Association of Social Work Boards (ASWB) Clinical Practice Exam

The correct choice emphasizes the introduction of a specifier for Conduct Disorder in the DSM-5, where it identifies individuals who meet the full criteria but also exhibit limited prosocial emotions. This change reflects a more nuanced understanding of the disorder, recognizing that some individuals may present with a significantly different emotional and behavioral profile, particularly characterized by a lack of empathy, guilt, or remorse. The inclusion of the specifier acknowledges the complexity of the disorder and allows clinicians to tailor interventions more effectively by identifying those with these specific emotional deficits.

The transition from DSM-IV to DSM-5 involved a shift toward a dimensional and more descriptive approach in diagnosing mental disorders, reflecting the latest research and clinical practice. This particular change helps clinicians in understanding the various expressions of Conduct Disorder and guides treatment planning by identifying those with a higher risk for persistent antisocial behavior.

In contrast, significant impairment in functioning is a standard criterion in various mental health diagnoses, and while it is relevant to how symptoms manifest, it was a requirement in earlier versions and is not a hallmark change between the two versions. The notion that the diagnosis typically occurs before adulthood was inherent in previous editions and remains consistent. Lastly, the requirement for at least one symptom to be present in the last six months was a criterion that