I agree largely with the author on his perspective of psychiatry as a taxonomic method based on classifying observed symptoms as agreed upon by the psychiatric community, and not an actual scientific system for understanding the existence, causes and treatment of objective neurophysiological pathologies. One point he does seem to miss, however, is that in the US and elsewhere it is impossible to obtain insurance coverage for treatment of mental health issues without a DSM or I D diagnostic code. Psychiatry, pharmacology and health care insurance and management are inextricably entwined. You might call it a house of cards, and it may well be, but it is the only system we have right now, for better or for worse.