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discusses the relevance of this lesson to the revisions being considered for DSM-5. Broadening his comments to address nearly all DSM categories, he points out the pitfalls of the categorical approach to diagnosis and notes particular risk in the dimensional approach. “If discrete conceptual boundaries between disorders can dissolve,” he posits ominously, “so can the trust of the American people in psychiatry’s claim to be a branch of medicine” (p. 285). He seems equally displeased with DSM-5’s attempt to combine dimensional and categorical methods, although he presents no alternative. This book is targeted to the lay public; its style is dramatic. Among professional readers, American Madness is most likely to be of interest to those who specialize in psychosis, who are concerned with psychiatric nosology, or who have a particular interest in the history and sociology of medicine.
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