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For nearly four decades now, the Diagnostic and Statistical Manual of the American Psychiatric Association, or DSM for short, has exercised a stranglehold of sorts over the mental health sector in the United States, and indeed around the world. Since the publication of the manual’s third edition in 1980, psychiatrists have used a symptom-based approach to name and categorize varieties of mental disturbances — which essentially mirrors the 18th century’s approach to physical illness. As was also true then, there do not exist today any technologies that lend authority to psychiatric diagnoses: no x-rays or MRIs, no blood tests or laboratory analyses that would allow us to make even the most basic distinctions between mental health and mental illness. This unsatisfactory situation has invited controversy and led some misguided souls to deny the very reality of mental illness.