Following a recent talk to a group of business people, a man cornered me and said, “I work hard, I’m pretty successful, I have stable, second marriage and kids who are doing well…and yet I often feel unsatisfied with my life and don’t know why. Am I disturbed?”

His question reminded me of an ongoing controversy over the forthcoming revision of the Diagnostic & Statistical Manual of Mental Disorders, the DSM-5. Many are criticizing it for turning normal variations of human emotions and behavior into mental disorders. That’s likely to generate more diagnoses for depression or ADD, for example. Its most prominent critic is Allen Frances, the psychiatrist who chaired the committee that drafted the previous edition. Among his and others’ criticisms is that the revisions will lead to more drugs to “treat” ever-expanding definitions of mental disorder.

In my view, Continue reading →