According to the manual, the personality disorder 'is clinical syndrome which has more long lasting symptoms and encompass the individual's way of interacting with the world; the mental disorder includes paranoid, antisocial, and borderline personality disorders' (House, 2000). The deterioration of the physical condition is considered to be likely cause of the development, continuance, or exacerbation of clinical syndromes, developmental disorders and personality disorders. The DMS-IV manual has elaborated the conditions experienced by the patients in particular those under sever psychological trauma, and the physicians have been provided with the best possible technique to address the psychological pains and mental sufferings. The mental sufferings have their origin which is socially, politically, and naturally motivated or self-imposed (James, 2000).
The occurrences of the tragic events due the life span has the potential to create mental disorder, there have been cases where the patients have reflected their vulnerability of the mental dissatisfaction and discontent after the occurrence of the tragic events, which in most of the cases resulted in the irreparable loss of friend or family members. The manual has linked the occurrences of the events including 'death of a loved one, starting a new job, college, unemployment, and marriage' responsible for the severity of psychosocial stressors (House, 2000).
As discussed previously, the loss or death of the children, relative or close affiliate causes mental health disorders, classified as developmental disorders. The loss of any individual is considered to be extremely tragic, and the life of the grieved person is beyond comprehension. The developmental disorder is much common among parents, for whom the loss of their children is beyond estimation and consolation. There have been cases where the child was born healthy and happy, but the unfortunate loss of the precious and valuable life resulted in the mysterious disorder which had unknown cause or cure having no ground, the developmental disorder is the example of such situation. Similarly there have been cases of Childhood Disintegrative Disorder, common among the children. The cause of the disorder is related to the loss of the member or associate deeply attached to the child, the child due to his less-sustainable strength is always vulnerable towards such disorders. The death of the parents at very young age, or the witness to the horrific incident is expected to create deep mark on the memory of the child, and this is will result in the autism i.e. The worst type of the developmental disorder, 'this malady differs from typical autism in that it afflicts children after one to three years of apparently normal development, and long-term deterioration may lead to even poorer behavioral and developmental functioning' (Michael, 2000).
The analysis of the DSM is carried randomly, whereas the patients are initially classified into high and low intensive patients on the basis of their 'average daily times that staff spends with these patients through personal care experience. Such analysis elaborates the kinds of services which are based upon 'intensive, costly days on the unit' (Thomas, 2001). The attitude and approach of the patients have been classified in terms of 'several analytic domains designed to capture different service and staffing needs', which includes psychiatric diagnosis which is based upon principal diagnosis and severity. The principal diagnosis have been categorized into five groups, as discussed prior, but the specific diseases for each category includes schizophrenia and other psychotic disorders, dementias and delirium, mood disorders, substance-related disorders, a residual group which comprises of eating disorders, post-traumatic stress disorders, anxieties. The manual has explained more than twenty five psychiatric conditions based upon resource-intensive patients. The manual has allotted five digit codes for clause of the DSM-IV 'with the qualifiers severe, profound, or pervasive' (Thomas, 2001). Average daily routine intensity was determined for the classification of the all potentially severe diagnoses, and the diagnoses which were declared rare have been omitted. The intensity determination was conducted on the basis of the 'intermittent explosive disorder, impulse control and eating disorders, and borderline personality' (Thomas, 2001), however the dual diagnosis patients have been considered, which includes 'patients either with a principal psychiatric diagnosis complicated by a substance-abuse diagnosis or with a substance-related disorder and a complicating psychiatric diagnosis' (James, 2000).
James Roy Morrison. The First Interview: Revised for DSM-IV. Guilford Press. 2000, pp. 34-54.
House, Alvin E. DSM-IV Diagnosis in the Schools. Guilford Press. 2000. pp. 45-76.