Shrinks (43 page)

Numerous colleagues generously gave me their time and provided valuable information during the research process, including Nancy Andreasen, the eminent researcher and professor of psychiatry at the University of Iowa; Aaron Beck, inventor of cognitive-behavioral therapy (CBT) and emeritus professor of psychiatry at the University of Pennsylvania; Bob Spitzer, the chair of
DSM-III
and emeritus professor of psychiatry at Columbia University, who, along with his wife and
DSM-III
Task Force member Janet Williams, recounted their experience with
DSM
and the evolution of psychiatry; Jean Endicott and Michael First, Columbia University faculty who worked with Spitzer and on various
DSM
s; Robert Innis, eminent scientist and chief of molecular imaging at the National Institute of Mental Health, who advised on the impact of imaging on psychiatry; Robert Lifton, psychiatrist-activist-author and Columbia University faculty member, who described his Vietnam-era experience and collaboration with Chaim Shatan; Bob Michels, the former dean of Cornell Medical College and eminent psychiatrist and psychoanalytic scholar, who, in erudite fashion, recounted the trajectory of psychoanalysis in American psychiatry; Roger Peele, the iconoclastic former chair of psychiatry at St. Elizabeths Hospital, in Washington, DC, and longstanding leader in the American Psychiatric Association, who shared his firsthand experience with the passage of
DSM-III
; Harold Pincus, former director of research of the APA and vice chair of
DSM-IV
, who provided an informative perspective on the APA and
DSM
; Myrna Weissman, the eminent psychiatric epidemiologist and professor of psychiatry at Columbia University, who described how she and her late husband, Gerry Klerman, developed Interpersonal Psychotherapy. Tim Walsh and Paul Appelbaum, eminent psychiatrists and Columbia professors, provided feedback on selected portions of the manuscript. Glenn Martin was the APA Assembly liaison to the
DSM-5
Task Force and helped me recall the chronology of events in the development process. Brigitt Rok, a friend and clinical psychologist, provided feedback on sections of the manuscript from the practitioner’s perspective. My friend and colleague Wolfgang Fleischhacker, chair of biological psychiatry at the University of Innsbruck, enlightened me about historical developments in German and Austrian psychiatry, and translated key documents from German to English.

Hannah Decker’s scholarly book
The Making of DSM-III: A Diagnostic Manual’s Conquest of American Psychiatry
provided an invaluable source of information.

Four luminaries generously took the time to review large sections of the manuscript in various drafts and provide detailed comments. Andrew Solomon offered wise but bracing feedback in his review of an early version that got us started on the right track. Eric Kandel, the celebrated scientist, author, and Nobel laureate who is a university professor at Columbia, engaged in several discussions with me about psychiatry, past and present, and gave me relevant materials and valuable comments on sections of the manuscript. Both Fuller Torrey, the researcher, author, and public commentator and advocate for the mentally ill, and Ken Kendler, the renowned geneticist, scholar, and professor of psychiatry at Virginia Commonwealth University, spent lengthy periods reviewing near complete drafts of the manuscript and providing detailed feedback.

I also want to recognize Peter Zheutlin, a science writer who helped me on an earlier project that contributed to this book, and the journalist Stephen Fried, a member of the Columbia Journalism School faculty, who offered sage advice on effective writing for nonprofessional audiences.

Thanks to Michael Avedon, Annette Swanstrom, and Eve Vagg for taking and providing photos for the book. Yvonne Cole and Jordan DeVylder provided research assistance, and Yvonne and Monica Gallegos obtained permissions for photos and quotes used in the book. And, perhaps most important, Susan Palma and Monica Gallegos actively managed my schedule to block time for me to write the book.

When my agent and I first approached potential publishers, Tracy Behar, now my editor, responded with unabashed enthusiasm (along with the publisher Reagan Arthur) and preemptively engaged us with Little, Brown. Over the course of the book’s development, Tracy, with the help of her associate Jean Garnett, guided us with skill and experience. Their timely and incisive comments and suggestions helped craft the book into its final form and length.

Finally, I want to acknowledge and express my gratitude to my teachers, mentors, psychiatric and scientific colleagues, and mental health care providers for what they have taught me, and the experiences I have enjoyed, and for their efforts to advance our knowledge of, and care for, people with mental illness. Like everything that we collectively do, this book is motivated by the desire to improve the lives of people with mental illness. I am grateful to my patients for the lessons that they have imparted to me, and the purpose that they have given to my life.

Copyright Acknowledgments

“The Brain is wider than the Sky” reprinted by permission of the publishers and the Trustees of Amherst College from
The Poems of Emily Dickinson
, edited by Thomas H. Johnson, Cambridge, Mass.: The Belknap Press of Harvard University Press, Copyright © 1951, 1955 by the President and Fellows of Harvard College. Copyright © renewed 1979, 1983 by the President and Fellows of Harvard College. Copyright © 1914, 1918, 1919, 1924, 1929, 1930, 1932, 1935, 1937, 1942, by Martha Dickinson Bianchi. Copyright © 1952, 1957, 1958, 1963, 1965, by Mary L. Hampson; “Gee, Officer Krupke” (from
West Side Story
) by Leonard Bernstein and Stephen Sondheim © 1956, 1957, 1958, 1959 by Amberson Holdings LLC and Stephen Sondheim. Copyright renewed. Leonard Bernstein Music Publishing Company LLC, publisher. Boosey & Hawkes, agent for rental. International copyright secured. Reprinted by permission; excerpt from
Notebooks
by Tennessee Williams reprinted by permission of Georges Borchardt, Inc. for the University of the South. Copyright © 2006 by the University of the South; “Mother’s Little Helper” Written by Mick Jagger and Keith Richards. Published by ABKCO Music, Inc. Used by permission. All rights reserved; CBT dialogue republished with permission of Taylor and Francis Group LLC Books, from
Cognitive Behavioral Therapy for Adult ADHD: An Integrative Psychosocial and Medical Approach
, J. Russell Ramsay and Anthony L. Rostain, 2007; permission conveyed through Copyright Clearance Center, Inc.

About the Author

Jeffrey A. Lieberman, MD, has spent his career of over thirty years caring for patients and studying the nature and treatment of mental illness. Dr. Lieberman is the Lawrence C. Kolb Professor and Chairman of Psychiatry at the Columbia University College of Physicians and Surgeons and Director of the New York State Psychiatric Institute. He also holds the Lieber Chair for Schizophrenia Research in the Department of Psychiatry at Columbia and serves as Psychiatrist in Chief at New York Presbyterian Hospital–Columbia University Medical Center. His work has advanced our knowledge of the history and treatment of psychotic disorders and has fundamentally contributed to the current standards of care as well as the development of novel therapeutic medications and transformative strategies for the early detection and prevention of schizophrenia.

Dr. Lieberman has authored more than five hundred articles published in the scientific literature and has edited or coedited twelve books on mental illness and psychiatry. He is the recipient of many honors and awards, including the Lieber Prize for Schizophrenia Research from the Brain and Behavior Research Association, the Adolph Meyer Award from the American Psychiatric Association, the Stanley R. Dean Award for Schizophrenia Research from the American College of Psychiatry, the Research Award from the National Alliance on Mental Illness, and the Neuroscience Award from the International College of Neuropsychopharmacology. Formerly the president of the American Psychiatric Association, he is a member of numerous scientific organizations and in 2000 was elected to the National Academy of Sciences Institute of Medicine.

He lives with his wife in New York City.

Sources and Additional Reading

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Amen, D. G.
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______.
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Beck, J. S., and A. T. Beck.
Cognitive Behavior Therapy, Second Edition: Basics and Beyond
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Boller, F., and G. D. Barba. “The Evolution of Psychiatry and Neurology: Two Disciplines Divided by a Common Goal?” In
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Brown, H. G.
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Darwin, C.
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Decker, H. S.
The Making of DSM-III: A Diagnostic Manual’s Conquest of American Psychiatry
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Diagnostic and Statistical Manual of Mental Illness
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Dickstein, L. J., M. B. Riba, and J. M. Oldham, eds.
American Psychiatric Press Review of Psychiatry
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Dukakis, K. D.
Shock: The Healing Power of Electroconvulsive Therapy
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The Discovery of the Unconscious: The History and Evolution of Dynamic Psychiatry
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125 (1968): 849–51.

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Feighner, J. P., E. Robins, S. B. Guze, A. Woodruff Jr., G. Winokur, and R. Munoz. “Diagnostic Criteria from the Saint Louis School (Missouri-USA).”
Archives of General Psychiatry
26, no. 1 (1972): 57–63.

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Frances, A.
Saving Normal: An Insider’s Revolt Against Out-of-Control Psychiatric Diagnosis, DSM-5, Big Pharma and the Medicalization of Ordinary Life
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