Paula Caplan They Say You're Crazy: How The World's Most Powerful Psychiatrists Decide Who's Normal

Dr. Paula Caplan will speak with Jacqueline Foreman about her book They Say You're Crazy: How The World's Most Powerful Psychiatrists Decide Who's Normal. Self-Defeating Personality Disorder, Nicotine Dependence, Hypoactive Sexual Desire Disorder, Premenstrual Dysphoric Disorder-these are some of the 400 "mental illnesses" described in the American Psychiatric Association's diagnostic bible, Diagnostic and Statistical Manual of Mental Disorders (DSM). Caplan (The Myth of Women's Masochism), a psychologist and former consultant to the DSM, compellingly argues that "much of what is labeled 'mental illness' would more appropriately be called problems in living." In a disturbing insider's look at how the mental health establishment decides who is normal and who is "sick," she charges that the DSM board's decision-making process, dominated by a handful of conservative white male psychiatrists, is arbitrary, condescending, profit-driven and riddled with personal biases and political consideration. Facile labeling of personality problems, she shows, can cause personal suffering as well as material harm because DSM categories figure prominently in who wins child custody, who gets hospitalized against their will and whose psychotherapy is covered by insurance. Psychologist Caplan shows how the American Psychiatric Association's bible, the Diagnostic and Statistical Manual of Mental Disorders, lacks the scientific basis claimed for it. Drawing on her years as an adviser-consultant to various related APA committees, she brings to light the association's lack of interest in outsiders' views and the sloppy design and execution of the research it accepts as authoritative. Caplan cites two diagnostic entities, self-defeating personality disorder and premenstrual dysphoric disorder, not only to demonstrate the association's narrow-mindedness and sloppy scientific manners but also to underline the dangers of labeling individuals or groups with such designations. The APA is