Since the appearance of DSM–5 in May 2013 a range of criticisms has emerged about its scientific and humanistic worthiness. An international network of protest is now evident, prompted in the run up to the publication of the document, by a letter of complaint (and offer of conciliation) from Division 32 of the American Psychological Association (the Society of Humanistic Psychologists). This article summarizes the criticisms evoked by DSM–5 and then moves to its main focus: the disciplinary challenge for psychology. The latter contains a number of aspects including the diversity, and thus sometimes incommensurability, of theoretical perspectives and the policy implications of moving from psychiatric diagnosis to psychological formulation. This shift from digital to analogue reasoning is less compatible with traditional legally based rationales of decision making in both the mental health and criminal justice systems than the digital logic. The article concludes with some suggestions of solutions to these challenges premised on critical realism.
AngellM. (2011, July 14). The illusions of psychiatry. New York Review of Books.
2.
ArcherM. (2000). Being human: The problem of human agency. Cambridge, UK: Cambridge University Press. 10.1017/CBO9780511488733
3.
BatesonG. (1972). Steps to an ecology of mind. New York, NY: Chandler Press.
4.
BayerR., & SpitzerR. L. (1985). Neurosis, psychodynamics, and DSM–III: A history of the controversy. Archives of General Psychiatry, 42, 187–196. 10.1001/archpsyc.1985.01790250081011
5.
BeckerJ. V. (1988). The effects of child sexual abuse on adolescent sexual offenders. In WyattG. E. & PowellG. J. (), Lasting effects of child sexual abuse. Thousand Oaks, CA: Sage.
6.
BentallR. P. (2010). Doctoring the mind. London, UK: Penguin.
7.
BhaskarR. (1986). Scientific realism and human emancipation. London, UK: Verso.
8.
BlashfieldR. K. (1982). Feighner et al., invisible colleges, and the Matthew effect. Schizophrenia Bulletin, 8, 1–6. 10.1093/schbul/8.1.1
9.
BrackenP., & ThomasP. (2006). Postpsychiatry: Mental health in a postmodern world. Oxford, UK: Oxford University Press.
10.
BrinkmanS. (2011). Psychology as a moral science. New York, NY: Springer. 10.1007/978-1-4419-7067-1
BrownG. W. (1996). Onset and course of depressive disorders: Summary of a research programme. In MundtC., GoldsteinM., HahlwegK., & FiedlerP. (), Interpersonal factors in the origin and course of affective disorders. London, UK: Gaskell.
13.
BrownG. W., & HarrisT. O. (1978). The social origins of depression. London, UK: Tavistock.
14.
BruchM., & BondF. W. (1998). Beyond diagnosis: Case formulation in CBT. London, UK: Wiley.
15.
ClarkD. M., EhlersA., McManusF., HackmannA., FennellM., CampbellH., … LouisB. (2003). Cognitive therapy versus fluoxetine in generalized social phobia: A randomized placebo-controlled trial. Journal of Consulting and Clinical Psychology, 71, 1058–1067. 10.1037/0022-006X.71.6.1058
16.
Division of Clinical Psychology. (2011). Good practice guidelines on the use of psychological formulation. Leicester, UK: British Psychological Society.
17.
Division of Clinical Psychology. (2013). Classification of behaviour and experience. In Relation to functional psychiatric diagnosis: Time for a paradigm shift. Leicester, UK: British Psychological Society.
18.
DoubleD. (1990). What would Adolf Meyer have thought of the neo-Kraepelinian approach?Psychiatric Bulletin, 14, 472–474. 10.1192/pb.14.8.472
19.
DowrickC. (2004). Beyond depression: A new approach to understanding and management. Oxford, UK: Oxford University Press.
20.
EngelG. L. (1977). The need for a new medical model: A challenge for biomedicine. Science, 196, 129–136. 10.1126/science.847460
21.
EngelG. L. (1980). The clinical application of the biopsychosocial model. The American Journal of Psychiatry, 137, 535–544.
22.
FoucaultM. (1973). The order of things: An archaeology of the human sciences. New York, NY: Vintage Books.
23.
FrancesA. (2010, February 11). Opening Pandora's Box: The 19 worst suggestions for DSM–5. Psychiatric Times.
24.
FranklV. (1967). Psychotherapy and existentialism: Selected papers on logotherapy. New York, NY: Simon & Schuster.
25.
FrommE. (1970). The Crisis of psychoanalysis. Harmondsworth, UK: Penguin.
26.
FurediF. (2004). The therapy culture: Cultivating vulnerability in an age of uncertainty. New York, NY: Routledge.
27.
FussingerC. (2011). ‘Therapeutic community,’ psychiatry's reformers and antipsychiatrists: Reconsidering changes in the field of psychiatry after World War II. History of Psychiatry, 22, 146–163. 10.1177/0957154X11399201
28.
GergenK., & DavisK. (). (1985). The social construction of the person. New York, NY: Springer-Verlag. 10.1007/978-1-4612-5076-0
29.
HalliwellM. (2013). Therapeutic revolutions: Medicine, society and American culture: 1945–1970. New Brunswick, NJ: Rutgers University Press.
30.
HammersleyP., DiasA., ToddG., Bowen-JonesK., ReillyB., & BentallR. P. (2003). Childhood trauma and hallucinations in bipolar affective disorder: Preliminary investigation. The British Journal of Psychiatry, 182, 543–547. 10.1192/bjp.182.6.543
31.
HarréR. (2002). Cognitive science: A philosophical introduction. London, UK: Sage.
32.
HartmannH. (1958). Ego psychology and the problem of adaptation (RapaportD.,). New York, NY: International Universities Press, Inc. 10.1037/13180-000
33.
HealyD. (2004). Psychopathology at the interface between the market and the new biology. In ReesD. & RoseS. (), The new brain sciences: Perils and prospects. Cambridge, UK: Cambridge University Press. 10.1017/CBO9780511541698.016
34.
HermanJ. L., PerryC. J., & Van der KolkB. A. (1989). Childhood trauma in borderline personality disorder. American Journal of Psychiatry, 146(4), 490–495.
35.
HorwitzA., & WakefieldJ. (2007). The loss of sadness: How psychiatry transformed normal sorrow into depressive disorder. New York, NY: Oxford University Press.
36.
InglehartR. F., FoaR., PetersonC., & WelzelC. (2008). Development, freedom, and rising happiness: A global perspective (1981–2007). Perspectives on Psychological Science, 3, 264–285.
37.
JanssenI., KrabbendamL., BakM., HanssenM., VolleberghW., de GraafR., & van OsJ. (2004). Childhood abuse as a risk factor for psychotic experiences. Acta Psychiatrica Scandinavica, 109, 38–45. 10.1046/j.0001-690X.2003.00217.x
38.
JohnstoneL., & DallosL. (2006). Formulation in psychology and psychotherapy: Making sense of people's problems. London, UK: Taylor & Francis.
39.
KawachiI., & BerkmanL. F. (2001). Social ties and mental health. Journal of Urban Health, 78, 458–467. 10.1093/jurban/78.3.458
40.
KellyG. (1955). The psychology of personal constructs. New York, NY: Norton.
41.
KirkS. A., & KutchinsH. (1994). The myth of the reliability of DSM. The Journal of Mind and Behavior, 15(1 and 2), 71–86.
42.
LaingR. D. (1967). The politics of experience and the bird of paradise. Harmondsworth, UK: Penguin.
43.
LakoffA. (2005). Pharmaceutical reason: Knowledge and values in global psychiatry. Cambridge, UK: Cambridge University Press. 10.1017/CBO9780511489150
44.
LaneC. (2008). Shyness: How normal behavior became a sickness. New Haven, CT: Yale.
45.
LeiferM., KilbaneT., JacobsenT., & GrossmanG. (2004). A three-generational study of transmission of risk for sexual abuse. Journal of Clinical Child and Adolescent Psychology, 33, 662–672. 10.1207/s15374424jccp3304_2
46.
LuntzB. K., & WidomC. S. (1994). Antisocial personality disorder in abused and neglected children grown up. The American Journal of Psychiatry, 151, 670–674.
47.
LynchT. R., TrostW. T., SalsmanN., & LinehanM. M. (2007). Dialectical behavior therapy for borderline personality disorder. Annual Review of Clinical Psychology, 3, 181–205. 10.1146/annurev.clinpsy.2.022305.095229
48.
MacintyreS., MacIverS., & SoomanA. (1993). Area, class and health: Should we be focusing on places or people?Journal of Social Policy, 22, 213–234. 10.1017/S0047279400019310
49.
MassonJ. (1987). Against therapy. London, UK: Harper Collins.
50.
MeyerA. (1952). The collected works of Adolf Meyer. New York, NY: Basic Books.
51.
MirowskyJ., & RossC. E. (2003). Social causes of psychological distress. New York, NY: Transaction Publishers.
52.
NeriaY., BrometE. J., SieversS., LavelleJ., & FochtmannL. J. (2002). Trauma exposure and posttraumatic stress disorder in psychosis: Findings from a first-admission cohort. Journal of Consulting and Clinical Psychology, 70, 246–251. 10.1037/0022-006X.70.1.246
53.
OgataS. N., SilkK. R., GoodrichS., LohrN. E., WestenD., & HillE. M. (1990). Childhood sexual and physical abuse in adult patients with borderline personality disorder. The American Journal of Psychiatry, 147, 1008–1013.
PolusnyM., & FolletteV. (1995). Long-term correlates of child sexual abuse: Theory and review of the empirical literature. Applied & Preventive Psychology, 4, 143–166. 10.1016/S0962-1849(05)80055-1
58.
PynoosR. S., SteinbergA. M., & PiacentiniJ. C. (1999). A developmental psychopathology model of childhood traumatic stress and intersection with anxiety disorders. Biological Psychiatry, 46, 1542–1554. 10.1016/S0006-3223(99)00262-0
59.
RobertsR., O'ConnorT., DunnJ., & GoldingJ., & the ALSPAC Study Team. (2004). The effects of child sexual abuse in later family life; mental health, parenting and adjustment of offspring. Child Abuse & Neglect, 28, 525–545. 10.1016/j.chiabu.2003.07.006
60.
Sargent WoodL. (2010). A more perfect union: Holistic worldviews and the transformation of American culture after World War II. New York, NY: Oxford University Press. 10.1093/acprof:oso/9780195377743.001.0001
61.
SchillingE. A., AseltineR. H., & GoreS. (2008). The impact of cumulative childhood adversity on young adult mental health: Measures, models, and interpretations. Social Science & Medicine, 66, 1140–1151. 10.1016/j.socscimed.2007.11.023
62.
ShevlinM., DorahyM., & AdamsonG. (2007). Childhood traumas and hallucinations: An analysis of the National Comorbidity Survey. Journal of Psychiatric Research, 41, 222–228. 10.1016/j.jpsychires.2006.03.004
63.
SimonsH. (). (1985). Rhetoric in the human sciences. London, UK: Sage.
64.
SkinnerB. F. (1971). Beyond freedom and dignity. New York, NY: Knopf.
65.
SmailD. (1996). Getting by without psychotherapy. London, UK: HarperCollins.
SpataroJ., MullenP. E., BurgessP. M., WellsD. L., & MossS. A. (2004). Impact of child sexual abuse on mental health: Prospective study in males and females. The British Journal of Psychiatry, 184, 416–421. 10.1192/bjp.184.5.416
68.
StockdaleS. E., WellsK. B., TangL., BelinT. R., ZhangL., & SherbourneC. D. (2007). The importance of social context: Neighborhood stressors, stress-buffering mechanisms, and alcohol, drug, and mental health disorders. Social Science & Medicine, 65, 1867–1881. 10.1016/j.socscimed.2007.05.045
69.
SummerfieldD. (2008). How scientifically valid is the knowledge base of global mental health?British Medical Journal, 336, 992–994. 10.1136/bmj.39513.441030.AD
70.
SzaszT. S. (1961). The uses of naming and the origin of the myth of mental illness. American Psychologist, 16, 59–65. 10.1037/h0040842
71.
ThoitsP. A. (1985). Self-labeling processes in mental illness: The role of emotional deviance. American Journal of Sociology, 91, 221–249. 10.1086/228276
72.
TruaxB., & CarkhuffR. R. (1967). Toward effective counseling and psychotherapy. New York, NY: Aldine.
73.
UssherJ. M., & DewberryC. (1995). The nature and long-term effects of childhood sexual abuse: A survey of adult women survivors in Britain. British Journal of Clinical Psychology, 34, 177–192. 10.1111/j.2044-8260.1995.tb01453.x
74.
Van OsJ. (2010). Are psychiatric diagnoses of psychosis scientific and useful? The case of schizophrenia. Journal of Mental Health (Abingdon, England), 19, 305–317. 10.3109/09638237.2010.492417
75.
VareseF., SmeetsF., DrukkerM., LieverseR., LatasterT., ViechtbauerW., … BentallR. P. (2012). Childhood adversities increase the risk of psychosis: A meta-analysis of patient-control, prospective- and cross-sectional cohort studies. Schizophrenia Bulletin, 38, 661–671. 10.1093/schbul/sbs050
76.
WakefieldJ. C. (2011). Should uncomplicated bereavement-related depression be reclassified as a disorder in the DSM–5? Response to Kenneth S. Kendler's statement defending the proposal to eliminate the bereavement exclusion. Journal of Nervous and Mental Disease, 199, 203–208. 10.1097/NMD.0b013e31820cd155
77.
WalbyS. (2007). Complexity theory, systems theory and multiple intersecting social inequalities. Philosophy of the Social Sciences, 37, 449–470. 10.1177/0048393107307663
78.
WannT. W. (). (1964). Behaviorism and phenomenology: Contrasting bases for modern psychology. Oxford, UK: University of Chicago Press.
79.
WickhamS., ShryaneN., LyonsM., DickinsT., & BentallR. (2014). Why does relative deprivation affect mental health? The role of justice, trust and social rank in psychological wellbeing and paranoid ideation. Journal of Public Mental Health, 13, 114–126. 10.1108/JPMH-06-2013-0049
80.
WilsonM. (1993). DSM–III and the transformation of American psychiatry: A history. The American Journal of Psychiatry, 150, 399–410.
81.
WykesT., & CallardF. (2010). Diagnosis, diagnosis, diagnosis: Towards DSM–5. Journal of Mental Health (Abingdon, England), 19, 301–304. 10.3109/09638237.2010.494189
82.
YatesA. J. (1970). Behavior therapy. New York, NY: Wiley.
