The storm over the new version of the diagnostic manual for psychiatrists shows no signs of dying down as a committee member has publicly resigned over concerns that new diagnoses are being created without proper regard to the scientific evidence.

The 5th edition of the Diagnostic and Statistical Manual for Mental disorders, known as the DSM-V, is due out in 2012. It is hotly anticipated because it defines mental illness for the USA and much of the world.

The Carlat Psychiatry Blog reports that Dr. Jane Costello, a member of the Work Group on Disorders in Childhood and Adolescence, recently resigned in protest at what she suggests are unrealistic aims and a disregard of the research evidence. A copy of her resignation letter has already found its way online.

Carlat also reports that Allen Frances and Robert Spitzer, both chiefs of the committee for past versions of the manual, have amplified their recent criticisms in a leaked letter by writing to the American Psychiatric Association Board of Trustee to denounce the DSM-V leadership as having “lost contact with the field” and urging that “It is your responsibility to save DSM-V from itself before it is too late”.

As Frances’ last public criticism was greeted by a strongly worded and surprisingly personal response, this may be the beginning of a drawn out public battle.

Link to Carlat Psychiatry Blog on latest DSM feuding.