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

American Psychiatric Association
4.0 out of 5 stars  See all reviews (425 customer reviews)

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Diagnostic and Statistical Manual of Mental Disorders, 5th Edition: DSM-5 Diagnostic and Statistical Manual of Mental Disorders, 5th Edition: DSM-5 4.1 out of 5 stars (674)
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Book Description

June 2000 0890420254 978-0890420256 4th

Since the DSM-IV® was published in 1994, we’ve 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® 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®:

• Benefit from new research into Schizophrenia, Asperger’s 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)

DSM-IV-TR, the handheld version of the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision, is now available for both Palm OS and PocketPC handhelds. This Text Revision incorporates information culled from a comprehensive literature review of research about mental disorders and includes associated features, culture, age, and gender features, prevalence, course, and familial pattern of mental disorders. And with Skyscape's patented smARTlink™ technology, DSM-IV-TR can easily cross-index with other clinical and drug prescription products from Skyscape to provide a powerful and integrated source of clinical information that you can carry with you wherever you go!

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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: 2 x 6.2 x 10 inches
  • Shipping Weight: 3.8 pounds
  • Average Customer Review: 4.0 out of 5 stars  See all reviews (425 customer reviews)
  • Amazon Best Sellers Rank: #2,644 in Books (See Top 100 in Books)

Customer Reviews

Most Helpful Customer Reviews
120 of 124 people found the following review helpful
4.0 out of 5 stars specific value only February 27, 2003
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
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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84 of 102 people found the following review helpful
3.0 out of 5 stars Great for Psychologists, disappointing for Psychiatrists December 19, 2002
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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69 of 84 people found the following review helpful
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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33 of 42 people found the following review helpful
2.0 out of 5 stars Not the simple, useful nosology you're looking for. August 29, 2001
I quote Karl Menninger, on the publication of the DSM-II in 1968:

"This year [1968] the APA took a great step backward when it abandoned the principles used in the simple useful nosology [DSM-I]. In the interest of uniformity, in the interest of having some kind of international code of designation for different kinds of human troubles, in the interest of statistics and computers, the American medical scientists were asked to repudiate some of the advances they had made in conceptualization and in the designation of mental illness."

Since then, it's gotten worse, not better, with thousands of symptom checklists and numbered diagnoses, conveniently correlated to the ICD-9 standard diagnosis codes for easier billing. But people, medical students and physicians included, will insist on treating DSM-IV as a textbook in psychiatry. It's nothing of the sort - it never touches on the essential topics of etiology, prognosis, and treatment. People memorize the checklists and think they understand psychiatry, when in fact they have entirely failed to grasp the noble and great endeavor: riddling out the first causes and mechanisms of our humanity, and how those mechanisms go awry.

Well, then, you say, what about diagnosis? Isn't this a diagnostic manual?

In my opinion, for that purpose DSM-IV is worse than useless to a lay person. Consider the previous reviewer who thought the book made a good party game, diagnosing his healthy friends with all sorts of 'disorders'. It wouldn't take much experience in a psychiatric emergency room to realize that psychiatric illness is no party game - but it would take some. Without the context provided by direct, caring relationships with the mentally ill, the jargon and symptoms discussed in this book are meaningless.
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Most Recent Customer Reviews
5.0 out of 5 stars wonderful
worked great for school
Published 5 days ago by 3:23 Tech
5.0 out of 5 stars Five Stars
Published 6 days ago by Momo
5.0 out of 5 stars Five Stars
As described, fast shipping.
Published 9 days ago by latinaprinzes310
5.0 out of 5 stars Complication free
The price on the DSM IV TR arrived in perfect shape within the time allotted. It was the same price as the bookstore after shipping and handling was added. Read more
Published 16 days ago by Laura Girard
1.0 out of 5 stars out of date
The DSM is now in version 5, so you don't want to buy this at this point, as it is seriously out of date.
Published 17 days ago by Mark A. Biernbaum
4.0 out of 5 stars In reference to Diagnostic and statistical manual of mental disorders:
The book was intact, the binding in good shape but, on many of the pages there were underlines in both pencil, and pen. Read more
Published 21 days ago by graviton
5.0 out of 5 stars DSM IV-TR review
I am a mental health counselor so it is a necessary book to keep. Thank you for your diligence. Violet
Published 1 month ago by VIOLET ATKINS
2.0 out of 5 stars filthy!
Cover full of food or something. I had to clean it before pIcture was willing to even touch it
Shocking that the seller did not even bother to wipe it off, particularly as it... Read more
Published 2 months ago by S. Freedman
5.0 out of 5 stars For a mental health perspective you want the gold standard...
The DSM IV-TR is the last book to come out before the DSM V. It is up to date and well worth the investment.
Published 2 months ago by Chrissy M. Strawn
5.0 out of 5 stars Must Have
This book is a must have if you are working in any field related to social sciences. It goes over every diagnosis.
Published 2 months ago by M. Bast
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Welcome to the Diagnostic and Statistical Manual IV forum
Those may get you through med school, but (speaking as a clinical psychologist) the DSM will do precious little to help you help people improve their lives. The DSM is all about where people are; it is not a guide to help you (or anyone) move them to some place better. It is useful to third... Read More
May 19, 2008 by Wiser Now |  See all 12 posts
Sticking with the DSM-IV-TR, Boycotting the DSM-V Be the first to reply
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