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Who Is Sick? Who Is Not? (Englisch)

Allen J. Frances

Die entscheidende Rolle psychiatrischer Diagnosen und ihre gravierende Mängel I have reviewed all of the definitions of mental disorder and have written one myself, but can assure you that none of them is very meaningful. The definitions can't do either of the two tasks they are meant to do: 1) determine which syndromes belong in a diagnostic manual; and, 2) which individuals qualify for a diagnosis of mental disorder. 'Mental disorder' and 'Normal' are opposing terms which (like 'Disease' and 'Health') are familiar enough in casual speech, but impossible to define with operational precision. We must admit that here is no clear or permanent boundary between them and even the fuzzy boundary is elastic and easily shifted by local custom and changing social context. There is also no epistemological consensus about the nature of mental disorder...