Creating Mental Illness by Allan V. Horwitz reviewed by Lynn E. O’Connor: “…a fascinating and scholarly critique of our classification of mental disorders. Horwitz begins by stating boldly that many so-called mental disorders according to our current symptom-based system of classification, are not really mental disorders at all, but normal responses to social stress, relationship problems, work or other problems in living, or social deviance that may be in some cases, culturally supported.” Although a sociologist, Horowitz is not a social constructionist insisting that there is no reality to mental illness except that conferred by social attitude. But his view appears similar to mine in exploring the effect of social labelling and stigmatization on distress and outcome.