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The American Psychiatric Association Task Force on Nomenclature and Statistics has completed and distributed for field testing a draft edition of the new DSM. This is not so much a review of the new DSM-III as a preview, and it is written not from the perspective of the manual's usefulness for medical psychiatry but from the position of psychoanalysis as an independent mental health discipline. A distinction between psychiatry and psychoanalysis is important in discussing the DSM-III because, while many psychiatrists and some analytic institutes assert a special relationship between medicine and psychoanalysis, with this book the American Psychiatric Association has withdrawn its claim to psychoanalysis.
The diagnostic category “neurosis” has been eliminated from the DSM-III. This represents more than a shift in nomenclature. The editors of the DSM-III are proposing a fundamental overhauling of the intellectual foundations of psychiatry. The issue for the DSM-III editors is the intellectual viability of psychoanalysis, not only as a treatment modality, but also as a scientific system for understanding and diagnosing all mental functions. Psychoanalytically based concepts of intrapsychic conflict and developmental psychology are