CONTENTS
Illustrations
INTRODUCTION
~HISTORY~
1. A Pivotal Three Decades: American Psychiatry After World War
II
Chronicle I: "Weller Than Well"
Chronicle II: "Psychiatry Kills"
Chronicle III: "Pseudopatients" and "Sexual Deviations"
2. Emil Kraepelin: Birth of Modern Descriptive Psychiatry
3. Kraepelin's Progeny: The "Neo-Kraepelinians"
~PEOPLE~
4. Robert L. Spitzer, Psychiatric Revolutionary
5. The DSM-III Task Force and Psychiatric Empiricism
~MAKING~
6. A Brief History of Modern Classification and Problems with
Reliability in
Diagnosis
7. The Revolution Begins, 1973-1976
8. A Snapshot in Time: DSM-III in Midstream, 1976
9. The Eruption of Discord Following the Midstream Conference
10. Clinicians Vs. Researchers again and New Antagonisms Over
Sexuality
11. The Psychoanalytic Awakening to DSM-III
12. The Field Trials and Yet More Controversies
13. The Final Weeks
CONCLUSION
Notes
Interviews
Bibliography
Index
About the Author
Hannah S. Decker is a cultural historian of psychiatry and
Professor of History at the University of Houston. She is also
Adjunct Professor in Medical History in the Menninger Dept. of
Psychiatry at the Baylor College of Medicine and an Adjunct Faculty
Member at the Center for Psychoanalytic Studies (Houston). Her
publications include Freud in Germany: Revolution and Reaction in
Science, 1893-1907 and Freud, Dora, and Vienna 1900. In 2007 she
received the
Carlson Award from the Cornell University Medical College for
"extraordinary contributions to the history of psychiatry and
psychoanalysis." She is married and has two grown children.
"In writing her magisterial history of DSM III, Hannah Decker has
colorfully captured all the personal dramas, the institutional
hijinks, the underlying forces, and the pervasive cultural
implications. Born of a process that was never smooth or pretty,
DSM III was nonetheless a turning point not only for psychiatry but
also for how we see ourselves as individuals and as a society. A
joy for historians, a must for clinicians, an eye opener for
patients, and a
great read for anyone."
-- Allen Frances, MD, Head of the Task Force for DSM-IV and
Professor Emeritus and Former Chair of the Department of
Psychiatry, Duke University
"[This] is a landmark work in the history of psychiatry. DSM-III
both produced and reflected profound changes in the field of
psychiatry whose import-for better and for worse-still
reverberates. To my knowledge, this is the first book-length
treatise documenting in extra-ordinary detail the process-warts and
all-of the making of a psychiatric classification...In fine detail,
the author helps us understand why the makers of DSM-III could not
come up with a good
working definition of 'mental illness,' and even a good working
definition of the term they eventually used, 'Mental Disorder.'
Tensions among biological, cultural, psychodynamic, and
sociological
perspectives are an important part of the story of what is so
complex, enriching and frustrating in psychiatry... The Making of
DSM-III® will remain a perennial guide to understanding much of the
complexity of the field of mental health and mental illness."
-- Bennett Simon, MD, Clinical Professor of Psychiatry, Harvard
Medical School
"Decker beautifully details psychiatry's major shift of modern
times. She describes very clearly for the reader the science, the
culture, and the politics that produced the foundation of
present-day psychiatry."
-- Roger Peele MD, Secretary, American Psychiatric Association and
Member DSM-5 Task Force
"Everyone is aware of the significance of the publication of DSM 5
and its capacity to make and break both research and treatment
programs. We know this because of the earthquake that was DSM III.
Hannah Decker's book brings out how momentous this earthquake was
and just what a contested field mental health is. Her account will
be widely read and vigorously debated."
-- David Healy, MD, FRCPsych, Author of Pharmageddon, Professor of
Psychiatry, University of Cardiff, Wales
"Dr. Decker's work is important in understanding the context and
controversies that surround the DSM, which continue to this day
with the recent release of DSM-V. This book will be of interest to
people interested in the history of medicine and psychiatry,
clinicians and researchers in any mental health discipline, and
anyone who is interested in ongoing debates about the field of
psychiatry."
-- Debbie Sorensen, New Books in Psychology
"This book is the most objective and well-documented history of
DSM-III; it deserves wide readership." --Acta Psychiatrica
Scandinavica
"The DSM - lll grew out of a conscious plan to help the field of
psychiatry become more medically oriented. The story about the
personalities of the people who made this happen and the politics
surrounding the acceptance of DSM - III by the American Psychiatric
Association makes for fascinating reading. Hannah Decker is an
historian, and the research for this work is comprehensive. The
writing is flawless. The photographs of the protagonists are
wonderful.
People interested in field of psychiatry can gain an excellent
historical appreciation of this rapidly evolving field by reading
this magnificent book by Hannah Decker." --Eugene H. Rubin, MD,
PhD,
Professor of Psychiatry and Vice Chair for Education, Department of
Psychiatry, Washington University in St. Louis - School of
Medicine
"...very engaging." --The Journal of Nervous and Mental Disease
"Decker offers a refreshing dose of realism about how these manuals
have been developed, explaining why decisions were made, but
presenting them forthrightly as decisions rather than discoveries."
--Metapsychology
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