One of the biggest changes from the DSM-IV-TR (APA, 2000) to the DSM-5 (APA, 2013) was with regard to "gender identity disorder." The DSM-5 has now termed this condition as "gender dysphoria" and has removed it from the chapter containing the sexual dysfunctions and paraphilias. In addition, it better differentiated diagnostic criteria for children versus adolescents and adults.

 

For this discussion, review Section 11.4 of the textbook along with pages 14-15 of the APA document Highlights of Changes From DSM-IV-TR to DSM-5, and in your initial post, address the following:

• Do you agree or disagree with the DSM's decision to rename "gender identity disorder" from the DSM-IV to "gender dysphoria" in the DSM-5? Why or why not?
• What might be some alternative conceptualizations for this disorder? For example, some view gender dysphoria as solely a physical condition, not mental, and therefore it should not even be included in the DSM. Others view it as entirely psychological and potentially even a subtype of major depressive disorder.
• In what ways might these changes in conceptualizing and diagnosing gender dysphoria impact treatment?
• Highlights of Changes from DSM-IV-TR to DSM-5 Changes made to the DSM-5 diagnostic criteria and texts are outlined in this chapter in the same order
  in which they appear in the DSM-5 classification. This is not an exhaustive guide; minor changes in text
  or wording made for clarity are not described here. It should also be noted that Section I of DSM-5 contains a description of changes pertaining to the chapter organization in DSM-5, the multiaxial system,
  and the introduction of dimensional assessments (in Section III).
  Terminology
  The phrase “general medical condition” is replaced in DSM-5 with “another medical condition” where
  relevant across all disorders. Neurodevelopmental Disorders
  Intellectual Disability (Intellectual Developmental Disorder)
  Diagnostic criteria for intellectual disability (intellectual developmental disorder) emphasize the need
  for an assessment of both cognitive capacity (IQ) and adaptive functioning. Severity is determined by
  adaptive functioning rather than IQ score. The term mental retardation was used in DSM-IV. However,
  intellectual disability is the term that has come into common use over the past two decades among
  medical, educational, and other professionals, and by the lay public and advocacy groups. Moreover, a
  federal statue in the United States (Public Law 111-256, Rosa’s Law) replaces the term “mental retardation with intellectual disability. Despite the name change, the deficits in cognitive capacity beginning
  in the developmental period, with the accompanying diagnostic criteria, are considered to constitute a
  mental disorder. The term intellectual developmental disorder was placed in parentheses to reflect the
  World Health Organization’s classification system, which lists “disorders” in the International Classification of Diseases (ICD; ICD-11 to be released in 2015) and bases all “disabilities” on the International
  Classification of Functioning, Disability, and Health (ICF). Because the ICD-11 will not be adopted for
  several years, intellectual disability was chosen as the current preferred term with the bridge term for
  the future in parentheses.
  Communication Disorders
  The DSM-5 communication disorders include language disorder (which combines DSM-IV expressive
  and mixed receptive-expressive language disorders), speech sound disorder (a new name for phonological disorder), and childhood-onset fluency disorder (a new name for stuttering). Also included is
  social (pragmatic) communication disorder, a new condition for persistent difficulties in the social uses
  of verbal and nonverbal communication. Because social communication deficits are one component of
  autism spectrum disorder (ASD), it is important to note that social (pragmatic) communication disorder
  cannot be diagnosed in the presence of restricted repetitive behaviors, interests, and activities (the other component of ASD). The symptoms of some patients diagnosed with DSM-IV pervasive developmental disorder not otherwise specified may meet the DSM-5 criteria for social communication disorder.
  Autism Spectrum Disorder
  Autism spectrum disorder is a new DSM-5 name that reflects a scientific consensus that four previously
  separate disorders are actually a single condition with different levels of symptom severity in two core domains. ASD now encompasses the previous DSM-IV autistic disorder (autism), Asperger’s disorder,
  childhood disintegrative disorder, and pervasive developmental disorder not otherwise specified. ASD
  is characterized by 1) deficits in social communication and social interaction and 2) restricted repetitive
  behaviors, interests, and activities (RRBs). Because both components are required for diagnosis of ASD,
  social communication disorder is diagnosed if no RRBs are present.
  Attention-Deficit/Hyperactivity Disorder
  The diagnostic criteria for attention-deficit/hyperactivity disorder (ADHD) in DSM-5 are similar to those
  in DSM-IV. The same 18 symptoms are used as in DSM-IV, and continue to be divided into two symptom domains (inattention and hyperactivity/impulsivity), of which at least six symptoms in one domain
  are required for diagnosis. However, several changes have been made in DSM-5: 1) examples have
  been added to the criterion items to facilitate application across the life span; 2) the cross-situational
  requirement has been strengthened to “several” symptoms in each setting; 3) the onset criterion has
  been changed from “symptoms that caused impairment were present before age 7 years” to “several
  inattentive or hyperactive-impulsive symptoms were present prior to age 12”; 4) subtypes have been
  replaced with presentation specifiers that map directl

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• 1506155350-APA_DSM_Changes_from_DSM-IV-TR_-to_DSM-5.pdf