The authors surveyed directors of residency training to determine the
extent to which DSM-III has been integrated into American psychiatric
residency training programs, how this has been accomplished, and the
directors' assessments of certain effects of DSM-III on residency training.
Ninety-seven percent (N = 208) responded to the questionnaire. Results
indicated that DSM-III has had a major impact on residency training in the
United States. Although the effects of DSM- III were judged to be largely
positive--for example, offering a common language for diagnostic
discussions--certain negative effects, such as promoting a mechanistic
"cookbook" approach to assessing patients, were reported.