In this chapter I will describe what it means to be a patient, what it means to be a professional, what it means to have guild interests, and what all this has to do with the classification of mental disorders. In the earlier part of the chapter I will deal with the consequences of the tension between the practice of diagnosis and the practice of treatment, how patients experience this tension, and what contribution the DSMs make to such tensions. Understanding the predicament of the ‘patient’ is a prerequisite for my brief discussion of the ethics of professions, and I later contrast such ethics with guild interests. These distinctions will in turn be applied to the professional ‘place’ of the diagnostic classification and manual, using a few examples from the DSM III/III-R/IV processes.
Chapter. 11393 words.
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