Question 1

How are hoarding disorder and obsessive-compulsive disorder similar? How are they different?

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Question 2

Which term is not used in DSM-5?
A) Cultural syndromes
B) Culture-bound syndrome
C) Cultural idioms
D) Cultural explanations

Accepted Answer

The term "Culture-bound syndrome" was used in previous editions of the DSM but was replaced in DSM-5 with terms like "Cultural syndromes," "Cultural idioms," and "Cultural explanations" to better capture the nuances of culturally influenced mental health conditions.

Question 3

What are V-codes and conditions for further study in the DSM-5? How are they similar or different?

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Question 4

Describe a dimensional approach to diagnosis. Explain how such a diagnostic approach would be either superior or inferior to the current approach to diagnosis.

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Question 5

How are cultural considerations different in DSM-5 from DSM-IV?

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Question 6

How is disruptive mood dysregulation disorder characterized and why is it a controversial diagnosis in DSM-5?

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Question 7

Discuss the importance of establishing high inter-rater reliability in a diagnostic model. As part of this discussion, indicate some limitations that remain even when high inter-rater reliability has been established.

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Question 8

A dissociative episode found primarily among men that involves brooding followed by violent episodes is called:
A) Brain Fag.
B) Koro.
C) Amok.
D) Dhat.

Accepted Answer

Amok is a dissociative episode commonly found among men in Southeast Asia, where individuals brood and then experience sudden and violent outbursts. Brain Fag is a culture-bound syndrome primarily found in Africa, characterized by headaches and cognitive difficulties. Koro is a culture-bound syndrome found in Asia that involves a fear of genitals retracting into the body. Dhat is a culture-bound syndrome found in India, characterized by preoccupation with semen loss.

Question 9

Do you agree with the authors of the DSM that Internet addiction disorder and non-suicidal self-injury do not warrant inclusion in the DSM? Why or why not?

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Question 10

Name and describe two disorders that are new to DSM-5, two disorders that have undergone revisions, and two categories of disorders that are either new or have undergone revision.

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Question 11

In the DSM-5 appendix regarding cultural concept of distress, the syndrome that resembles certain anxiety, depressive, and somatoform disorders, and includes symptoms such as fatigue and blurring of vision is termed:
A) Brain fag.
B) Amok.
C) Dhat.
D) Koro.

Accepted Answer

The syndrome described, which includes symptoms such as fatigue and blurring of vision, is called "brain fag." This syndrome is seen in African and African-American cultures and can be mistaken for anxiety, depressive, or somatoform disorders. "Amok" is a culture-bound syndrome seen in Southeast Asian cultures and involves sudden outbursts of violence. "Dhat" is a culture-bound syndrome seen in South Asian cultures and involves anxiety about semen loss. "Koro" is a culture-bound syndrome seen in Southeast Asian cultures and involves anxiety about the retraction of genitals.

Question 12

The term Amok is classified as a cultural concept of distress in the DSM-5, and is characterized by:
A) Compulsive running rituals. 
B) Pain-related irritability.
C) Dissociative homicidal outburst.
D) Severe anxiety and hypochondriasis.

Accepted Answer

Amok is a term used to describe a dissociative or fugue-like state in which an individual has an outburst of intense and uncontrolled rage or violence, often leading to homicidal behavior. It is typically associated with certain Southeast Asian cultures and has been recognized in the DSM-5 as a culture-bound syndrome or cultural concept of distress. Compulsive running rituals, pain-related irritability, severe anxiety and hypochondriasis are not characteristic symptoms of Amok.

Question 13

Why was the process of revising the DSM (from DSM-IV-TR to DSM-5. so time consuming and controversial? Be sure to include a description of each of the five constituencies of the DSM.

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Question 14

What are the criticisms of classification? How would you recommend reforming the DSM-5 to address these criticisms?

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Quiz 4: Classification and Diagnosis