In 2013, the American Psychiatric Association published the
5thedition of its"Diagnostic and Statistical Manual of Mental
Disorders"(DSM-5). Often referred to as the "bible" of psychiatry,
the manual only classifies mental disorders and does not explain
them or guide their treatment. While science should be the basis of
any diagnostic system, to date, there is no knowledge on whether
most conditions listed in the manual are true diseases. Moreover,
in DSM-5 the overall definition of mental disorder is weak, failing
to distinguish psychopathology from normality. In spite of all the
progress that has been made in neuroscience over the last few
decades, the psychiatric community is no closer to understanding
the etiology and pathogenesis of mental disorders than it was fifty
years ago.
In"Making the DSM-5," prominent experts delve into the debate
about psychiatric nosology and examine the conceptual and pragmatic
issues underlying the new manual. While retracing the historic
controversy over DSM, considering the political context and
economic impact of the manual, and focusing on what was revised or
left unchanged in the new edition, this timely volume addresses the
main concerns of the future of psychiatry and questions whether the
DSM legacy can truly improve the specialty and advance its
goals.
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