- Series: Diagnostic & Statistical Manual of Mental Disorders (DSM Hardcover)
- Hardcover: 943 pages
- Publisher: American Psychiatric Publishing, Inc.; 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
- Average Customer Review: 4.2 out of 5 stars See all reviews (658 customer reviews)
- Amazon Best Sellers Rank: #59,687 in Books (See Top 100 in Books)
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Diagnostic and Statistical Manual of Mental Disorders DSM-IV-TR (Text Revision) (Diagnostic & Statistical Manual of Mental Disorders (DSM Hardcover)) 4 Sub Edition
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Top Customer Reviews
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.
Lee J. Markowitz, Department of Psychology, University of Waterloo (Ontario, Canada)
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.