uma reflexÃo crÍtica sobre as ediÇÕes do manual de diagnÓstico e estatÍstica das...

8/15/2019 UMA REFLEXÃO CRÍTICA SOBRE AS EDIÇÕES DO MANUAL DE DIAGNÓSTICO E ESTATÍSTICA DAS PERTURBAÇÕES ME…

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UNIVERSIDADE FEDERAL DO RIO DE JANEIROCENTRO DE CIÊNCIAS DA SAÚDE

INSTITUTO DE ESTUDOS DE SAÚDE COLETIVADEPARTAMENTO DE MEDICINA PREVENTIVA

UMA REFLEXÃO CRÍTICA SOBRE AS EDIÇÕES DO MANUAL DEDIAGNÓSTICO E ESTATÍSTICA DAS PERTURBAÇÕES MENTAIS – DSM

THAATY DA SILVA BURLE

O!"#$%&'(!

PROF) DR) ANDR* MARTINS

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3/108

UNIVERSIDADE FEDERAL DO RIO DE JANEIROCENTRO DE CIÊNCIAS DA SAÚDE

INSTITUTOS DE ESTUDOS DE SAÚDE COLETIVADEPARTAMENTO DE MEDICINA PREVENTIVA

UMA REFLEXÃO CRÍTICA SOBRE AS EDIÇÕES DO MANUAL DE DIAGNÓSTICO E

ESTATÍSTICA DAS PERTURBAÇÕES MENTAIS – DSM


O!"#$%&'(!

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UMA REFLEXÃO CRÍTICA SOBRE AS EDIÇÕES DO MANUAL DE DIAGNÓSTICO EESTATÍSTICA DAS PERTURBAÇÕES MENTAIS – DSM

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AGRADECIMENTOS

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RESUMO

O '"&$?+%"5( '(+ %!&$+%(!$(+ .#$%&"+ 0. '(+ /!"$5"/&"+ &+/#5%(+ '& /+"5(/&%(2("&)D"3#!+&+ (!&. &+ (!.&+ 5!"&'&+ &( 2($( '(+ &$(+ /&!& '"&$(+%"5&! & '(#$,& .#$%&2) E.>;9 (" 5!"&'( /#2( C(."%= '# N(.#$52&%0!& # E+%&%8+%"5&4 '& American Psychiatric

Association4 ( M&$0&2 '# D"&$?+%"5( # E+%&%8+%"5& '&+ P#!%0!7&,#+ M#$%&"+ K DSM) D#+'#+0& 5!"&,-( ( M&$0&2 < %#3# 60&%!( #'",#+ # '0&+ !#3"+#+) A%0&2.#$%# & 60"$%& #'",-( #+%<#. &+# '# #2&7(!&,-() O7+#!3&.(+ 60# & 5!"&,-( '( M&$0&2 !#2#%# ( .(.#$%( @"+%?!"5( '&.#'"5"$&4 # ( +#0 5($%#1'( "$%#!#!# '"!#%&.#$%# $& (!.&,-( # /(! 5($+#0"$%# $& 5($'0%&'( /+"60"&%!&) N-( +# %!&%&4 /(!%&$%(4 &.&"+ 0.& +"./2#+ '#+5!",-( '# 0.& +0/(+%& $&%0!#&

(!$"5& (0 7"(2?"5& '& '(#$,& .#$%&24 (0 0. '"&$?+%"5( $#0%!() E+%# %!&7&2@( %#3# 5(.((7#%"3(+ '#+5!#3#! 5(.( +0!"0 ( DSM4 60&"+ &+ .0'&$,&+ 60# (5(!!#!&. #$%!# &+ +0&+#'",#+4 +"%0&$'(K&+ $& @"+%?!"& '& /+"60"&%!"& 5(.( 0. !#2#( '#+%& &$&2"+&! 60&"+ (+

/!(5#++(+ 60# #+%-( #. 50!+(4 60&"+ &+ (!,&+ &%0&$%#+ #. 5&'& $(3& #'",-( '( M&$0&2 '#+'#( +#0 2&$,&.#$%( # 60&"+ &(!& '#%#!."$&!-( &+ .0'&$,&+ 60# (5(!!#!-( $& /&++&#. /&!& (DSMKV # /!(.(3#! 0.& !#2#-( +(7!# ( '"&$?+%"5( /+"60"


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ABSTRACT

T@# '"&$(+%"5 ( .#$%&2 '"+(!'#!+ "+ ($# ( %@# .&"$ &+/#5%+ ( /+5@(/&%@(2()M&$ &+ @&3# 7##$ (0$' %( '"&$(+# %@# .#$%&2 '"+#&+# %@!(0@(0% %@# #&!+) I$ >;9 %@#

N(.#$52&%0!# &$' S%&%"+%"5+ C(.."%%##4 !(. %@# American Psychiatric Association4 5!#&%#'%@# .&$0&2 ( D"&$(+%"5+ &$' S%&%"+%"5+ ( M#$%&2 D"+(!'#!+ K DSM) S"$5# "%+ 5!#&%"($ "% @&+@&' (0! #'"%"($+ &$' %( !#3"+"($+) N(4 %@# "%@ #'"%"($ "+ 7#"$ /!#/&!#') # (7+#!3#' %@&%%@# 5!#&%"($ ( %@# M&$0&2 !#2#5%+ & @"+%(!"5&2 .(.#$% ( %@# .#'"5"$#4 &$' "%+ 5($%#$%"$%#!#!#+ '"!#5%2 "%@ %@# (!.&%"($ &$'4 5($+#60#$%24 "%@ %@# &%%"%0'# ( %@# /+5@"&%!"+%) I%"+ $(%4 %@#!#(!#4 & +"./2# '#+5!"/%"($ ( & +(K5&22#' (!&$"5 (! 7"(2("5&2 $&%0!# ( %@# .#$%&2

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

7"(2("5&2 /+5@"&%!) A+ & 5($520+"($4 # 0$'#!+%&$' %@&% " # &'(/% & @#&2%@ 5($5#/%"($ &++(.#%@"$ 3"3#$%"&24 @"5@ 5&$$(% 7# !#'05#' %( '"&$(+%"5+ $(! 5&$ "% 7# .#&+0!#' +05@ &+%@# ($# /!(/(+#' 7 M&!%"$+4 9::Q4 $#5#++&!"2 %@# "'#& ( %@# '"&$(+%"5 "%+#2 5(.#+ %(&$(%@#! '".#$+"($4 & .(!# "$+%!0.#$%&2 0$5%"($4 @#2/"$ %(&!'+ 5(./!#@#$+"($ ( %@# !#&25(./2#"% ( .#$%&2 @#&2%@)

# (!'+ DSM4 '"&$(+%"54 .#$%&2 @#&2%@4 /+5@(&$&2+#+4 7"(2("5&2 /+5@"&%!)


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SUM>RIO

I$%!(';?@( )))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))

C&%;5( C($%#/%;&5"=&?@( 7"4%!".& # & .!"&?@( '( DSM )))))))))))))))))))))))))))))))))))))))))))))+-

C&%;5( + A4 0;'&$?&4 (.(!!"'&4 $(4 %#/%(4 '(4DSM4 )))))))))))))))))))))))))))))))))))))))))))))))))

C&%;5( O 5&$?&0#$%( '( DSM V ))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))

C($.5;4@( ))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))

R#2#!$."&4 B"K5"(!2".&4 )))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))-


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INTRODUÇÃO

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.('#!$"'&'#) H< 0. 5($+#$+( +(7!# ( .&!5( "$"5"&2 '& @"+%?!"& '& /+"60"&%!"& 60&$'(4 $&

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