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Psychiatric nomenclature and diagnosis have undergone dramatic changes over the past 20 years. This was exemplified by the release of the third edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-III) in 1980 (Washington, D.C.: American Psychiatric Press). The manual represented an attempt to move from the more impressionistic diagnostic systems of DSM-I and DSM-II to diagnoses based on specific, objective, nontheoretical criteria. The Selling of DSM by Kirk and Kutchins is a lengthy critique of the profound paradigm shift in psychiatry embodied in DSM-III (and the subsequent revised edition, DSM-III-R, published in 1987). The second chapter actually
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