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The fourth edition of the Diagnostic and Statistical Manual of Mental Disorders, DSM-IV published by the American Psychiatric Association (APA) in 1994, acts as a Diagnostic and statistical manual of mental disorders dsm iv Vulcan The Diagnostic and Statistical Manual of Mental Disorders is used by clinicians and psychiatrists to diagnose psychiatric illnesses. Until May of 2013, the DSM-IV-TR was the most recent version of the manual.