Will Self

Why America’s attitude to mental illness is dangerously deluded

The DSM, America’s diagnostic manual, encourages therapists, insurance companies and Big Pharma to collude in the bogus labelling of many disorders, says Allan V. Horwitz

[Alamy] 
issue 18 December 2021

A friend who works in social care speaks to me earnestly about a troubled young colleague: ‘Of course, she’s got a borderline personality disorder…’ I check her there: ‘What do you mean by that?’ She thinks for a moment and continues: ‘Well, she’s very emotional, she can’t maintain relationships, and she’s very defiant…’ I wait for a moment to see if there’s anything else before I say my bit: ‘Perhaps she just has a bad character — because fundamentally that’s all a personality disorder is: epithetic psychiatry.

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