Making the DSM-5

1. Front Matter

   Pages i-ix

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2. Historical/Ideological Perspectives

   1. Front Matter

      Pages 1-1

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   2. The History of DSM

      • Edward Shorter

      Pages 3-19

   3. Considering the Economy of DSM Alternatives

      • John Z. Sadler

      Pages 21-38

   4. The Ideology Behind DSM-5

      • Joel Paris

      Pages 39-44

3. Ideological and Conceptual Perspectives

   1. Front Matter

      Pages 45-45

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4. Ideological Conceptual Perspectives

   1. The Biopolitics of Defining “Mental Disorder”

      • Warren Kinghorn

      Pages 47-61

   2. Establishing Normative Validity for Scientific Psychiatric Nosology: The Significance of Integrating Patient Perspectives

      • Douglas Porter

      Pages 63-74

   3. The Paradox of Professional Success: Grand Ambition, Furious Resistance, and the Derailment of the DSM-5 Revision Process

      • Owen Whooley, Allan V. Horwitz

      Pages 75-92

5. Conceptual Perspectives

   1. Front Matter

      Pages 93-93

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   2. DSM in Philosophyland: Curiouser and Curiouser

      • Allen Frances

      Pages 95-103

   3. Overdiagnosis, Underdiagnosis, Synthesis: A Dialectic for Psychiatry and the DSM

      • Joseph M. Pierre

      Pages 105-124

   4. What Does Phenomenology Contribute to the Debate About DSM-5?

      • Aaron L. Mishara, Michael A. Schwartz

      Pages 125-142

   5. The Conceptual Status of DSM-5 Diagnoses

      • James Phillips

      Pages 143-157

   6. Conclusion

      • James Phillips

      Pages 159-175

6. Back Matter

   Pages 177-180

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In 2013, the American Psychiatric Association published the 5^th edition 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. 

• DSM-5
• Diagnostic and Statistical Manual of Mental Disorders
• biological markers
• diagnostic categories
• psychiatric
• psychopathology

From the reviews:

“Making the DSM–5, is an edited book comprising 11 chapters, eight of which were written by individuals who listed medical school affiliations. … is a consistently engaging and thought-provoking read. … the authors address issues that the leaders of the DSM–5 process generally seemed to ignore. … should be required reading of any task force members who attempt to create the DSM–6.” (Roger Blashfield, PsycCRITIQUES, Vol. 59 (14), April, 2014)

“This book addresses the formation of the DSM-5 and the problems with the manual itself. … The audience includes anyone interested in the field of mental health and the DSM-5 in particular. … It will definitely open readers’ eyes to how little we still know and how artificial our constructs are for understanding mental illness. It is a short book and I would highly recommend taking the time to read it.” (Brett C. Plyler, Doody’s Book Reviews, November, 2013)

• Jewish General Hospital, Department of Psychiatry, Sir Mortimer B. Davis, Montreal, Canada

  Joel Paris

• , Department of Psychiatry, Yale School of Medicine, New Haven, USA

  James Phillips

Joel Paris, MD, is Professor and Chair of the Department of Psychiatry at McGill University, and Research Associate in the Department of Psychiatry at Sir Mortimer B. Davis Jewish General Hospital.

James Phillips, MD, is Associate Clinical Professor of Psychiatry at the Yale School of Medicine. He is in the private practice of general and forensic psychiatry. In the Yale department he is involved in residency training, the Hispanic Clinic, and the Global Mental Health Committee. He has a long involvement with the Association for the Advancement of Philosophy and Psychiatry, serving as Secretary and as editor of the Bulletin of AAPP.

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