

Allan V. Horwitz
The first comprehensive history of "psychiatry's bible"—the Diagnostic and Statistical Manual of Mental Disorders.
Over the past seventy years, the Diagnostic and Statistical Manual of Mental Disorders, or DSM, has evolved from a virtually unknown and little-used pamphlet to an imposing and comprehensive compendium of mental disorder. Its nearly 300 conditions have become the touchstones for the diagnoses that patients receive, students are taught, researchers study, insurers reimburse, and drug companies promote. Although the manual is portrayed as an authoritative corpus of psychiatric...
The first comprehensive history of "psychiatry's bible"—the Diagnostic and Statistical Manual of Mental Disorders.
Over the past seventy years, the Diagnostic and Statistical Manual of Mental Disorders, or DSM, has evolved from a virtually unknown and little-used pamphlet to an imposing and comprehensive compendium of mental disorder. Its nearly 300 conditions have become the touchstones for the diagnoses that patients receive, students are taught, researchers study, insurers reimburse, and drug companies promote. Although the manual is portrayed as an authoritative corpus of psychiatric knowledge, it is a product of intense political conflicts, dissension, and factionalism. The manual results from struggles among psychiatric researchers and clinicians, different mental health professions, and a variety of patient, familial, feminist, gay, and veterans' interest groups. The DSM is fundamentally a social document that both reflects and shapes the professional, economic, and cultural forces associated with its use.
In DSM, Allan V. Horwitz examines how the manual, known colloquially as "psychiatry's bible," has been at the center of thinking about mental health in the United States since its original publication in 1952. The first book to examine its entire history, this volume draws on both archival sources and the literature on modern psychiatry to show how the history of the DSM is more a story of the growing social importance of psychiatric diagnoses than of increasing knowledge about the nature of mental disorder. Despite attempts to replace it, Horwitz argues that the DSM persists because its diagnostic entities are closely intertwined with too many interests that benefit from them.
This comprehensive treatment should appeal to not only specialists but also anyone who is interested in how diagnoses of mental illness have evolved over the past seven decades—from unwanted and often imposed labels to resources that lead to valued mental health treatments and social services.
His close look at the DSM is a meticulous blow-by-blow, tracking its evolution in the context of shifting psychiatric care, expanding disease taxonomy, growing pharmaceutical influence, emerging social movements, and a diverse array of personalities and identities (trans, queer) classified as disorders.
Horowitz tells this sorry tale with skill and panache... It is the best synthetic account of this territory anyone has produced to date.
Horwitz retains a scrupulous objectivity; but nonetheless, the tale he tells is of one of the most resounding and damaging follies of modern scientism.
Allan Horwitz is to be congratulated on a fine book that deserves to be read by everyone concerned about the state of psychiatry.
Allan Horwitz—the recognized authority on the DSM—is both balanced and fair minded. There is nothing else like this book.
DSM: A History of Psychiatry's Bible is the first comprehensive account of American psychiatry's growing obsession with diagnosis, and the massive flaws that have undermined this project. Horwitz's book is a remarkable achievement, a richly detailed account of the blind alley psychiatrists have wandered down and of the crisis that now confronts the profession.
In this ironically-titled book, Horwitz, one of the leading social scientists of psychiatry, recounts how the DSM has led psychiatry not into a promised land but a wasteland. Horwitz tells this dramatic, epochal story at a good clip, on the basis of original research, and with a firm understanding that it is a story about society, not about 'medicine.'
Meticulous and incisive, this book charts the standardization of American psychiatric diagnoses since 1952. It details how a thin, spiral-bound volume first known as Medical 203 grew into a massive tome currently diagnosing 541 psychiatric conditions and selling millions of copies worldwide. For Horwitz, an excellent guide to its many quirks and revisions, 'the constantly changing nature of the DSM is its most interesting feature.'
Preface
Chapter 1. Diagnosing Mental Illness
Chapter 2. The DSM-I and II
Chapter 3. The Path to a Diagnostic Revolution
Chapter 4. The DSM-III
Chapter 5. The DSM-III-R and DSM-IV
Chapter 6. The DSM-5's
Preface
Chapter 1. Diagnosing Mental Illness
Chapter 2. The DSM-I and II
Chapter 3. The Path to a Diagnostic Revolution
Chapter 4. The DSM-III
Chapter 5. The DSM-III-R and DSM-IV
Chapter 6. The DSM-5's Failed Revolution
Chapter 7. The DSM as a Social Creation
Notes
References
Index
with Hopkins Press Books