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diagnostic statistical manual mental disorders dsmiii published 1980 led dead end dsmv following allegory sleeping beauty dsmiii put european psychiatry sleep must wake create 21st century psychiatric language descriptive psychopathology psychiatric nosology four topics reviewed first review descriptive psychopathology focuses chaslins jasperss books b schneiders transmittal jasperss ideas involvement kraepelin incorporating neuroscience psychiatric nosology second us psychiatrys historic steps include pseudoscience psychoanalysis b low level predsmiii diagnostic expertise c neokraepelinian revolution led dsmiii failure improve diagnostic skills e reprise kraepelins marketing neuroscience save psychiatry third dsmiii devastated european psychiatry destroying national textbooks increased consistency eliminated creative european thinking b arbeitsgemenschaft fur methodic und dokumentation der psychiatrie reasonable attempt reach diagnostic agreement start symptomssigns first level rather disorders second level fourth berrios elaborated upon jaspers described psychiatry hybrid science heterogeneous berrios affirmed psychiatric symptomssigns hybrid symptoms semantic space cannot explained neuroscience