DSM-IV is here, and mental health professionals-whether they
applaud its rigor or decry its rigidity-will have to know how to
use it. Like its predecessor, DSM-III, DSM-IV is empirically based
and atheoretical. The psychodynamics of mental disorders and their
etiologies are not considered. Its principal advantage is that it
provides a reliable system of diagnosis. Its principal flaw is that
it can lead the clinician to focus too exclusively on categorizing
symptom clusters rather then on empathically understanding the
person who is suffering the symptoms. In Using DSM-IV: A
Clinician's Guide to Psychiatric Diagnosis, LaBruzza and
Mendez-Villarrubia offer the needed supplement to the DSM-IV. Their
book, a veritable road map for DSM-IV, explains the technical
language and hierarchical classifications of DSM-IV while it
demonstrates how the system can be adapted to a clinical approach.
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