With no completely
new DSM in the offering until 2006 or later, in 2000 the American
Psychiatric Association revised the text of DSM-IV to include
new research information that had been developed since first publication
in 1994. This text revision (TR) included a very few changes in
the criteria, designed mainly to correct what were perceived as
errors in the original text.
Here is the
essence of these changes:
Change Due to General Medical Condition is now allowed in a
patient who has dementia, such as Alzheimers dementia.
Disorder and all of the Tic Disorders no longer require that
symptoms cause distress or impair functioning.
of the Paraphilias (exhibitionism, frotteurism, pedophilia,
sexual sadism, and voyeurism) can now be diagnosed if they are
acted upon, even though they may not cause the person whose
behavior is in question distress or impaired functioning as