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The Book of Woe: The DSM and the Unmaking of Psychiatry Hardcover – May 2, 2013
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From Publishers Weekly
Greenberg delivers a detailed and critical account of the history of the Diagnostic and Statistical Manual of Mental Disorders (DSM), the go-to resource for psychiatrists and other professionals in the mental health field. In particular, the author identifies the various problems, shortcomings, and questionable motivations (such as the overwhelming influence of the pharmaceutical industry) that have plagued the DSM up through its most recent edition. Throughout the book, Greenberg draws upon interviews and research within the field of psychiatry and beyond to make a comprehensive case that will have many raising an eyebrow at psychiatric diagnoses. Narrator David Drummond's deep—almost foreboding—voice matches up well with Greenberg's prose. And Drummond's tone, timing, and emphasis help clarify points for listeners and keep them engaged during the more information-heavy sections of text. A Blue Rider hardcover. (May) --This text refers to the MP3 CD edition.
“[I]ndustrious and perfervid... Mr. Greenberg [argues] that the [DSM] and its authors, the American Psychiatric Association, wield their power arbitrarily and often unwisely, encouraging the diagnosis of too many bogus mental illnesses in patients (binge eating disorder, for example) and too much medication to treat them....Mr. Greenberg argues that psychiatry needs to become more humble, not more certain and aggressive....Greenberg is a fresher, funnier writer. He paces the psychiatric stage as if he were part George Carlin, part Gregory House.”
—Dwight Garner, The New York Times
“Greenberg’s documentation of the DSM-5 revision process is an essential read for practicing and in-training psychotherapists and psychiatrists and is an important contribution to the history of psychiatry.”
“The rewriting of the bible of psychiatry shakes the field to its foundations in this savvy, searching exposé. Deploying wised-up, droll reportage from the trenches of psychiatric policy-making and caustic profiles of the discipline’s luminaries, Greenberg subjects the practices of the mental health industry—his own included—to a withering critique. The result is a compelling insider’s challenge to psychiatry’s scientific pretensions—and a plea to return it to its humanistic roots.”—Publisher’s Weekly, starred review
“Greenberg is an entertaining guide through the treacheries and valuable instances of the DSM, interviewing members on both sides of the divide and keeping the proceedings conversational even when discussing the manual’s pretensions toward epistemic iteration. He also brings his own practice into [The Book of Woe], with examples of the DSM falling woefully short in capturing the complexity of personality. Bright, humorous and seriously thoroughgoing, Greenberg takes all the DSMs for a spin as revealing as the emperor’s new clothes.”—Kirkus Reviews
“[A] brilliant look at the making of DSM-5...entertaining, biting and essential...Greenberg builds a splendid and horrifying read....[he] shows us vividly that psychiatry’s biggest problem may be a stubborn reluctance to admit its immaturity.”
—David Dobbs, Nature.com
“Gary Greenberg is a thoughtful comedian and a cranky philosopher and a humble pest of a reporter, equal parts Woody Allen, Kierkegaard, and Columbo. The Book of Woe is a profound, and profoundly entertaining, riff on malady, power, and truth. This book is for those of us (i.e., all of us) who've ever wondered what it means, and what's at stake, when we try to distinguish the suffering of the ill from the suffering of the human.”
—Gideon Lewis-Kraus, author of A Sense of Direction
“This could be titled The Book of ... Whoa! An eye-popping look at the unnerving, often tawdry politics of psychiatry.”
—Gene Weingarten, two-time Pulitzer Prize winning author of The Fiddler in the Subway
“Bringing the full force of his wit, warmth, and tenacity to this accessible inside account of the latest revision of psychiatry’s diagnostic bible, Gary Greenberg has written a book to rival the importance of its subject. Keenly researched and vividly reported, The Book of Woe is frank, impassioned, on fire for the truth—and best of all, vigorously, beautifully alive to its story’s human stakes.”
—Michelle Orange, author of This Is Running for Your Life
“Gary Greenberg has become the Dante of our psychiatric age, and the DSM-5 is his Inferno. He guides us through the not-so-divine comedy that results when psychiatrists attempt to reduce our hopelessly complex inner worlds to an arbitrary taxonomy that provides a disorder for everybody. Greenberg leads us into depths that Dante never dreamed of. The Book of Woe is a mad chronicle of so-called madness.”
—Errol Morris, Academy Award–winning director, and author of A Wilderness of Error
“In this gripping, devastating account of psychiatric hubris, Gary Greenberg shows that the process of revising the DSM remains as haphazard and chaotic as ever. His meticulous research into the many failures of DSM-5 will spark concern, even alarm, but in doing so will rule out complacency. The Book of Woe deserves a very wide readership.”
—Christopher Lane, author of Shyness: How Normal Behavior Became a Sickness
“Gary Greenberg’s The Book of Woe is about the DSM in the way that Moby-Dick is about a whale—big-time, but only in part. An engaging history of a profession’s virtual bible, The Book of Woe is also a probing consideration of those psychic depths we cannot know and those social realities we pretend not to know, memorably rendered by a seasoned journalist who parses the complexities with a pickpocket’s eye and a mensch’s heart. If I wanted a therapist, and especially if I wanted to clear my mind of cant, I’d make an appointment with Dr. Greenberg as soon as he could fit me in.”
—Garret Keizer, author of Privacy and The Unwanted Sound of Everything We Want
“The Book of Woe is a brilliant, ballsy excursion into the minefield of modern psychiatry. Greenberg has wit, energy, and a wonderfully skeptical mind. If you want to understand how we think of mental suffering today—and why, and to what effect—read this book.”
—Daniel Smith, author of Monkey Mind
“[Greenberg’s] fascinating history of the Diagnostic and Statistical Manual of Mental Disorders (the DSM)...show[s] just how muddled the boundaries of mental health truly are.”
—Chloë Schama, Smithsonian
“Greenberg argues persuasively that the current DSM encourages psychiatrists to reach beyond their competence....I’m impressed by Greenberg’s reporting, his subtlety of thought, his dedication to honesty, and his literacy....a very good book.”
—Benjamin Nugent, Slate.com
“The process of assembling [DSM-5] has been anything but smooth, as The Book of Woe relates....Greenberg argues—persuasively—that this fifth edition of the DSM arises not out of any new scientific understanding but from one of the periodic crises of psychiatry....invaluable.”
—Laura Miller, Salon.com
“In The Book of Woe, Greenberg takes the lay reader through a history of the DSM, which is really a history of psychiatry....[a] fascinating and well-researched account.”
—Suzanne Koven, The Boston Globe
“[E]ngaging, radical and generally delectable...Greenberg is a practicing psychotherapist who writes with the insight of a professional and the panache of a literary journalist....[a] brilliant take-down of the psychiatric profession...The Book of Woe offers a lucid and useful history.”
—Julia M. Klein, The Chicago Tribune
“This is a landmark book about a landmark book....Greenberg paints a picture so compelling and bleak that it could easily send the vulnerable reader into therapy....takes the reader deep inside the secretive world of the panels and personalities that have spent years arguing about which disorders and symptoms they would keep and which they would discard in the new DSM.”
—Robert Epstein, Scientific American
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Faced with this book, one question that a general reader may ask is, why should I care to know all about this insider technical grist that it is the psychiatrists' job to grind and refine?
My reaction to The Book of Woe is philosophical and sociological, and my appraisal overall is mostly positive. I don't agree with every point. I emerge from reading the book with a mixed reaction of philosophical stimulus, resonance, and difference; and I come away thinking about sociological concerns, some of which the book gets at, others it sidestepped. In some places I found the narrative getting a bit self-congratulatory, cavalier, and long-winded.
Despite all that, however, the book really rocks and rolls with face-to-face interviews, participant-observation, and historical notes among psychiatric trend-setters. If it were written by a sociologist, The Book of Woe might earn praise for its piercing ethnographic portrayal of elites in a professional practice hard at work defining, adapting, and justifying a key toolkit that, by societal turn of events, has become theirs to promulgate, psychiatric standards and labels of diagnosis. People may debate the consequences, but in some greater or lesser measure, Greenberg argues that psychiatric diagnosis does influence peoples' identities and connects to insurance payments, treatment regimens, legal distinctions, and research references. Whatever you may think of psychiatry, the profession does render some influence over a number of human lives. The author, Gary Greenberg, PhD, is not a sociologist but is a journalist and practicing psychotherapist. And The Book of Woe's publication is well timed to coincide with the release of the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5(TM)), surely enhancing the book's contribution to the public discourse.
The Book of Woe describes and provokes on a topic that is pertinent to human well-being. The prose delivers erudite arguments laced with personalities and events told as stories, serving as anecdotal data and coating the subject for easier ingestion. Greenberg's arguments may pertain to several different communities of readers who might appreciate it: general interest about public health and mental difficulties; sociology of medicine and mind; and philosophy of science, medicine, and mind. I recommend it.