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Strengthening the Dsm(r)

Incorporating Intersectionality, Resilience, and Cultural and Contextual Responsiveness
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Expand diagnostic understanding through intersectional, resilience-focused, and culturally responsive practice.

The fourth edition features the Intersectionality/Resiliency Formulation (IRF)—a model unique to this text—helping clinicians in assessing the whole person, not just the disorder. Case studies illustrate real-life complexity, while discussion questions and activities promote critical thinking. Updated for new populations and global contexts, this guide prepares clinicians for today’s diverse client needs. Unlock your free eBook with your print purchase—accessible anytime on Springer Publishing Connect! 

What’s New:

  • Two chapters on veterans and refugees applying the IRF model to diverse populations
  • Expanded neurocognitive disorders chapter covering aging and elder care
  • Added content on well-being, neuroscience, and strength-based assessment
  • Enhanced discussion of political polarization and implications for practice
  • Updated childhood disorders chapter with new assessment and treatment applications

Key Features:

  • Incorporates the IRF with real-world case studies and practical assessment tools
  • Develops clinicians’ ability to apply culturally responsive, strength-based diagnostic reasoning across populations
  • Includes case studies, discussion questions, web resources, and key points for deeper reflection and engagement
  • Written by leading scholars integrating decades of clinical, teaching, and research expertise in inclusive diagnostic practice

Betty Garcia, PhD, LCSW, is a professor Emerita at California State University, Fresno, Department of Social Work Education and is a licensed clinical social worker.

Randy Nedegaard, PhD, LCSW, LP, is a professor at California State University, Fresno, Department of Social Work Education and is a licensed clinical social worker and licensed psychologist.

John-Paul Legerski, PhD, LP, is an associate professor at University of North Dakota (UND), Department of Psychology, where he teaches graduate and undergraduate courses in child psychology, theories of psychology, therapeutic interventions, and development across the lifespan.

Preface 

Acknowledgments 

Instructor Resources 

SECTION I. FRAMEWORK AND INTRODUCTION TO THE DIVERSITY/RESILIENCY FORMULATION   

Chapter 1. A Conceptual Framework for the Intersectionality/Resiliency Formulation  

Chapter 2. Adding Intersectionality and Resiliency to the Diagnostic Process: A Formulation  

SECTION II. MAJOR DSM DIAGNOSTIC CATEGORIES   

Chapter 3. Depressive and Bipolar Disorders  

Chapter 4. Anxiety Disorders   

Chapter 5. Trauma- and Stressor-Related Disorders 

Chapter 6. Schizophrenia Spectrum and Other Psychotic Disorders 

Chapter 7. Co-Occurring Disorders 

SECTION III. APPLYING THE INTERSECTIONALITY/RESILIENCY FORMULATION TO SPECIAL POPULATIONS  

Chapter 8. Working With Children and Adolescents 

Chapter 9. Working With Elders  

Chapter 10. Working With Refugee and Immigrant Populations  

Chapter 11. Working With Military and Veteran Populations 

SECTION IV. THINKING FORWARD: CHALLENGES IN STRENGTHENING DSM PRACTICES 

Chapter 12. Emerging Perspectives for Effective Mental Health Practice in a Divided, Polarized Time  

Chapter 13. Future Directions  

Index 

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