TY - JOUR T1 - Striving for coherence: Psychiatry’s efforts over classification AU - McHugh PR Y1 - 2005/05/25 N1 - 10.1001/jama.293.20.2526 JO - JAMA SP - 2526 EP - 2528 VL - 293 IS - 20 N2 - In the mid-20th century, Freudian psychoanalysts led the discipline by teaching that unconscious mental conflict produced psychiatric disorders. Because psychiatrists then wrapped all disorders into a single explanation (and treated them similarly), they saw little point in sharply distinguishing one manifestation of conflict from another. Although psychoanalytic influence waned in the late 1960s, the diagnostic competence of psychiatrists, needed for progress, did not improve. Even elementary census reports such as the number of patients with schizophrenia who were admitted to mental hospitals were invalid.2 SN - 0098-7484 M3 - doi: 10.1001/jama.293.20.2526 UR - http://dx.doi.org/10.1001/jama.293.20.2526 ER -