The Fifth Coming of DSM threatens to rend the fabric of American psychiatry. Let’s hope some cool heads in the APA’s leadership can find a way out of this mess.
Stay tuned. The DSM isn’t just a workbook; it’s the theoretical framework and the de-facto prescription guideline for American psychiatry. This level of disagreement and polarization only deepens my belief that the discipline is at crisis point and a crossroads — and in the nasty, scratchy fight over who gets to drive, the question of where to actually go may get a rather rushed answer.