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Why DSM is mostly false (2023)
95.2% false, to be exact
In short, DSM-III began as a scientific research project, along the lines of Kraepelin’s tradition, and it ended up becoming a compromise with psychoanalytic theory and with the beliefs and labels used by clinicians in practice. Sometimes, a notable amount of scientific research was deemed inadequate, on “pragmatic” grounds, to make small changes (such as the duration of hypomania; it was feared bipolar illness would be overdiagnosed). Other times, despite less scientific research than the above example, major changes were made because of pragmatic beliefs (such as the addition of “disruptive mood dysregulation disorder” in kids, again aimed at discouraging bipolar diagnosis).
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