Vote on DSM-5 Set For This Weekend


This weekend, Asperger’s syndrome may become a thing of the past, children with disruptive mood dysregulation disorder may come into being, and grief following the death of a loved one may become pathological as a committee of 20 people meet in Arlington, Virginia to vote on the DSM-5.

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Kermit Cole
Kermit Cole, MFT, founding editor of Mad in America, works in Santa Fe, New Mexico as a couples and family therapist. Inspired by Open Dialogue, he works as part of a team and consults with couples and families that have members identified as patients. His work in residential treatment — largely with severely traumatized and/or "psychotic" clients — led to an appreciation of the power and beauty of systemic philosophy and practice, as the alternative to the prevailing focus on individual pathology. A former film-maker, he has undergraduate and master's degrees in psychology from Harvard University, as well as an MFT degree from the Council for Relationships in Philadelphia. He is a doctoral candidate with the Taos Institute and the Free University of Brussels. You can reach him at [email protected].


  1. “a committee of 20 people”.

    TWENTY people? What are they, ultra-concentrated dish detergent? One drop will wash an entire sink-full?

    “Hundreds of researchers have worked hard to make the DSM as good as they could figure, Peele says, but the entries are simply their best guesses on how to define and think about mental”

    Hundreds, now reduced to less than two dozen, to vote on best guesses. Are you TRYING to appear to foolish?

    Twenty people. That can’t be the whole story. I don’t buy it.

    Twenty people, no matter how much they think they know, is absolutely NOT adequate to decide on a multitude of issues for MILLIONS, possibly billions, of people.

    How haughty.

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  2. Imagine the letters that will have to go out.

    Dear Mrs. Biggins,
    I’m thrilled to let you know that the miracle of the modern/democratic voting system you have officially been cured. You are officially no longer sick.

    Please see me so we can make a plan to stop your medication.

    Your sincerely
    Dr. Bonkers

    Followed by

    Dear Mrs. Biggins,

    It is with great regret that I write to tell you that when the vote on your disease was taken Dr.FKWitt was in the Kazi. (thats toilet for Yankee readers)

    Dr.FKWitt has now had his vote included and sadly you have had a relapse.

    This will clearly cause you some distress. Please increase the dose of all your meds x2.

    Yours sincerely,
    Dr. Bonkers

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