ANTICIPATING DSM-V - NAMI PDF
Preview ANTICIPATING DSM-V - NAMI
ANTICIPATING DSM-V William T. Carpenter, MD Professor of Psychiatry and Pharmacology University of Maryland School of Medicine Director, Maryland Psychiatric Research Center Baltimore, Maryland STATEMENT OF INTEREST Past 12 Months Speakers Bureau: none Stock: none Scientific Advisor: Genentech Patent: (no personal funds) European Regional Patent Number 1487998 (June 6, 2007) “Methods for Diagnosing and Treating Schizophrenia” Three Challenges for the Schizophrenia Construct •establish as a single disease entity or •find disease entities within the syndrome and/or •deconstruct the syndrome into pathology domains Dementia Praecox Dissociative Pathology Hebephrenia Catatonia Avolitional Pathology Paranoia Schizophrenia Delusions Dissociative Pathology Hallucinations DSM II Schizophrenia • United States • United Kingdom Nuclear Schizophrenia-- Schneider First Rank Symptoms Audible thoughts Made impulses Somatic passivity Made volition Thought insertion Voices arguing Thought withdrawal Voices commenting Thought broadcast Delusional percepts Made feelings From Broad Syndrome… First Rank Symptoms U.S. Schizophrenia …to Disease Pseudo True SZ SZ Nuclear Schizophrenia Onset and Course Poor Social Poor Social Development Development Poor Work Poor Work Development Development Pseudo SZ True SZ Insidious Poor Onset Outcome Acute Mixed Onset Outcome Future Psychotic Psychosis Symptom History
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