4/9/2023 0 Comments Bipolar paranoid schizophrenia![]() In addition, the term 'spectrum' may be used interchangeably with continuum, although the latter goes further in suggesting a direct straight line with no significant discontinuities. Ī spectrum approach sometimes starts with the nuclear, classic DSM diagnostic criteria for a disorder (or may join several disorders), and then include an additional broad range of issues such as temperaments or traits, lifestyle, behavioral patterns, and personality characteristics. ![]() They have been described as clearly worded, with observable criteria, and therefore an advance over some previous models for research purposes. These categories are aids important for our practical purposes such as providing specific labels to facilitate payments for mental health professionals. The categories are also polythetic, because a constellation of symptoms is laid out and different patterns of them can qualify for the same diagnosis. Gradations of present versus absent are not allowed, although there may be subtypes of severity within a category. In these diagnostic guides, disorders are considered present if there is a certain combination and number of symptoms. Related concepts Ī spectrum approach generally overlays or extends a categorical approach, which today is most associated with the Diagnostic and Statistical Manual of Mental Disorders (DSM) and International Statistical Classification of Diseases (ICD). įor different investigators, the hypothetical common disease-causing link has been of a different nature. The term "spectrum" was first used in psychiatry in 1968 in regard to a postulated schizophrenia spectrum, at that time meaning a linking together of what were then called " schizoid personalities", in people diagnosed with schizophrenia and their genetic relatives (see Seymour S. ![]() A dimensional concept was proposed by Ernst Kretschmer in 1921 for schizophrenia ( schizothymic – schizoid – schizophrenic) and for affective disorders ( cyclothymic temperament – cycloid ' psychopathy' – manic-depressive disorder), as well as by Eugen Bleuler in 1922. It has been noted that for clinicians trained after the publication of DSM-III (1980), the spectrum concept in psychiatry may be relatively new, but that it has a long and distinguished history that dates back to Emil Kraepelin and beyond. The term was first used by analogy in psychiatry with a slightly different connotation, to identify a group of conditions that is qualitatively distinct in appearance but believed to be related from an underlying pathogenic point of view. Isaac Newton first used the word spectrum (Latin for "appearance" or "apparition") in print in 1671, in describing his experiments in optics. a series of distinct colors experienced when a beam of white light is dispersed by a prism according to wavelength). The term spectrum was originally used in physics to indicate an apparent qualitative distinction arising from a quantitative continuum (i.e. Proponents of this approach argue that it is in line with evidence of gradations in the type or severity of symptoms in the general population. A spectrum approach may also expand the type or the severity of issues which are included, which may lessen the gap with other diagnoses or with what is considered "normal". ![]() A notable example of this trend is the autism spectrum, where conditions on this spectrum may now all be referred to as autism spectrum disorders. In some cases, a spectrum approach joins conditions that were previously considered separately. The spectrum may represent a range of severity, comprising relatively "severe" mental disorders through to relatively "mild and nonclinical deficits". In either case, a spectrum approach is taken because there appears to be "not a unitary disorder but rather a syndrome composed of subgroups". ![]() The different elements of a spectrum either have a similar appearance or are thought to be caused by the same underlying mechanism. Mental disorder that encompasses a range of similar conditionsĪ spectrum disorder is a mental disorder that includes a range of linked conditions, sometimes also extending to include singular symptoms and traits. ![]()
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