnostic and Statistical Manual of Mental Disorders DSM-IV-TR Fourth Edition (Text Revision) (Paperback)

The diagnostic sections remain largely unchanged. Only significant changes were to the text portion, hence the TR designation-- text revised. This is important if you are a student or in a research position. They produced this version in response to the fact that many graduate programs are using the DSM as a text book in their Pathology courses. In this regard, the new version is worthwhile and clearly justified. It also buys them a little more time in development of the DSM V. For clinical purposes, don't bother, it's not worth the money. If you are getting your first copy, or are looking for class, then you want this edition.

106 of 115 people found the following review helpful:

4.0 out of 5 stars Informative, but don't buy it if you have the original DSM-4, December 23, 2001

By 

Lee Markowitz (Yorktown Heights, NY USA) - See all my reviews

This review is from: Diagnostic and Statistical Manual of Mental Disorders DSM-IV-TR Fourth Edition (Text Revision) (Paperback)

The text-revised version is virtually identical to the 1994 version of the DSM-IV and not worth buying if you have the 1994 version. Along with the DSM-IV, the DSM-IV Text Revised version is, however, an informative book that provides good introductory information, especially in the "Diagnostic Features" section, about a wide variety of mental disorders. A problem of the manual, in my opinion, is its use of a categorical classification system while ignoring the dimensional nature of psychological phenomena.

Lee J. Markowitz, Department of Psychology, University of Waterloo (Ontario, Canada)

54 of 64 people found the following review helpful:

3.0 out of 5 stars Great for Psychologists, disappointing for Psychiatrists, December 19, 2002

By 

Richard C. Jensen (San Diego, California United States) - See all my reviews
(REAL NAME)   

This review is from: Diagnostic and Statistical Manual of Mental Disorders DSM-IV-TR Fourth Edition (Text Revision) (Paperback)

Of course, this is the bible of mental disorder diagnoses, at least in the U.S. The diagnoses are pretty inclusive, but there are several problems with this book as it pertains to the practice of Psychiatry. First, the book offers about 900 pages on symptom diagnosis, and about half a paragraph on the types of psychiatric medications that are effective for the particular diagnosis. 95% of diagnoses have absolutely no recommendations for treatment.

This leads to the second problem: differentiation of primary vs. secondary symptoms. The primary symptoms are the cornerstone of diagnosis. The secondary symptoms take way too much space in this book, and are generally not helpful in making a diagnosis, because the vast majority of secondary symptoms overlap in most mental illnesses. The important use for secondary symptoms is for the type of therapy that should be used (psychotherapy or pharmacotherapy). For example, if two patients are depressed, the diagnosis is made from primary symptoms (tiredness, irritability, difficulty concentrating, psychomotor retardation). However, if patient "A" has no significant secondary symptoms like anxiety or insomnia, they can take a high dose of SSRI or Effexor. But if patient "B" has the secondary symptoms of prominent anxiety and insomnia, Remeron or Serzone may be more helpful, and perhaps a benzodiazepine can be added.

The DSM IV does nothing to further the practicality of psychiatry. And that's a shame, because only a few hundred extra pages of pharmacotherapy recommendations would make the book so much more helpful to psychiatrists, who currently waste a lot of time experienting with every drug for the treatment-resistant patients. Some drugs work better for some people based on secondary symptoms, which cannot be ignored in the choice of drug treatment. A good book that does match secondary symptoms to drug treatment is The Failures of American Medicine.