Centre for Population Health Sciences, College of Medicine and Veterinary Medicine, University of Edinburgh, UK.
Sociol Health Illn. 2012 May;34(4):544-59. doi: 10.1111/j.1467-9566.2011.01404.x. Epub 2011 Oct 21.
The Diagnostic and Statistical Manual of Mental Disorders (DSM) is one of the most influential and controversial terminological standards ever produced. As such, it continues to provide a valuable case study for sociologists of health and illness. In this article I take as my focus one particular DSM category: antisocial personality disorder (ASPD). The analysis charts the shifting understandings of personality disorders associated with antisocial behaviour in the DSM and in US psychiatry more broadly from 1950 to the present day. Memos, letters and minutes produced by the DSM-III committee and held in the American Psychiatric Association (APA) archives ground the discussion. Finally, the article explores more recent constructions of antisocial personality disorder and examines the anticipatory discourse pertaining to the rewriting of this category expected in the forthcoming DSM-5. In presenting an in-depth socio-historical narrative of the development - and potential future - of standards for pathological antisociality, this analysis casts new light on the ASPD construct. In particular, by considering it as a technology, I elaborate how processes of path dependency constrain innovation and how imaginaries of users and publics are implicated in the APA debates constitutive of this.
《精神障碍诊断与统计手册》（DSM）是有史以来最有影响力和最具争议的术语标准之一。因此，它继续为健康和疾病社会学提供了一个有价值的案例研究。在本文中，我将重点关注 DSM 中的一个特定类别：反社会人格障碍（ASPD）。该分析描绘了与 DSM 中反社会行为相关的人格障碍的理解不断变化，以及更广泛的美国精神病学从 1950 年至今的变化。由 DSM-III 委员会制作并保存在美国精神病学协会（APA）档案中的备忘录、信件和会议记录为讨论提供了依据。最后，本文探讨了最近对反社会人格障碍的构建，并研究了即将出台的 DSM-5 中预期对这一类别进行重写的预期话语。通过对病理性反社会性标准的发展——以及潜在的未来——进行深入的社会历史叙述，这一分析为 ASPD 结构提供了新的视角。特别是，通过将其视为一种技术，我详细阐述了路径依赖过程如何限制创新，以及用户和公众的想象如何涉及构成这一过程的 APA 辩论。
