A member of the American Psychoanalytic Association posted the following on an internal email list, and I am reproducing it with permission. It captures the kind of circular reasoning behind the current paradigm of psychiatry as represented by DSM 5. As in "we define the disease by these symptoms, therefore if you have these symptoms, you have the disease."
The following two questions were published in a recent (June 8) issue of Psychiatric News and also distributed by APA in an email message, apparently as part of a PR quiz program to popularize the DSM-5. However, I'm posting them here to convey an idea of what many of us feel has gone wrong in American Psychiatry in the last decades. Each of these clinical vignettes describes a patient with some kind of mental disorder. Each vignette ends with a quiz question. Fair enough.
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