In the conclusion to this multi-part article I first review the discussions carried out around the six essential questions in psychiatric diagnosis – the position taken by Allen Frances on each question, the commentaries on the respective question along with Frances’ responses to the commentaries, and my own view of the multiple discussions. In this review I emphasize that the core question is the first – what is the nature of psychiatric illness – and that in some manner all further (...) questions follow from the first. Following this review I attempt to move the discussion forward, addressing the first question from the perspectives of natural kind analysis and complexity analysis. This reflection leads toward a view of psychiatric disorders – and future nosologies – as far more complex and uncertain than we have imagined. (shrink)

In face of the multiple controversies surrounding the DSM process in general and the development of DSM-5 in particular, we have organized a discussion around what we consider six essential questions in further work on the DSM. The six questions involve: 1) the nature of a mental disorder; 2) the definition of mental disorder; 3) the issue of whether, in the current state of psychiatric science, DSM-5 should assume a cautious, conservative posture or an assertive, transformative posture; 4) the role (...) of pragmatic considerations in the construction of DSM-5; 5) the issue of utility of the DSM – whether DSM-III and IV have been designed more for clinicians or researchers, and how this conflict should be dealt with in the new manual; and 6) the possibility and advisability, given all the problems with DSM-III and IV, of designing a different diagnostic system. Part 1 of this article took up the first two questions. Part 2 took up the second two questions. Part 3 now deals with Questions 5 & 6. Question 5 confronts the issue of utility, whether the manual design of DSM-III and IV favors clinicians or researchers, and what that means for DSM-5. Our final question, Question 6, takes up a concluding issue, whether the acknowledged problems with the earlier DSMs warrants a significant overhaul of DSM-5 and future manuals. As in Parts 1 & 2 of this article, the general introduction, as well as the introductions and conclusions for the specific questions, are written by James Phillips, and the responses to commentaries are written by Allen Frances. (shrink)

In face of the multiple controversies surrounding the DSM process in general and the development of DSM-5 in particular, we have organized a discussion around what we consider six essential questions in further work on the DSM. The six questions involve: 1) the nature of a mental disorder; 2) the definition of mental disorder; 3) the issue of whether, in the current state of psychiatric science, DSM-5 should assume a cautious, conservative posture or an assertive, transformative posture; 4) the role (...) of pragmatic considerations in the construction of DSM-5; 5) the issue of utility of the DSM - whether DSM-III and IV have been designed more for clinicians or researchers, and how this conflict should be dealt with in the new manual; and 6) the possibility and advisability, given all the problems with DSM-III and IV, of designing a different diagnostic system. Part I of this article will take up the first two questions. With the first question, invited commentators express a range of opinion regarding the nature of psychiatric disorders, loosely divided into a realist position that the diagnostic categories represent real diseases that we can accurately name and know with our perceptual abilities, a middle, nominalist position that psychiatric disorders do exist in the real world but that our diagnostic categories are constructs that may or may not accurately represent the disorders out there, and finally a purely constructivist position that the diagnostic categories are simply constructs with no evidence of psychiatric disorders in the real world. The second question again offers a range of opinion as to how we should define a mental or psychiatric disorder, including the possibility that we should not try to formulate a definition. The general introduction, as well as the introductions and conclusions for the specific questions, are written by James Phillips, and the responses to commentaries are written by Allen Frances. (shrink)

In face of the multiple controversies surrounding the DSM process in general and the development of DSM-5 in particular, we have organized a discussion around what we consider six essential questions in further work on the DSM. The six questions involve: 1) the nature of a mental disorder; 2) the definition of mental disorder; 3) the issue of whether, in the current state of psychiatric science, DSM-5 should assume a cautious, conservative posture or an assertive, transformative posture; 4) the role (...) of pragmatic considerations in the construction of DSM-5; 5) the issue of utility of the DSM - whether DSM-III and IV have been designed more for clinicians or researchers, and how this conflict should be dealt with in the new manual; and 6) the possibility and advisability, given all the problems with DSM-III and IV, of designing a different diagnostic system. Part I of this article took up the first two questions. Part II will take up the second two questions. Question 3 deals with the question as to whether DSM-V should assume a conservative or assertive posture in making changes from DSM-IV. That question in turn breaks down into discussion of diagnoses that depend on, and aim toward, empirical, scientific validation, and diagnoses that are more value-laden and less amenable to scientific validation. Question 4 takes up the role of pragmatic consideration in a psychiatric nosology, whether the purely empirical considerations need to be tempered by considerations of practical consequence. As in Part 1 of this article, the general introduction, as well as the introductions and conclusions for the specific questions, are written by James Phillips, and the responses to commentaries are written by Allen Frances. (shrink)

Stephen Tracy's neat demonstration that IG I3 35—authorizing the building of a temple and appointment of a priestess for Athena Nike—was cut by the man responsible for the Promachos accounts at first seemed decisive for the traditional c. 448 B.C. against my radical down-dating. Ira Mark then argued that this decree provided for the naiskos and altar of his Stage III in the 440s: the marble temple belonged to Stage IV over twenty years later. Despite these two powerful interventions the (...) matter is not closed. David Gill has, I fancy, convincingly refuted Mark on archaeological and architectural grounds. And there is still more to be said from the epigraphic angle. IG I 36, cut on the back of the stele, looks like a delayed rider to 35. But just how delayed was it? It arranged for the regular payment of the priestess's salary by the kolakretai in office in the month Thargelion. On the traditional view the gap would be close to a quarter of a century, since 36 is firmly dated 424/3 B.C. This is quite extraordinary, though reasons have been found for it. More serious perhaps is some neglected epigraphic evidence. We have eighteen other examples in fifth-century Attic epigraphy where decrees are followed on the same stone by other texts; but virtually all the gaps are short, never more than a few years. The relevant texts are IG I 4, 11/12, 41, 42/43, 52 A–B, 59, 61, 66, 68, 71, 72, 73, 89, 93, 101, 127/II1, 156, 1454. It is true that 42/43 are dated c. 445–442 and c. 435–427 B.C. in IG I, but this is quite arbitrary. (shrink)

Bradeen and McGregor with exemplary skill and patience re-examined the almost desperately worn front face of ATL ii List 26. They were able to prove that the lines of its prescript were precisely forty-seven letters long. This excludes the possibility of dating this list 430/29 or 428/7 B.C., since only six spaces are available for the first numeral. They rightly maintained that the ATL Lists 25 and 26 must be kept together, but unlike them I would challenge the ATL numbering (...) and order. I still think that this should be reversed. (shrink)

Stephen Tracy's neat demonstration that IG I3 35—authorizing the building of a temple and appointment of a priestess for Athena Nike—was cut by the man responsible for the Promachos accounts at first seemed decisive for the traditional c. 448 B.C. against my radical down-dating. Ira Mark then argued that this decree provided for the naiskos and altar of his Stage III in the 440s: the marble temple belonged to Stage IV over twenty years later. Despite these two powerful interventions the (...) matter is not closed. David Gill has, I fancy, convincingly refuted Mark on archaeological and architectural grounds. And there is still more to be said from the epigraphic angle. IG I 36, cut on the back of the stele, looks like a delayed rider to 35. But just how delayed was it? It arranged for the regular payment of the priestess's salary by the kolakretai in office in the month Thargelion. On the traditional view the gap would be close to a quarter of a century, since 36 is firmly dated 424/3 B.C. This is quite extraordinary, though reasons have been found for it. More serious perhaps is some neglected epigraphic evidence. We have eighteen other examples in fifth-century Attic epigraphy where decrees are followed on the same stone by other texts; but virtually all the gaps are short, never more than a few years. The relevant texts are IG I 4, 11/12, 41, 42/43, 52 A–B, 59, 61, 66, 68, 71, 72, 73, 89, 93, 101, 127/II1, 156, 1454. It is true that 42/43 are dated c. 445–442 and c. 435–427 B.C. in IG I, but this is quite arbitrary. (shrink)

The famous eastern tour of inspection undertaken by Scipio Aemilianus, L. Metellus Calvus and Sp. Mummius is now generally dated 140/39 b.c., where Diodorus seems to put it. The accepted view, however, involves discounting an explicit statement by Cicero. It also presents historical difficulties. In 140 b.c. there was no need for such a high-powered Roman initiative, and scholars can discover only very minor political results. Sherwin-White indeed criticised the envoys severely, especially Scipio; they were culpably blind to the new (...) menace of Parthia, which was steadily dismembering the Seleucid Empire east of the Euphrates. This is fair criticism only on the 140/39 b.c. dating. Did Scipio and his colleagues fail to see what is patent to us today? It is time to reexamine rigorously the underlying assumption. In Acad. prior. 2.5 Cicero defends a Roman noble's love of Greek learning in the following terms: ego autem cum Graecas litteras M. Catonem in senectute didicisse acceperim, P. autem Africani historiae loquantur in legatione illa nobili, quam ante censuram obiit, Panaetium unum omnino comitem fuisse, nec litterarum Graecarum nee philosophiae iam ullum auctorem requiro. The date of the embassy must be 144/3 b.c., if we follow the logic of this passage. Scipio was censor with L. Mummius in 142/1 b.c. and their public quarrel was hardly less notable than the embassy, in which L. Mummius' brother shared. Another Ciceronian passage – written some six years earlier – seems to contradict the dating offered in 45 b.c. In de republica 6.11 the elder Africanus prophesies his grandson's future greatness in the famous dream. (shrink)

The series of decrees concerning Methone throws welcome light on Athenian foreign policy and the imperialism of Pericles' successors. Here is historical evidence of the highest quality. Are we using it as fully and accurately as we should? This paper is written in the belief that we are being hampered by unsound presuppositions. Chronologically the second decree is our main fixed point. It was passed in the first prytany of 426/5 B.C. The third and fourth decrees followed in the next (...) two archon-years. They can be ignored in this discussion, since one is hopelessly mutilated and the other is missing from the stone as it stands now. The real problem rises over the first decree. What is its date? It used commonly to be put in 428/7 B.C. until West argued powerfully for January/February 429/8 B.C. His view won considerable support, but the editors of The Athenian Tribute Lists have since succeeded in establishing the summer of 430 B.C. as the orthodox dating. Now those who accept this should recognize that it creates an awkwardly long gap between the first and second decrees. By the first decree Methone was permitted to pay the quota alone, instead of its full tribute, and was promised separate, favourable treatment of its arrears in return for continued loyalty. (shrink)

This short political pamphlet has survived to our day through the lucky chance of being included in the minor works of Xenophon, and for over 150 years it has been the subject of lively scholarly debate. The unknown author was a confirmed oligarch, but with an insider's insight into Athenian democracy. Though he cannot approve of this form of government, he is astute enough to see that the system works well on its own terms and that it is therefore popular; (...) it will prove very hard to overthrow. The work has proved difficult to tie down to an historical context. (shrink)

The famous eastern tour of inspection undertaken by Scipio Aemilianus, L. Metellus Calvus and Sp. Mummius is now generally dated 140/39 b.c., where Diodorus seems to put it. The accepted view, however, involves discounting an explicit statement by Cicero. It also presents historical difficulties. In 140 b.c. there was no need for such a high-powered Roman initiative, and scholars can discover only very minor political results. Sherwin-White indeed criticised the envoys severely, especially Scipio; they were culpably blind to the new (...) menace of Parthia, which was steadily dismembering the Seleucid Empire east of the Euphrates. This is fair criticism only on the 140/39 b.c. dating. Did Scipio and his colleagues fail to see what is patent to us today? It is time to reexamine rigorously the underlying assumption. In Acad. prior. 2.5 Cicero defends a Roman noble's love of Greek learning in the following terms: ego autem cum Graecas litteras M. Catonem in senectute didicisse acceperim, P. autem Africani historiae loquantur in legatione illa nobili, quam ante censuram obiit, Panaetium unum omnino comitem fuisse, nec litterarum Graecarum nee philosophiae iam ullum auctorem requiro. The date of the embassy must be 144/3 b.c., if we follow the logic of this passage. Scipio was censor with L. Mummius in 142/1 b.c. and their public quarrel was hardly less notable than the embassy, in which L. Mummius' brother shared. Another Ciceronian passage – written some six years earlier – seems to contradict the dating offered in 45 b.c. In de republica 6.11 the elder Africanus prophesies his grandson's future greatness in the famous dream. (shrink)

In The Theory of Moral Sentiments (TMS) Adam Smith draws on the Stoic idea of a Providence that uses everything for the good of the whole. The process is often painful, so the Stoic ethic insisted on conscious cooperation. Stoic ideas contributed to the rise of science and enjoyed wide popularity in Smith's England. Smith was more influenced by the Stoicism of his professors than by the Epicureanism of Hume. In TMS, Marcus Aurelius's "helmsman" becomes the "impartial spectator," who judges (...) actions in terms of the way they are seen by others. This is the key to justice, without which society collapses. Business school students should be taught that Smith's "invisible hand" is best understood as a universal rationality that uses just actions for the benefit of the whole. (shrink)

This short political pamphlet has survived to our day through the lucky chance of being included in the minor works of Xenophon, and for over 150 years it has been the subject of lively scholarly debate. The unknown author was a confirmed oligarch, but with an insider's insight into Athenian democracy. Though he cannot approve of this form of government, he is astute enough to see that the system works well on its own terms and that it is therefore popular; (...) it will prove very hard to overthrow. The work has proved difficult to tie down to an historical context. (shrink)

I Should have known better than to revive Carcopino's heresy on the Lex Bembina Repetundarum. My attempt to rob C. Gracchus of this important measure and restore it to Glaucia met with universal disbelief. Soon a powerful counter-attack followed in learned publications. There may seem little left to say. Certainly it would be pointless to go over the old arguments yet again. My only excuse for perseverance is that I have new material. For my readers' convenience I group it under (...) five main heads. (shrink)

I Should have known better than to revive Carcopino's heresy on the Lex Bembina Repetundarum. My attempt to rob C. Gracchus of this important measure and restore it to Glaucia met with universal disbelief. Soon a powerful counter-attack followed in learned publications. There may seem little left to say. Certainly it would be pointless to go over the old arguments yet again. My only excuse for perseverance is that I have new material. For my readers' convenience I group it under (...) five main heads. (shrink)

The decree establishing an Athenian colony at Brea in the north Aegaean area was firmly placed by the editors of The Athenian Tribute Lists in 446 B.C.; they identified the troops mentioned in lines 26 ff. with the men then serving in Euboia. In 1952, however, Woodhead proposed redating the decree c. 439/8 B.C. and explained lines 26 ff. by reference to the Samian revolt. A decade later I put forward a more radical theory, which seems to have won no (...) adherents. I cannot really complain of this, since my arguments were inevitably far from cogent. For some Thucydides' silence alone will have been decisive. I would like to think that the issue has at least been clarified by now. The A.T.L. dating appears rather less plausible. Demokleides' generalship in 439/8 B.C. would fit excellently with his role as founder of Brea. This strongly supports Woodhead. It is doubtful whether Demokleides was general as early as 446 B.C, though conceivable that he returned to the board as late as 426/5 B.C. Woodhead may well be right in locating Brea on the inner Thermaic Gulf and, if so, this too tells against the A.T.L. dating. All our evidence suggests that real Athenian involvement in this area began in the 430's. (shrink)

The decree establishing an Athenian colony at Brea in the north Aegaean area was firmly placed by the editors ofThe Athenian Tribute Listsin 446 B.C.; they identified the troops mentioned in lines 26 ff. with the men then serving in Euboia. In 1952, however, Woodhead proposed redating the decree c. 439/8 B.C. and explained lines 26 ff. by reference to the Samian revolt. A decade later I put forward a more radical theory, which seems to have won no adherents. I (...) cannot really complain of this, since my arguments were inevitably far from cogent. For some Thucydides' silence alone will have been decisive. I would like to think that the issue has at least been clarified by now. TheA.T.L.dating appears rather less plausible. Demokleides' generalship in 439/8 B.C. would fit excellently with his role as founder of Brea. This strongly supports Woodhead. It is doubtful whether Demokleides was general as early as 446 B.C, though conceivable that he returned to the board as late as 426/5 B.C. Woodhead may well be right in locating Brea on the inner Thermaic Gulf and, if so, this too tells against theA.T.L.dating. All our evidence suggests that real Athenian involvement in this area began in the 430's. (shrink)

There can be no doubt of the primacy of Andronicus in Roman literature, but there is an interesting and unorthodox ancient tradition concerning his date. Modern scholars incline to place Andronicus' birth about 285 B.C. and to postulate either that he came to Rome as a slave from Tarentum in 272 B.C., or that the story of his captivity is a fiction. His first play was produced in 240 B.C.

There can be no doubt of the primacy of Andronicus in Roman literature, but there is an interesting and unorthodox ancient tradition concerning his date. Modern scholars incline to place Andronicus' birth about 285 B.C. and to postulate either that he came to Rome as a slave from Tarentum in 272 B.C., or that the story of his captivity is a fiction. His first play was produced in 240 B.C.

The series of decrees concerning Methone throws welcome light on Athenian foreign policy and the imperialism of Pericles' successors. Here is historical evidence of the highest quality. Are we using it as fully and accurately as we should? This paper is written in the belief that we are being hampered by unsound presuppositions. Chronologically the second decree is our main fixed point. It was passed in the first prytany of 426/5 B.C. The third and fourth decrees followed in the next (...) two archon-years. They can be ignored in this discussion, since one is hopelessly mutilated and the other is missing from the stone as it stands now. The real problem rises over the first decree. What is its date? It used commonly to be put in 428/7 B.C. until West argued powerfully for January/February 429/8 B.C. His view won considerable support, but the editors of The Athenian Tribute Lists have since succeeded in establishing the summer of 430 B.C. as the orthodox dating. Now those who accept this should recognize that it creates an awkwardly long gap between the first and second decrees. By the first decree Methone was permitted to pay the quota alone, instead of its full tribute, and was promised separate, favourable treatment of its arrears in return for continued loyalty. (shrink)

This essay armies that Kant's philosophy provides a justification for free markets. The myths about Kant are that he was a recluse, knew nothing about business, and that his epistemology divorced reason from reality, while his primary interest was metaphysics. Yet Kant's categorical imperative demands obedience even in the face of uncertainty about the external world. Adam Smith described this principle as the inward testimony of an impartial observer. Smith and Kant put individual decisions at the center of morality, but (...) agreed that people have a tendency to make morally inferior choices. Those who propose to regulate the economy are as troubled by this tendency as those they regulate. The self-sacrifice prescription is economically, psychologically, and morally unstable. In recommending market competition. Smith was unconsciously applying a Kantian formula. Market decisions are individual decisions. Individuals prefer to do business with those they trust: this is an incentive to honesty. A morality that depends upon incentives is imperfect but superior to a morality imposed by force. (shrink)

The way in which ethical standards are neglected or applied is a function of individual character. The best guarantee of ethical leadership, therefore, lies in the identification of those already predisposed to live according to high moral standards. The ascetic construct is offered as a type of personality with such a predisposition. The ascetic is self-controlled, purposeful, and mindful with regard to consequences. The character traits of the ascetic leader are predicted to increase ethical awareness and ethical accountability within his (...) organization or hers. This will increase the probability of the organization''s economic success because it will reduce uncertainty on the part of customers and investors. A better understanding of the ascetic personality may be helpful in identifying those with the potential for becoming highly ethical leaders. (shrink)

The trend toward increased levels of business interconnectedness in the value chain has clouded the issue of responsibility for business practices. Firms havehistorically denied responsibility for many questionable practices by suggesting that such acts were committed somewhere else in the value chain and that, because they are separated by an arm’s length transaction, they are not responsible. Emerging evidence suggests that in light of the interconnected and networked business environment, the arm’s length defense is growing less effective. We discuss the (...) practical realities that firms are facing in the highly networked environment and offer examples of each. We also offer practical guidance about each example within a total responsibility management framework. (shrink)