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Book Review
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Volume 357:947-948 August 30, 2007 Number 9
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The Loss of Sadness: How Psychiatry Transformed Normal Sorrow into Depressive Disorder

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By Allan V. Horwitz and Jerome C. Wakefield. 287 pp. New York, Oxford University Press, 2007. $29.95. ISBN 978-0-19-531304-8.

This book identifies a central problem that cries out for correction, just when we are awaiting the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-V), which has been promised for 2012. As the title of this book — The Loss of Sadness — implies, psychiatrists who are influenced by the diagnostic practices that are encouraged in the DSM have become surprisingly imperceptive to the emotional miseries that life events evoke in their patients. These psychiatrists tend to perceive all such states of mind as major depressive disorder, with the result that they may reach for . . . [Full Text of this Article]


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