title: [The dubious 'reality' of a psychiatric classification].
abstract: BACKGROUND
  The latest edition of the Diagnostic and Statistical Manual of Mental Disorders, DSM-5, incorporates many new classifications, but some of the classifications that appeared in earlier editions have been dropped. The article comments on and clarifies some of the items that have caused controversy.
  
  
  OBJECTIVE
  To investigate whether a psychiatric classification can ever depict reality of whether it is in fact a social construct.
  
  
  METHODS
  The article is based on a review of the literature and provides a conceptual analysis of articles and manuals.
  
  
  RESULTS
  An attempt has been made to distinguish between different kinds of psychiatric classifications; the 'kinds' can range from natural to artificial and can be practical , interactive or indifferent. This part of the study has led to the conclusion that the way in which we view the type of psychiatric disorders is determined by our entrenched 'subject-object' way of thinking.
  
  
  CONCLUSIONS
  The dichotomy between natural (object) and artificial (subject) should be abandoned and the 'reality' of a psychiatric classification should be seen as a continuum and evolutionary process.
authors.forename: A C J
authors.initials: AC
authors.lastname: Kohne
mesh_terms: D039721:Diagnostic and Statistical Manual of Mental Disorders; D006801:Humans; D001523:Mental Disorders / Q000145:classification*; D011569:Psychiatric Status Rating Scales; D011570:Psychiatry / Q000145:classification*; D009626:Terminology as Topic