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Fifty years of psychiatric nomenclature: Reflections on the 1943 War Department Technical Bulletin, Medical 203

Journal of Clinical PsychologyPublished 1 January 2000
Arthur C. Houts
Citations58
SJR quartileQ1
SJR score1.29
SNIP1.25

TL;DR

The history of Medical 203 is presented to show how Medical 203 was adapted to become DSM-I and the role of critical history is emphasized in evaluating those changes and in speculating about the next 50 years of psychiatric nomenclature.

Abstract

War Department Technical Bulletin, Medical 203 is presented in historical context as the first psychodynamic nomenclature. The history of Medical 203 is presented to show how Medical 203 was adapted to become DSM-I. Medical 203 then is compared and contrasted to DSM-IV to illustrate how changes in the modern DSMs have led to an 800% increase in the number of psychiatric diagnoses over the last half century. The role of critical history is emphasized in evaluating those changes and in speculating about the next 50 years of psychiatric nomenclature.

Keywords

PsychologyArts and HumanitiesNeuroscience