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Diagnostic and Statistical Manual of Mental Disorders, 4th Edition, Text Revision (DSM-IV-TR) Paperback – June, 2000

ISBN-13: 000-0890420254 ISBN-10: 0890420254 Edition: 4th

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Product Details

  • Paperback: 943 pages
  • Publisher: American Psychiatric Association; 4th edition (June 2000)
  • Language: English
  • ISBN-10: 0890420254
  • ISBN-13: 978-0890420256
  • Product Dimensions: 10 x 6.9 x 2.1 inches
  • Shipping Weight: 3.8 pounds
  • Average Customer Review: 4.0 out of 5 stars  See all reviews (454 customer reviews)
  • Amazon Best Sellers Rank: #8,246 in Books (See Top 100 in Books)

Customer Reviews

Morrison's book makes the DSM come alive.
"mr_arch_stanton"
The DSM IV is a must have for anyone working in the mental health field and interested in diagnosing and therapy.
mandylion
I am taking an Abnormal Psychology class in college and this book is just what I have been looking for.
columbus tillman

Most Helpful Customer Reviews

372 of 390 people found the following review helpful By "mr_arch_stanton" on June 2, 2003
Format: Paperback
Like other reviewers, I agree that if you own DSM-IV (burgundy cover), there is absolutely no reason for you to purchase the DSM-IV-TR (silver cover). Might as well wait for DSM-V (won't that be a treat). If you are not a mental health professional or graduate student, I can't imagine why you would want to own this book. It is essentially a compilation of symptom and behavior checklists that help clinicians make reliable diagnoses of mental disorders.
I would recommend strongly (for both professionals, students, and the lay public), DSM-IV Made Easy by James Morrison. Morrison's book makes the DSM come alive. He illustrates technical points well, and provides interesting case examples that make you think of people when you read the diagnosis, not just symptoms.
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120 of 124 people found the following review helpful By R. Metzger on February 27, 2003
Format: 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.
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115 of 126 people found the following review helpful By Lee Markowitz on December 23, 2001
Format: 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)
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85 of 103 people found the following review helpful By Richard C. Jensen on December 19, 2002
Format: 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.
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71 of 86 people found the following review helpful By Peter B. Dunn MD on September 19, 2005
Format: Paperback
The DSM is very clearly written and can be understood by anyone no matter what his or her educational level. It also contains an exceptional psychiatric glossary and an exceptional psychoanalytically oriented section describing the "defense mechanisms." The public is ambivalent about psychiatry but has embraced the DSM because it provides readers with the illusion that if you read this book you can diagnosis yourself and your acquaintances. What most mental health professional know is that this book is a political document as well as a scientific one. It advances the cause of the psychobioligists (over the environmentalists) and the alliance of drug companies, insurance companies and psychopharmacologists. What the sub-committees who wrote each section of the DSM have done is to organize the vast array of life problems that we have long thought of as "neurotic" (and stemming from early family experience) and placed them side by side with clearly biological diseases like schizophrenia and manic-depression. Why? The aim is to create the impression that all of the ordinary habitual problems in love and work that pretty much everyone agrees come from the way you were brought up in your family are in fact biological - and probably inherited - illnesses. Chronic unhappiness, for example, is coded with the "mood disorders" like classic manic depressive illness. Another facet of the DSM that is pernicisous is that each problem the patient has must be coded separately. There is no way to describe the patient in holistic terms. The patient as described by the DSM (and treated by the psychiatrist guided by this document) ends up looking something like a cubist painting by Picasso.Read more ›
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