Resumen

DUNKER, Christian Ingo Lenz. Questions Around DSM and Psychoanalysis. J. psicanal. [online]. 2014, vol.47, n.87, pp. 79-107. ISSN 0103-5835.

This article resumes and synthesizes the research done by the Laboratory of Social Theory, Philosophy and Psychoanalysis from the University of São Paulo around the notion of social pathology, in the sense of how it involves a historic and anthropological criticism of the model of diagnostic rationality in the DSM system (Diagnostic and Statistical Manual of Mental Disorders) developed by the American Psychiatric Association, since 1952, and replicated by the World Health Organisation in the Classification of International Diseases (CID). Our aim, through the examination of the five versions produced until today by this manual, was to show how in each case we have the type of relationship between psychiatric diagnostic and psychoanalysis that in order to be understood demands considerations of both the aspects of dissemination and reception of psychoanalysis in anglo-saxon culture as internal transformation and psychoanalysis occurring during this period. After pointing out the particular influence of psychoanalysis in the thought of Adolf Meyer, the founder of the DSM approach, as a kind of synthesis between the German and the French models in psychopathology, we examined the profound influence of psychoanalysis in the 1952 version of the manual, even if combined with the notion of "reaction". We tried to show how the purge of psychoanalysis, in the 1973 version, represents a turn of automatisation of the new biological psychiatry, which culminates in a type of dissolution of psychopathology, observed in the 1994-2000 edition. The solution proposed by the DSM-V (2013) presents the effects of the downsizing of liability caused by this nominalist and conventionalist strategy, in contrast with the rebirth of psychoanalysis in the context of neurosciences.

Palabras clave : psychoanalysis; psychiatry; diagnostic; DSM.

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