It is increasingly clear that the editors of the major psychiatric manual, which reaps huge profits for the American Psychiatric Association that publishes it, are ignoring the massive evidence of harm done by the labels of previous editions of the manual and of likely harm from what they plan to put in the edition they are now preparing. Because we are deeply concerned about the lack of science behind the Diagnostic and Statistical Manual of Mental Disorders, the absence of evidence that it helps in identifying effective treatments, the absence of evidence that helps with outcome, and the abundance of evidence of people being seriously harmed by receiving a psychiatric label, as well as because the editors of the previous, current, and in-preparation editions of the DSM have been largely unresponsive to concerns expressed about these problems, we take the following pledge: "I will not purchase any form of any edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM).