1. [Mental disorders due to brain lesions in the DSM-5 in the light of the previous versions].
- Author
-
Derouesné C
- Subjects
- Aged, Brain Diseases classification, Cognitive Dysfunction classification, Cognitive Dysfunction diagnosis, Cognitive Dysfunction psychology, Frontotemporal Dementia classification, Frontotemporal Dementia diagnosis, Frontotemporal Dementia psychology, Humans, Lewy Body Disease classification, Lewy Body Disease diagnosis, Lewy Body Disease psychology, Memory Disorders classification, Memory Disorders diagnosis, Memory Disorders psychology, Neurocognitive Disorders classification, Brain Diseases diagnosis, Brain Diseases psychology, Diagnostic and Statistical Manual of Mental Disorders, Neurocognitive Disorders diagnosis, Neurocognitive Disorders psychology
- Abstract
The DSM-5 introduces major modifications in the category of mental disorders due to brain lesions compared to the previous DSM versions, which are reviewed in this paper. The description of the category Major neurocognitive disorder, as a substitute for dementia, seems to fit better for patients and families, and more adapted to many neurodegenerative cognitive disorders for which memory impairment is not predominant. Similarly, the introduction of the category of Mild neurocognitive disorder appears to be an improvement although some difficulty still remains for distinguishing mild cognitive disorder from normal aging. The addition of new etiological categories such as fronto-temporal NCD or NCD with Lewy bodies should also to be considered as a significant improvement. Despite these advances, to circumscribe the mental disorders due to brain lesions to cognitive deficits and biological mechanisms remains highly questionable, and does not provide an adequate care for the patients and families if not complemented by a psychological and environmental approach.
- Published
- 2013
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