NPR’s Marketplace on DSM-5’s Problematic Rollout


NPR’s Marketplace covers the DSM-5’s rollout, with Allen Frances noting that “financial pressures – like dwindling membership – are forcing the APA to treat the DSM like a cash cow, not a public trust”, and psychiatrist (and MIA blogger) Sandra Steingard commenting that she has advised her agency against buying it. Regardless, Marketplace notes, the APA already has more than $150 million in pre-orders.

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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. People who are supposed to be helping the mentally ill are buying that book, which offers no real way to help anybody at all. With the money they spend on just that one stupid book, they could have truly helped countless numbers of people. These are truly insane times.

    But, of course, nobody in that industry is truly intending to help anybody at all. That’s just what they tell themselves to be able to sleep at night. People go to work every day with the intention of making money, and providing “help” services are really just another job.

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