DSM Misdiagnosis of Hysteria
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#01
Against Understanding, Volume 1: Commentary and Critique in a Lacanian Key · Bruce Fink · p.231
<span id="page-229-0"></span>**How to Fool Three Eminent Psychiatrists in the Bat of an Eye**
Theoretical move: Fink argues that Marilyn Monroe's misdiagnosis as psychotic exemplifies a systematic clinical error: the failure to recognize that hysteria — as a Lacanian diagnostic category — encompasses symptoms (hallucinations, mood swings, mythomania) typically misread as schizophrenia or paranoia, and that psychiatric and psychopharmacological practice compounds this error by eliminating hysteria as a category altogether.
Hysteria has been eliminated pretty much lock, stock, and barrel from psychiatric and psychological diagnostic manuals such as the DSM III and IV, giving way to a symptom-by-symptom approach whereby the hysteric is characterized as depressed, manic, or suffering from an eating disorder.