PMID: 9167544Jun 1, 1997Paper

DSM-III and its reception: a European view

The American Journal of Psychiatry
P J Pichot

Abstract

The author analyzes some elements in the reception of DSM-III in Europe. The worldwide success of a diagnostic classification originally presented as a purely American endeavor is associated with recurrent, albeit not often openly formulated, criticisms. In the history of psychiatric nosologies, the purely descriptive phase was succeeded by a period during which theories were dominant, as in the Kraepelinian system. DSM-III originated in recognition of the existence in the United States of contending psychodynamic and psychosocial orientations and problems of communication, which became even more evident with the growth of psychopharmacology and the influence of the biological school. Whereas ICD offered compromise solutions, DSM-III used a new paradigm based on diagnostic categories and a multiaxial format, which were on the whole easily accepted. Most criticisms involved three points. The first was the atheoretical syndromic approach, seen as a regression and an expression of an American preference for superficial facts and contempt for psychopathology, which was considered in Europe the source of future progress. The second was the introduction of quantification, which was rejected by some in the name of the clinical traditi...Continue Reading

Citations

Feb 4, 2014·Revista de psiquiatrí́a y salud mental·Jose de Leon
Oct 3, 2017·Frontiers in Psychology·Thomas LepoutreNicolas Guerin

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