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PSY 270 DSM-IV Evaluation--Appendix H

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D S M - I V E v a l u a t i o n | 1
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Name
Axia College
PSY 270
Instructor
December 6, 2009

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D S M - I V E v a l u a t i o n | 2
The Diagnostic and Statistical Manual of Mental Disorders (DSM) is used by mental
health professionals to assist in the diagnosis of a variety of mental disorders. The DSM-IV
consists of a classification system which helps distinguish symptoms of one mental disorder
from another. The following case studies have been diagnosed according to the DSM-IV criteria.
Case Study 1: Schizoid Personality Disorder
Josephine suffers from Schizoid Personality Disorder. Her symptoms include: lack of
close relationships, emotional coldness and detachment, and solitary tendencies (DSM-IV, 1994,
pp.317). Josephine prefers to be alone and she also does not seek out meaningful relationships.
Her disorder has taken a negative toll on her quality of life due to the fact that she is unable to
hold a steady job.
Although the causal factors are not exactly known a link between genetics and early
childhood environmental factors seems to be influential in the development of the disorder. A
lack of nurturance throughout childhood could have been a risk factor in Josephine’s case. The
nature of Schizoid Personality Disorder can make treatment difficult in most cases. Treatment
for Josephine’s particular case should involve a combination of psychotherapy and medication.
The psychotherapy will help her develop positive behaviors while the medication can help
suppress symptoms of depression and anxiety, which should encourage positive emotional
behaviors (Mayo Clinic, 2009).
Case Study 2: Narcissistic Personality Disorder
According to the DSM-IV criteria Luis suffers from Narcissistic Personality Disorder.
Luis is constantly seeking admiration from his coworkers and has irrational beliefs that he is
better than those around him. He also shows signs of the following symptoms: exploitive

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