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Developments in the USA 

Developments in the USA
Chapter:
Developments in the USA
Author(s):

John E. Cooper

and Norman Sartorius

DOI:
10.1093/med/9780199669493.003.0004
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date: 25 November 2017

DSM-I and DSM-II were not widely used, even in the USA, although DSM-II followed the main headings of chapter V of ICD-7. In the post-WWII war expansion of psychiatry the 1950s and 1960s most psychiatrists USA were oriented towards various types of psycho-dynamic psychotherapy, but academic centres in Washington University, St. Louis and the Biometrics Department of Columbia University in New York retained an strong interest in descriptive psychiatry. When the time came for preparation of DSM-III, R.L .Spitzer of the Biometrics Department was appointed chairman, and he enrolled many psychiatrists in the USA in a variety of working groups and task-forces for the consultations required. The publication of DSM-III in 1980 was a major event for American psychiatry in that it provided a list of symptoms in descriptive terms, by which each disorder could be identified, together with instructions as to how many of the list were required to qualify for the diagnosis. This radical innovation met with some resistance from those members of the American Psychiatric Association who were still predominantly oriented towards psycho-dynamic varieties of psychotherapy, but was finally approved. DSM-III was such a success that it set the basic pattern for a revision (DSM-III-R) in 1987, DSM-IV in 1994. and DSM-IV-TM in 2000.

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