Psychiatrists are in the thick of a years-long effort to produce the latest edition of the essential textbook for diagnosing mental illnesses, the DSM. They're dogged by controversies over 'new' conditions.
Suggestions include replacing the word "anxiety" with "worry," and scrapping the terms "addiction," "dependence" and "substance abuse" in favor of "substance-use disorder."
"We have to be very careful about our choice of language and precise criteria," said Dr. David J. Kupfer, the DSM-5 task force chairman and director of research at Western Psychiatric Institute and Clinic. Slight word changes could translate into making a disorder much more prevalent — or much more rare, he said.
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Financial ties between DSM-IV panel members and the pharmaceutical industry