I knew there was some history between some of the players in DSM-IV, and I’ve read before about all the NDAs and the various accusations that go with them … but I didn’t know that Allen Frances had Risen From Retirement to Stand Against DSM-5, and become Public Enemy Number One with the APA, etc.
I also knew that when I recently read an article about how Schizophrenia is supposed to work in the upcoming DSM-5, it made me feel slighly psychotic myself – and now I have some perspective that maybe I was right to feel that way!
While I agree that the DSM really is nothing more than an attempt at a standardized way of communicating with each other (and our masters … the payors …) – it still seems to have gained much more power over the years, which I suppose is a testament to the power of language and what it means to name things. We jokingly refer to it as a bible – but the emotion surrounding the book seems to really be on a level with The Bible! So much so, I really think some people think that changing the definition of schizophrenia in the DSM somehow actually alters the Disease Itself (as if that really existed outside of the human conceptualization of such …)
And of course there’s a ton of money involved. :-)
As for me, I’ll learn how to use the new book, whenever it’s released, because I’m sure that I’ll have to put the little numbers on some form. Once that chore is complete, I will resume talking to my patient and trying to figure out what is really wrong, so I can actually help.