“The DSM … has increasingly shaped patterns of 
reimbursement by insurers; clinicians have every 
incentive to fit the diagnosis to what health 
insurance companies will pay for. The resulting 
epidemiological date (incidence, prevalence, 
comorbidity ...) are skewed by clinicians who 
barter their integrity in return for 
fee-for-service. In effect, DSM has contributed to making liars of us all.”

Jay B Kwawer, director of the William Alanson 
White institute of Psychiatry, Psychoanalysis, 
and Psychology, New York IN Wired, Mar 2011, p 20



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