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The Diagnostic System - Why the Classification of Psychiatric Disorders Is Necessary, Difficult, and Never Settled (Hardcover)
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The Diagnostic System - Why the Classification of Psychiatric Disorders Is Necessary, Difficult, and Never Settled (Hardcover)
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Mental illness is many things at once: It is a natural phenomenon
that is also shaped by society and culture. It is biological but
also behavioral and social. Mental illness is a problem of both the
brain and the mind, and this ambiguity presents a challenge for
those who seek to accurately classify psychiatric disorders. The
leading resource we have for doing so is the American Psychiatric
Association'sDiagnostic and Statistical Manual, but no edition of
the manual has provided a decisive solution, and all have created
controversy. InThe Diagnostic System, the sociologist Jason
Schnittker looks at the multiple actors involved in crafting
theDSMand the many interests that the manual hopes to serve. Is the
DSM the best tool for defining mental illness? Can we insure
against a misleading approach? Schnittker shows that the
classification of psychiatric disorders is best understood within
the context of a system that involves diverse parties with
differing interests. The public wants a better understanding of
personal suffering. Mental-health professionals seek reliable and
treatable diagnostic categories. Scientists want definitions that
correspond as closely as possible to nature. And all parties seek
definitive insight into what they regard as the right target. Yet
even the best classification system cannot satisfy all of these
interests simultaneously. Progress toward an ideal is difficult,
and revisions to diagnostic criteria often serve the interests of
one group at the expense of another. Schnittker urges us to become
comfortable with the socially constructed nature of categorization
and accept that a perfect taxonomy of mental-health disorders will
remain elusive. Decision making based on evolving though fluid
understandings is not a weakness but an adaptive strength of the
mental-health profession, even if it is not a solid foundation for
scientific discovery or a reassuring framework for patients.
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