How Everyone Became Depressed

The rise and fall of the nervous breakdown

The Backlash Against the New DSM-5

There are a lot of reasons why one might consider DSM-5 a dead end. One is its perpetuation of such diagnoses as “schizophrenia” and “bipolar disorder” that do not in fact correspond to natural disease entities. Read More

nosologic imperialism

Good points, Ned. I can recall observing over 30 years ago what I termed nosologic and then methodologic imperialism associated with DSM-III. First came the nosology accompanied by so-called operational diagnostic criteria, then came the structured interviews tailored to the criteria. That set the stage for checklist diagnoses and the dumbing down of clinical skills in diagnosis. Meanwhile, the vaunted gain in reliability was unimpressive - certainly not worth the price that was paid in weakened validity.

Sign-based diagnostics

Pertti Luukkonen (2014): DSM-5: merkkisysteeminen diagnostiikka
("sign-based diagnostics"). Helsinki: Psykopatologia. - 61 s.

My book is perhaps the first critical essay on the DSM-5 field

Sign-based (operational) diagnostics is in principle good, but it
cannot be the ultimate criteria of disorders, only the beginning!

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Edward Shorter, Ph.D., is the Jason A. Hannah Professor in the History of Medicine at the University of Toronto.


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