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Flashcards in 5. DSM verus Psychodynamic Models Deck (8)
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Describe the general philosophical differences between the DSM and psychodynamic model.

The DSM is Aristotelian, empirical, and descriptive (APA, 2013)

PDM is Platonic, rationalist, and phenomenological (PDM Task Force, 2017)

DSM is nosological (classification of disease); also nomothetic (study or discovery of general scientific laws); PDM is idiographic (study or discovery of specific scientific facts or processes)


Advantages of the DSM model

▪Provides descriptions and lists of symptoms
▪Allows clinicians from all frameworks to communicate with each other
▪Answers the question of what constitutes a disorder
▪Gives ability to make prognosis
▪Rooted in empirical study and scientific data (Widiger et al, 1991)
▪Developed by committees of experts
▪Both nomothetic (generalizable, able to explain objective phenomena) and nosological (classifies diseases)
▪Combines categorical (Axis I) and dimensional approach (Axis II)


Disadvantages of the DSM model

▪Labels people
▪Self-fulfilling prophecy
▪Own biases may interfere
▪May be disagreement about what equals a clinical threshold


Advantages of the PDM

▪Rich body of theory about internal life of patient
▪Understanding of possible etiologies, adaptations, and treatments
▪Answers the “how” the patient is, how they got there, treatment strategies, future predictions (McWilliams, 1994)


Disadvantages of the PDM

▪Can be difficult to learn
▪Divergent in focus
▪Occasionally contradictory


What are the four components of the general psychoanalytic drive model of pathology?

1. Drive
2. Anxiety/Depressive Affect
3. Defense
4. Superego Functioning


What core components are consistent in all psychodynamic theories of pathology?

Belief if psychic determinism.

Belief that much of mental life is unconscious.

Belief that much of who we are is rooted in early life.


Describe the general cognitive model of pathology.

Maladaptive and unrealistic beliefs of reality can negatively impact an individual's behaviors and emotions.

Cognitions and behaviors are themselves the problems.

Cognitions are genetic, learned, and continued through reinforcement (Nevid, 1994).