Why Dysfunctional Medical Flaws Have Cramped Psychiatrists Since 1980  

作　　者：Bob Johnson 

机构地区：[1]Consultant Psychiatrist(retired),PO Box 49,Ventnor,Isle of Wight,PO389AA,UK

出　　处：《Journal of US-China Medical Science》2021年第3期99-105,共7页美中医学（英文版）

摘　　要：In 1980,the American Psychiatric Association published the third edition of its Diagnostic and Statistical Manual of Mental Disorders(DSM-Ⅲ,1980).This departed radically from its two previous editions(DSM-Ⅰ,1952&DSM-Ⅱ,1968).It proved an unexpected best seller,which might have raised an eyebrow or two.This paper compares the two standard medical texts,the ICD-10 and DSM-Ⅳ(1994)to illustrate quite how extensive these changes were,and to demonstrate how far they deviate from ordinary medical practice,which,for the purposes of clarification is here boiled down to five basic tasks.Having applied these five to abdominal pains,verbatim extracts from the two texts cited,are compared to see how each fares against the other.Further implications for psychiatric practice in general are discussed in the light of the wider“philosophical”differences revealed.Is medical practice even possible,without taking aetiology,reaction and Patient Agency into full and open consideration?Consciousness is the pinnacle of our biosphere-as a recent paper emphasised-time it received the awe it is due.

关 键 词：DSM-psychiatry’s nemesis diagnoses which illuminate non-organic psychiatric aetiologies Patient Agency obvious stress reactions 

分 类 号：H31[语言文字—英语]