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Chapter 4 Diagnosis, classification and the expansion of the therapeutic realm
David Harper
Contents
Introduction 103
1 The first two editions of the DSM 106
2 Challenges to psychiatry’s legitimacy: the road to DSM-III 1082.1 Empirical challenges: the validity and reliability of diagnosis 1082.2 Campaigning and diagnosis: the fall of one category and the rise of another 109
3 DSM-III and DSM-III-R: Spitzer’s revolut 111
4 DSM-IV to DSM-5: the end of an era? 1134.1 DSM-IV and DSM-IV-TR 1134.2 DSM-5: the end of Spitzer’s revolution? 113
5 Debates about DSM-5 and psychiatric diagnosis 1165.1 Reliability and validity redux: the appropriateness of a medical lens and the role of social norms 1165.2 Medicalisation and the expansion of the therapeutic realm 1195.3 The continuing impact of the DSM 122
Conclusion 123
Further reading 124
References 125
Introduction