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The Book of Woe: The DSM and the Unmaking of Psychiatry, by Gary Greenberg
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Review
“[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.”—Library Journal“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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About the Author
Gary Greenberg is a practicing psychotherapist and author of Manufacturing Depression and The Noble Lie. He has written about the intersection of science, politics, and ethics for many publications, including The New Yorker, Wired, Discover, and Rolling Stone. He is a contributor at Mother Jones, and a contributing editor at Harper's, as well as the recipient of the Erik Erikson Award for mental health reporting. Dr. Greenberg lives with his family in Connecticut.
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Product details
Paperback: 416 pages
Publisher: Plume; Reprint edition (November 25, 2014)
Language: English
ISBN-10: 0142180920
ISBN-13: 978-0142180921
Product Dimensions:
5.4 x 0.9 x 8.4 inches
Shipping Weight: 10.4 ounces (View shipping rates and policies)
Average Customer Review:
4.3 out of 5 stars
85 customer reviews
Amazon Best Sellers Rank:
#85,939 in Books (See Top 100 in Books)
Gary Greenberg gets it right and dishes it out on a sumptuous platter of history with a whole lotta gentle direct humor woven through his very exposing/disclosing book. In a down to earth readable style (not psychedelic, psychiatric, psycho, academic bureaucratic mumble jumble jargon) he's drawn the curtain back and exposed the Wizard of Id? Or maybe the Wizard of Ego? The Wizard of War? The DSM-5; a book written by committee; members who sit around a table every so many years and make up stuff, a book that has no scientific basis.We had to study the Diagnostic and Statistical Manual (DSM) when I was in graduate school (and who didn't like looking up what was wrong with their family members and self-diagnosing themselves?). It's merely a checklist of symptoms, not causation, not a mental health diagnosis, not a scientific diagnosis, not a medical diagnosis. "Check, check, check, check." "OK now this is who you are." Then a few years down the line: "Check, check, oh?" "OK now you're not that anymore".And it's very political. "Combat fatigue" was taken out at the height of the Vietnam War. It was veterans who studied then lobbied to get "post traumatic stress" in not only for themselves but also for children who were horribly abused. That is a label that at least speaks to causation. Then homosexuals lobbied to get "homosexuality" out, now "transgendered" want to be kept in.Greenberg lays out the history of the DSM, it's pioneering characters including its subsequent characters who now say "oops", but to his credit the author exposes the story and the behind the scenes of the story, treats the history in a respectful but direct way using humor; making them into people, not gurus who have the holy seeing as to who you are based on a checklist.I didn't know until reading Greenberg's book that out of the history of slavery came one of the first sort of DSM labels. That slaves running away was a mental disorder. If that doesn't say it all about so-called mental illness. If you don't accept the horrible conditions of your life you are mentally ill! "Now take these drugs!" In the new DSM book, in the DSM-5 if you grieve longer than two weeks for a loved one's death you are officially mentally ill.Greenberg lays out the money issue as to why now? Why now revamp the DSM? Why now? Because the American Psychiatric Association (APA) is in need of money. With all the criticism they were getting for drug money flowing into their coffers as well as the drug companies doing trainings for the APA, for drugging the hell out of our kids, the APA greatly reduced the drug money connection. The DSM is their best selling book. They need the money but as the reviews on the DSM-5 show anyone can get the "diagnosis" and "code numbers" on line, free from which to do their insurance billing. DSM-5 not needed.Greenberg's description of the "committee work" I found hilarious and sad for it is exactly the same process I witnessed of the government re-writing the health, safety and well-being of children in day care regulations. It went on forever and the main folks advocating for no safety rules were some of the day care providers with the poor histories of providing care to children. Then like the DSM committee work it all went on line for public comment. The committee work Greenberg watched in action and the committee I watched in action were the similar dynamic although because a couple of us die hard advocates were on the committee the government did at least on paper a better job of keeping safety regulations. And yes, like Greenberg witnessed with his committee, the day care regulation committee also tried to keep their meetings secret and attempted to take away the first amendment rights of us advocates who spoke to the media.Where did this phenomenon start coalescing from in history? Once again it looks like from the Germans and a guy named Emil Kraepelin in the mid 1800s (which is where and when the whole public education system started) and by the end of the 1800s started the classification system, his "neat categories of mental illness".But it was really war that jumped the gun into providing a warm petri dish in which psychiatrists were grown and thrust out into the world to try to stop soldiers returning from war from having emotional reactions about their experiences, well maybe not stop the emotional reactions but to deny they had anything to do with war. 1952 the year the DSM first got published was the year that Dr. Ewan Cameron was the president of the APA. Working out of Canada for the C.I.A. he headed up the MKULTRA program up there Where they experimented on children (see "The Franklin Cover Up"). 1952 was the year the USA got schizophrenia. Out of war sprang our modern mental health (cover up) systems.Lloyd de Mause and Alice Miller probably had the most direct diagnosis for our modern era in that "all war is about child abuse" but I don't think the author reviewed that aspect of our modern mental illness. Maybe his next book?A great read, a fun read, many laughing out loud moments. Laughing takes power and control away from those insisting that their way makes sense, only makes sense, it's the only way if you will only obey them. Please read and enjoy this book.
For anyone (therapists and laypersons alike) who has ever read parts of the DSM (any version) and come away suspecting that they themselves could readily receive a large number of the diagnoses described, depending upon the day, Gary Greenberg has addressed these concerns eloquently. As a therapist working in the field for more than 17 years, I have felt my anger rise steadily at the reductionist hubris presented as fact by proponents of the medical model of human distress. Greenberg's expose links the history of psychiatry, with its relentless pursuit of theoretical and financial legitimacy through medicalization, to the reductionism inherent in this paradigm. Although the topic of Big Pharma's contributions to the medicalization of psychiatry is mentioned in the book, it is not Greensberg's focus and should be expanded upon, given the market-driven nature of nearly all aspects of our current culture. At times, the seemingly endless debates among those involved in the DSM5 project was heavy reading, and I was tempted to skim several chapters in the book. But for the most part, it reads like a spy novel - complete with secrets, conspiracy theories, and betrayals- leaving the reader wondering just whose side people are on, or indeed, what exactly those sides represent, particularly for people seeking help for what is termed, "mental illness." Overall, Greenberg is successful in his efforts to invite the reader to share his critical look at psychiatry and its attempts to reduce human suffering to quantifiable and reimbursable categories. He reminds us that, so far, the human mind remains a mystery,and more than the sum of its biological parts.
“Mental illness is not real, but let’s pretend it is†: DSM5You might think the title or my review is an exaggeration or misstatement of the raison d’etre for any DSM but in fact one of the tenets of this volume, the DSM 5, as well as Book of Woe, is that in fact mental illnesses are artificial and artificially constructed categories that have no reality. Psychiatrists are counseled, within the manual’s pages, against the “reification†of mental disease, that is, turning what is a concept into a real thing, even as the entire DSM purports to describe “reality†in terms like “schizophrenia†and “bipolar disorder†as well as other “oppositional defiant disorder†and other questionable maladies of modern living.Book of Woe is a history of the development of DSM 5 but it is also a fundamentally a critique of Psychiatry, even as the author, a psychologist, confesses he benefits financially from using the very manual he (mostly) disparages.Well-written and even entertaining, this book is a must read and an eye opener for anyone who has ever trusted their psychiatrist to know what she or he is doing when making a diagnosis.
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