Author: Carolyn Smith-Morris
Publisher: Routledge
ISBN: 1317383060
Category : Social Science
Languages : en
Pages : 271
Book Description
This collection is dedicated to the diagnostic moment and its unrivaled influence on encompassment and exclusion in health care. Diagnosis is seen as both an expression and a vehicle of biomedical hegemony, yet it is also a necessary and speculative tool for the identification of and response to suffering in any healing system. Social scientific studies of medicalization and the production of medical knowledge have revealed tremendous controversy within, and factitiousness at the outer parameters of, diagnosable conditions. Yet the ethnographically rich and theoretically complex history of such studies has not yet congealed into a coherent structural critique of the process and broader implications of diagnosis. This volume meets that challenge, directing attention to three distinctive realms of diagnostic conflict: in the role of diagnosis to grant access to care, in processes of medicalization and resistance, and in the transforming and transformative position of diagnosis for 21st-century global health. Smith-Morris’s framework repositions diagnosis as central to critical global health inquiry. The collected authors question specific diagnoses (e.g., Lyme disease, Parkinson's, andropause, psychosis) as well as the structural and epistemological factors behind a disease’s naming and experience.
Diagnostic Controversy
Author: Carolyn Smith-Morris
Publisher: Routledge
ISBN: 1317383060
Category : Social Science
Languages : en
Pages : 271
Book Description
This collection is dedicated to the diagnostic moment and its unrivaled influence on encompassment and exclusion in health care. Diagnosis is seen as both an expression and a vehicle of biomedical hegemony, yet it is also a necessary and speculative tool for the identification of and response to suffering in any healing system. Social scientific studies of medicalization and the production of medical knowledge have revealed tremendous controversy within, and factitiousness at the outer parameters of, diagnosable conditions. Yet the ethnographically rich and theoretically complex history of such studies has not yet congealed into a coherent structural critique of the process and broader implications of diagnosis. This volume meets that challenge, directing attention to three distinctive realms of diagnostic conflict: in the role of diagnosis to grant access to care, in processes of medicalization and resistance, and in the transforming and transformative position of diagnosis for 21st-century global health. Smith-Morris’s framework repositions diagnosis as central to critical global health inquiry. The collected authors question specific diagnoses (e.g., Lyme disease, Parkinson's, andropause, psychosis) as well as the structural and epistemological factors behind a disease’s naming and experience.
Publisher: Routledge
ISBN: 1317383060
Category : Social Science
Languages : en
Pages : 271
Book Description
This collection is dedicated to the diagnostic moment and its unrivaled influence on encompassment and exclusion in health care. Diagnosis is seen as both an expression and a vehicle of biomedical hegemony, yet it is also a necessary and speculative tool for the identification of and response to suffering in any healing system. Social scientific studies of medicalization and the production of medical knowledge have revealed tremendous controversy within, and factitiousness at the outer parameters of, diagnosable conditions. Yet the ethnographically rich and theoretically complex history of such studies has not yet congealed into a coherent structural critique of the process and broader implications of diagnosis. This volume meets that challenge, directing attention to three distinctive realms of diagnostic conflict: in the role of diagnosis to grant access to care, in processes of medicalization and resistance, and in the transforming and transformative position of diagnosis for 21st-century global health. Smith-Morris’s framework repositions diagnosis as central to critical global health inquiry. The collected authors question specific diagnoses (e.g., Lyme disease, Parkinson's, andropause, psychosis) as well as the structural and epistemological factors behind a disease’s naming and experience.
The Diagnostic System
Author: Jason Schnittker
Publisher: Columbia University Press
ISBN: 0231544596
Category : Psychology
Languages : en
Pages : 241
Book Description
Mental illness is many things at once: It is a natural phenomenon that is also shaped by society and culture. It is biological but also behavioral and social. Mental illness is a problem of both the brain and the mind, and this ambiguity presents a challenge for those who seek to accurately classify psychiatric disorders. The leading resource we have for doing so is the American Psychiatric Association’s Diagnostic and Statistical Manual, but no edition of the manual has provided a decisive solution, and all have created controversy. In The Diagnostic System, the sociologist Jason Schnittker looks at the multiple actors involved in crafting the DSM and the many interests that the manual hopes to serve. Is the DSM the best tool for defining mental illness? Can we insure against a misleading approach? Schnittker shows that the classification of psychiatric disorders is best understood within the context of a system that involves diverse parties with differing interests. The public wants a better understanding of personal suffering. Mental-health professionals seek reliable and treatable diagnostic categories. Scientists want definitions that correspond as closely as possible to nature. And all parties seek definitive insight into what they regard as the right target. Yet even the best classification system cannot satisfy all of these interests simultaneously. Progress toward an ideal is difficult, and revisions to diagnostic criteria often serve the interests of one group at the expense of another. Schnittker urges us to become comfortable with the socially constructed nature of categorization and accept that a perfect taxonomy of mental-health disorders will remain elusive. Decision making based on evolving though fluid understandings is not a weakness but an adaptive strength of the mental-health profession, even if it is not a solid foundation for scientific discovery or a reassuring framework for patients.
Publisher: Columbia University Press
ISBN: 0231544596
Category : Psychology
Languages : en
Pages : 241
Book Description
Mental illness is many things at once: It is a natural phenomenon that is also shaped by society and culture. It is biological but also behavioral and social. Mental illness is a problem of both the brain and the mind, and this ambiguity presents a challenge for those who seek to accurately classify psychiatric disorders. The leading resource we have for doing so is the American Psychiatric Association’s Diagnostic and Statistical Manual, but no edition of the manual has provided a decisive solution, and all have created controversy. In The Diagnostic System, the sociologist Jason Schnittker looks at the multiple actors involved in crafting the DSM and the many interests that the manual hopes to serve. Is the DSM the best tool for defining mental illness? Can we insure against a misleading approach? Schnittker shows that the classification of psychiatric disorders is best understood within the context of a system that involves diverse parties with differing interests. The public wants a better understanding of personal suffering. Mental-health professionals seek reliable and treatable diagnostic categories. Scientists want definitions that correspond as closely as possible to nature. And all parties seek definitive insight into what they regard as the right target. Yet even the best classification system cannot satisfy all of these interests simultaneously. Progress toward an ideal is difficult, and revisions to diagnostic criteria often serve the interests of one group at the expense of another. Schnittker urges us to become comfortable with the socially constructed nature of categorization and accept that a perfect taxonomy of mental-health disorders will remain elusive. Decision making based on evolving though fluid understandings is not a weakness but an adaptive strength of the mental-health profession, even if it is not a solid foundation for scientific discovery or a reassuring framework for patients.
Current Controversies in Diagnostic and Interventional Radiology, An Issue of Radiologic Clinics of North America, E-Book
Author: Douglas S. Katz
Publisher: Elsevier Health Sciences
ISBN: 0443246270
Category : Medical
Languages : en
Pages : 169
Book Description
In this issue of Radiologic Clinics, guest editors Drs. Douglas S. Katz and John J. Hines bring their considerable expertise to the topic of Current Evidence for Selected Topics in Diagnostic and Interventional Radiology. Current evidence in radiology asks the question: what is the most appropriate imaging test on the basis of the best available evidence, the physician's experience, and the patient's expectations? In this issue, top experts review current controversies in radiology and the evidence used to support or contradict the clinical question asked. - Contains 14 relevant, practice-oriented topics including how do we assess controversies using evidence-based radiology?; artificial intelligence in radiology; stroke: controversies in imaging, intervention, and management; manufactured "controversies" have obscured the importance of breast cancer screening; nuclear medicine controversies; and more. - Provides in-depth clinical reviews on current evidence for selected topics in diagnostic and interventional radiology, offering actionable insights for clinical practice. - Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.
Publisher: Elsevier Health Sciences
ISBN: 0443246270
Category : Medical
Languages : en
Pages : 169
Book Description
In this issue of Radiologic Clinics, guest editors Drs. Douglas S. Katz and John J. Hines bring their considerable expertise to the topic of Current Evidence for Selected Topics in Diagnostic and Interventional Radiology. Current evidence in radiology asks the question: what is the most appropriate imaging test on the basis of the best available evidence, the physician's experience, and the patient's expectations? In this issue, top experts review current controversies in radiology and the evidence used to support or contradict the clinical question asked. - Contains 14 relevant, practice-oriented topics including how do we assess controversies using evidence-based radiology?; artificial intelligence in radiology; stroke: controversies in imaging, intervention, and management; manufactured "controversies" have obscured the importance of breast cancer screening; nuclear medicine controversies; and more. - Provides in-depth clinical reviews on current evidence for selected topics in diagnostic and interventional radiology, offering actionable insights for clinical practice. - Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.
The Medical Model in Mental Health
Author: Ahmed Samei Huda
Publisher: Oxford University Press
ISBN: 0192534092
Category : Medical
Languages : en
Pages : 417
Book Description
Many published books that comment on the medical model have been written by doctors, who assume that readers have the same knowledge of medicine, or by those who have attempted to discredit and attack the medical practice. Both types of book have tended to present diagnostic categories in medicine as universally scientifically valid examples of clear-cut diseases easily distinguished from each other and from health; with a fixed prognosis; and with a well-understood aetiology leading to disease-reversing treatments. These are contrasted with psychiatric diagnoses and treatments, which are described as unclear and inadequate in comparison. The Medical Model in Mental Health: An Explanation and Evaluation explores the overlap between the usefulness of diagnostic constructs (which enable prognosis and treatment decisions) and the therapeutic effectiveness of psychiatry compared with general medicine. The book explains the medical model and how it applies in mental health, assuming little knowledge or experience of medicine, and defends psychiatry as a medical practice.
Publisher: Oxford University Press
ISBN: 0192534092
Category : Medical
Languages : en
Pages : 417
Book Description
Many published books that comment on the medical model have been written by doctors, who assume that readers have the same knowledge of medicine, or by those who have attempted to discredit and attack the medical practice. Both types of book have tended to present diagnostic categories in medicine as universally scientifically valid examples of clear-cut diseases easily distinguished from each other and from health; with a fixed prognosis; and with a well-understood aetiology leading to disease-reversing treatments. These are contrasted with psychiatric diagnoses and treatments, which are described as unclear and inadequate in comparison. The Medical Model in Mental Health: An Explanation and Evaluation explores the overlap between the usefulness of diagnostic constructs (which enable prognosis and treatment decisions) and the therapeutic effectiveness of psychiatry compared with general medicine. The book explains the medical model and how it applies in mental health, assuming little knowledge or experience of medicine, and defends psychiatry as a medical practice.
Adjustment Disorder
Author: Patricia Casey
Publisher: Oxford University Press
ISBN: 0191089508
Category : Medical
Languages : en
Pages : 253
Book Description
Although adjustment disorders (AD) have been included in the major psychiatric diagnostic classifications for over 50 years, no book devoted solely to the topic of AD's has been published to date. Apart from scant coverage in psychiatric textbooks, there is little to assist the doctor or therapist in understanding or making a diagnosis of AD. The result is the under-recognition of AD's in settings where it is believed to be a common condition. In general practice, where AD's are said to be the most common disorder, they are seldom recognized and are misdiagnosed as depressive illness (major depressive disorder) or generalized anxiety disorder. Even among psychiatrists, AD's are underdiagnosed, except in consultation-liaison psychiatry, and even there, changes in diagnostic practice are afoot. Adjustment Disorder: From Controversy to Clinical Practice provides concise and comprehensive information on AD's and advances a greater understanding and better diagnostic skills among those clinicians working with this group of patients. This accessible and clinically driven book is amplified by up-to-date theoretical information such as exploring the psychobiology of AD's, considering the best evidence-based treatments, and touching on the philosophical questions that AD's raise, such as whether AD's are actually a disease. The chapters follow a natural progression beginning with the history and controversies, through to epidemiology, diagnosis and treatment, then addressing the biology of AD's and concluding with an examination of AD's in special groups such as children and adolescents as well as in medico-legal settings.
Publisher: Oxford University Press
ISBN: 0191089508
Category : Medical
Languages : en
Pages : 253
Book Description
Although adjustment disorders (AD) have been included in the major psychiatric diagnostic classifications for over 50 years, no book devoted solely to the topic of AD's has been published to date. Apart from scant coverage in psychiatric textbooks, there is little to assist the doctor or therapist in understanding or making a diagnosis of AD. The result is the under-recognition of AD's in settings where it is believed to be a common condition. In general practice, where AD's are said to be the most common disorder, they are seldom recognized and are misdiagnosed as depressive illness (major depressive disorder) or generalized anxiety disorder. Even among psychiatrists, AD's are underdiagnosed, except in consultation-liaison psychiatry, and even there, changes in diagnostic practice are afoot. Adjustment Disorder: From Controversy to Clinical Practice provides concise and comprehensive information on AD's and advances a greater understanding and better diagnostic skills among those clinicians working with this group of patients. This accessible and clinically driven book is amplified by up-to-date theoretical information such as exploring the psychobiology of AD's, considering the best evidence-based treatments, and touching on the philosophical questions that AD's raise, such as whether AD's are actually a disease. The chapters follow a natural progression beginning with the history and controversies, through to epidemiology, diagnosis and treatment, then addressing the biology of AD's and concluding with an examination of AD's in special groups such as children and adolescents as well as in medico-legal settings.
Improving Diagnosis in Health Care
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
ISBN: 0309377722
Category : Medical
Languages : en
Pages : 473
Book Description
Getting the right diagnosis is a key aspect of health care - it provides an explanation of a patient's health problem and informs subsequent health care decisions. The diagnostic process is a complex, collaborative activity that involves clinical reasoning and information gathering to determine a patient's health problem. According to Improving Diagnosis in Health Care, diagnostic errors-inaccurate or delayed diagnoses-persist throughout all settings of care and continue to harm an unacceptable number of patients. It is likely that most people will experience at least one diagnostic error in their lifetime, sometimes with devastating consequences. Diagnostic errors may cause harm to patients by preventing or delaying appropriate treatment, providing unnecessary or harmful treatment, or resulting in psychological or financial repercussions. The committee concluded that improving the diagnostic process is not only possible, but also represents a moral, professional, and public health imperative. Improving Diagnosis in Health Care, a continuation of the landmark Institute of Medicine reports To Err Is Human (2000) and Crossing the Quality Chasm (2001), finds that diagnosis-and, in particular, the occurrence of diagnostic errorsâ€"has been largely unappreciated in efforts to improve the quality and safety of health care. Without a dedicated focus on improving diagnosis, diagnostic errors will likely worsen as the delivery of health care and the diagnostic process continue to increase in complexity. Just as the diagnostic process is a collaborative activity, improving diagnosis will require collaboration and a widespread commitment to change among health care professionals, health care organizations, patients and their families, researchers, and policy makers. The recommendations of Improving Diagnosis in Health Care contribute to the growing momentum for change in this crucial area of health care quality and safety.
Publisher: National Academies Press
ISBN: 0309377722
Category : Medical
Languages : en
Pages : 473
Book Description
Getting the right diagnosis is a key aspect of health care - it provides an explanation of a patient's health problem and informs subsequent health care decisions. The diagnostic process is a complex, collaborative activity that involves clinical reasoning and information gathering to determine a patient's health problem. According to Improving Diagnosis in Health Care, diagnostic errors-inaccurate or delayed diagnoses-persist throughout all settings of care and continue to harm an unacceptable number of patients. It is likely that most people will experience at least one diagnostic error in their lifetime, sometimes with devastating consequences. Diagnostic errors may cause harm to patients by preventing or delaying appropriate treatment, providing unnecessary or harmful treatment, or resulting in psychological or financial repercussions. The committee concluded that improving the diagnostic process is not only possible, but also represents a moral, professional, and public health imperative. Improving Diagnosis in Health Care, a continuation of the landmark Institute of Medicine reports To Err Is Human (2000) and Crossing the Quality Chasm (2001), finds that diagnosis-and, in particular, the occurrence of diagnostic errorsâ€"has been largely unappreciated in efforts to improve the quality and safety of health care. Without a dedicated focus on improving diagnosis, diagnostic errors will likely worsen as the delivery of health care and the diagnostic process continue to increase in complexity. Just as the diagnostic process is a collaborative activity, improving diagnosis will require collaboration and a widespread commitment to change among health care professionals, health care organizations, patients and their families, researchers, and policy makers. The recommendations of Improving Diagnosis in Health Care contribute to the growing momentum for change in this crucial area of health care quality and safety.
Teaching Clinical Reasoning
Author: Robert L. Trowbridge
Publisher: American College
ISBN: 9781938921056
Category : Clinical medicine
Languages : en
Pages : 270
Book Description
Chapter topics include: Clinical Reasoning and Diagnostic Error Theoretical Concepts to Consider in Providing Clinical Reasoning Instruction Developing a Curriculum in Clinical Reasoning Educational Approaches to Common Cognitive Errors General Teaching Techniques Assessment of Clinical Reasoning Faculty Development and Dissemination Lifelong Learning in Clinical Reasoning Remediation of Clinical Reasoning Novel Approaches and Future Directions Teaching Clinical Reasoning: Where do we go from here?
Publisher: American College
ISBN: 9781938921056
Category : Clinical medicine
Languages : en
Pages : 270
Book Description
Chapter topics include: Clinical Reasoning and Diagnostic Error Theoretical Concepts to Consider in Providing Clinical Reasoning Instruction Developing a Curriculum in Clinical Reasoning Educational Approaches to Common Cognitive Errors General Teaching Techniques Assessment of Clinical Reasoning Faculty Development and Dissemination Lifelong Learning in Clinical Reasoning Remediation of Clinical Reasoning Novel Approaches and Future Directions Teaching Clinical Reasoning: Where do we go from here?
Controversies and Dilemmas in Contemporary Psychiatry
Author: Dusan Kecmanovic
Publisher: Transaction Publishers
ISBN: 1412844169
Category : Psychology
Languages : en
Pages : 333
Book Description
The controversies and dilemmas in contemporary psychiatry are so numerous and serious that they, to a great extent, define psychiatry. Yet most psychiatrists pay little attention to the field’s controversies, maintaining that talking about controversies tarnishes psychiatry’s reputation and them along with it. Critics of psychiatry use these controversies and dilemmas, along with psychiatrists’ unwillingness to discuss them, to undermine psychiatry. They question the existence of mental disorder and the purpose of psychiatric therapy. Kecmanovic undertakes a major effort of resolving with science, not ideology, such dilemmas. Although psychiatrists give no thought to the mind-body relationship, their attitude towards this relationship determines their approach to the mentally ill, their understanding of the origin and nature of the mental disorder, and the therapy they think has priority. Sometimes psychiatrists implicitly or explicitly cite a specific school of philosophy in order to find conceptual support for their particular practice. As a result psychiatrists do not speak the same language about the same issues. Kecmanovic suggests that there can be no dialogue without common language; opposing views cannot converge without dialogue. The behavior of the mentally ill is socially jarring. This is a major reason why the mentally ill are considered to be a menace. They threaten prevailing manners of communicating, expressing one’s thoughts and feelings, and the existing meaning of symbols in a given environment. Deviance of a person with a mental disorder is specific; socially perceived as incomprehensible, irrational, and unpredictable. What is common to all reactions to the disruptive nature of a mental disorder is the desire to be protected from those with illness; in other words, to put them under control and supervision.
Publisher: Transaction Publishers
ISBN: 1412844169
Category : Psychology
Languages : en
Pages : 333
Book Description
The controversies and dilemmas in contemporary psychiatry are so numerous and serious that they, to a great extent, define psychiatry. Yet most psychiatrists pay little attention to the field’s controversies, maintaining that talking about controversies tarnishes psychiatry’s reputation and them along with it. Critics of psychiatry use these controversies and dilemmas, along with psychiatrists’ unwillingness to discuss them, to undermine psychiatry. They question the existence of mental disorder and the purpose of psychiatric therapy. Kecmanovic undertakes a major effort of resolving with science, not ideology, such dilemmas. Although psychiatrists give no thought to the mind-body relationship, their attitude towards this relationship determines their approach to the mentally ill, their understanding of the origin and nature of the mental disorder, and the therapy they think has priority. Sometimes psychiatrists implicitly or explicitly cite a specific school of philosophy in order to find conceptual support for their particular practice. As a result psychiatrists do not speak the same language about the same issues. Kecmanovic suggests that there can be no dialogue without common language; opposing views cannot converge without dialogue. The behavior of the mentally ill is socially jarring. This is a major reason why the mentally ill are considered to be a menace. They threaten prevailing manners of communicating, expressing one’s thoughts and feelings, and the existing meaning of symbols in a given environment. Deviance of a person with a mental disorder is specific; socially perceived as incomprehensible, irrational, and unpredictable. What is common to all reactions to the disruptive nature of a mental disorder is the desire to be protected from those with illness; in other words, to put them under control and supervision.
Making Us Crazy
Author: Herb Kutchins
Publisher: Simon and Schuster
ISBN: 0743261208
Category : Psychology
Languages : en
Pages : 324
Book Description
A persuasive and passionate plea from two mental health professionals to ease use of the Diagnostic Statistical Manual of Mental Disorders under their belief that it is leading to an over-diagnosed society. For many health professionals, the Diagnostic Statistical Manual of Mental Disorders (DSM) is an indispensable resource. As the standard reference book for psychiatrists and psychotherapist everywhere, the DSM has had an inestimable influence on the way medical professionals diagnosis mental disorders in their patients. But with a push to label clients with pathological disorders in order to get reimbursed by insurance companies, the purpose of the DSM is no longer serving as a reference book. Instead, it is acting as a list of things that can qualify a patient’s diagnosis. In Making Us Crazy, Stuart Kirk and Herb Kutchins evaluate how the DSM has become the influence behind diagnoses that assassinate character and slander the opposition, often for political or monetary gain. By examining how the reference book serves as a source to label every phobia and quirk that arises in a patient, Kirk and Kutchins question the overuse of the DSM by today’s mental health professionals.
Publisher: Simon and Schuster
ISBN: 0743261208
Category : Psychology
Languages : en
Pages : 324
Book Description
A persuasive and passionate plea from two mental health professionals to ease use of the Diagnostic Statistical Manual of Mental Disorders under their belief that it is leading to an over-diagnosed society. For many health professionals, the Diagnostic Statistical Manual of Mental Disorders (DSM) is an indispensable resource. As the standard reference book for psychiatrists and psychotherapist everywhere, the DSM has had an inestimable influence on the way medical professionals diagnosis mental disorders in their patients. But with a push to label clients with pathological disorders in order to get reimbursed by insurance companies, the purpose of the DSM is no longer serving as a reference book. Instead, it is acting as a list of things that can qualify a patient’s diagnosis. In Making Us Crazy, Stuart Kirk and Herb Kutchins evaluate how the DSM has become the influence behind diagnoses that assassinate character and slander the opposition, often for political or monetary gain. By examining how the reference book serves as a source to label every phobia and quirk that arises in a patient, Kirk and Kutchins question the overuse of the DSM by today’s mental health professionals.
The Book of Woe
Author: Gary Greenberg
Publisher: Penguin
ISBN: 1101621109
Category : Psychology
Languages : en
Pages : 359
Book Description
“Gary Greenberg has become the Dante of our psychiatric age, and the DSM-5 is his Inferno.” —Errol Morris Since its debut in 1952, the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders has set down the “official” view on what constitutes mental illness. Homosexuality, for instance, was a mental illness until 1973. Each revision has created controversy, but the DSM-5 has taken fire for encouraging doctors to diagnose more illnesses—and to prescribe sometimes unnecessary or harmful medications. Respected author and practicing psychotherapist Gary Greenberg embedded himself in the war that broke out over the fifth edition, and returned with an unsettling tale. Exposing the deeply flawed process behind the DSM-5’s compilation, The Book of Woe reveals how the manual turns suffering into a commodity—and made the APA its own biggest beneficiary.
Publisher: Penguin
ISBN: 1101621109
Category : Psychology
Languages : en
Pages : 359
Book Description
“Gary Greenberg has become the Dante of our psychiatric age, and the DSM-5 is his Inferno.” —Errol Morris Since its debut in 1952, the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders has set down the “official” view on what constitutes mental illness. Homosexuality, for instance, was a mental illness until 1973. Each revision has created controversy, but the DSM-5 has taken fire for encouraging doctors to diagnose more illnesses—and to prescribe sometimes unnecessary or harmful medications. Respected author and practicing psychotherapist Gary Greenberg embedded himself in the war that broke out over the fifth edition, and returned with an unsettling tale. Exposing the deeply flawed process behind the DSM-5’s compilation, The Book of Woe reveals how the manual turns suffering into a commodity—and made the APA its own biggest beneficiary.