Readers of FmH know that, as a psychiatrist, I am deeply concerned about the travesty we have made of diagnosis, largely driven by the American Psychiatric Association’s Diagnostic and Statistical Manual (DSM). There are many reasons it is flawed, but one of the most important is how far away the basis of classification it shapes is from person-centered knowledge. Now the disenfranchised wing of the profession of psychiatry, the psychoanalytically-driven proponents of the talking cure, fire back, with The Psychodynamic Diagnostic Manual (PDM), a personality-based system of diagnosis and classification. Given their relative lack of power in Western psychiatry in the 21st century, I doubt it will go far, but it is a welcome effort, and I have placed my pre-order.
