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Disruptive Fixation: School Reform and the Pitfalls of Techno-Idealism

undertones. In doing so, I would argue, Schnittker understates the extent to which professional interests have shaped DSM diagnoses. Additionally, his chapter on how cultures use diagnoses (Chapter 8) leans too heavily on an analysis of lexical changes using Google n-grams. This is a very thin operationalization of culture (which Schnittker admits), and the chapter would benefit from incorporating more of the rich historical and sociological literature on culture, psychiatry, and mental illness. But even these criticisms amount to mostly nitpicking. And indeed, in a curious way, my objections only serve to highlight the book’s true strength: its fairness. Even when disagreeing with Schnittker, I find the care with which he lays out his arguments disarming. The reader is assured that he has thought everything out. Despite its prosaic title, The Diagnostic System is a deeply sophisticated book. It should be required reading for sociologists interested in medicine and/or psychiatry. I would go one step further. I would insist that anyone with ambitions to study contemporary psychiatry begin with this book. It provides an invaluable primer on the core issues affecting psychiatry today, while simultaneously supplying the conceptual foundation necessary to navigate this most divisive of terrain.