Volume_4_Issue_3_Digest

34 TPC D igest Following the historical review, the authors address the major structural changes from the DSM-IV-TR to the DSM-5 . The authors highlight the division of the DSM into three separate sections, as well as the revised chapter organization, which includes significant modifications to diagnostic classifications, such as the separation of anxiety disorders into three distinct chapters. Other structural modifications involve the inclusion of cross-cutting symptom and severity measures and the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0); the adoption of a uniaxial system; and more coverage of cultural formulations of diagnosis than any other DSM version to date. The authors also cover two major philosophical changes in the DSM . The first involves movement away from the medical model toward a biological model. The second is a subtle shift away from a strictly categorical (i.e., checklist) classification system to the inclusion of a dimensional approach to nosology. The authors conclude with a summary of practice implications for counselors, including specific guidance for coding, recording, and use of specifiers; information regarding emerging measures; and implications of the DSM-5 for both counselors and clients. Full article and references: Dailey, S. F., Gill, C. S., Karl, S. L., & Barrio Minton, C. A. (2014). Historical underpinnings, structural alterations and philosophical changes: Counseling practice implications of the DSM-5. The Professional Counselor , 4 , 166–178. doi:10.15241/sfd.4.3.166 The Professional Counselor DIGEST Volume 4, Issue 3 http://tpcjournal.nbcc.org © 2014 NBCC, Inc. and Affiliates D S M ] D S M -5