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Mental health practitioners have long recognized the failure of the DSM to address important sources of strength and resiliency that can significantly affect diagnosis and treatment, a deficit that has become more pronounced with the DSM-5’s elimination of the multiaxial format. The second edition of Strengthening the DSM replaces the Axis V structure with a new conceptual framework—the Diversity/Resiliency Formulation-- that encompasses the whole person in order to ensure effective diagnosis and treatment. It considers patient strengths, sources of resilience, support, and cultural identity that are essential to an accurate understanding of an individual. The second edition also addresses significant changes resulting from implementation of the Affordable Care Act (ACA) and features a completely new chapter on trauma and stress-related disorders.
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